This review summarizes the pathophysiology, avoidance, and treatment of major TAVI complications including paravalvular regurgitation, stroke, vascular issues, and pacemaker need.
Offers clinicians a synthesis for TAVI complication management; leaves open the need for updated prospective validation.
Although safety and efficacy of TAVI was improved with next-generation equipment, experience, and careful patient selection, some worrisome complications associated with the procedure remain. Current hot topics in transcatheter aortic valve implantation include patient selection, valve sizing, paravalvular regurgitation, cerebrovascular accidents, vascular complications and need for a permanent pacemaker. In this article we review the pathophysiology, avoidance and treatment options for these complications.
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Toggweiler et al. (2012) studied this question.
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