Cerebrovascular accidents complicating transcatheter aortic valve implantation: frequency, timing and impact on outcomes
Why the study?
Does periprocedural CVA impact 30-day mortality in high-risk elderly patients undergoing TAVI?
Population
n=389 high-risk elderly patients with symptomatic severe aortic stenosis undergoing TAVI via transfemoral…
Comparison
Transcatheter aortic valve implantation… vs Transcatheter aortic valve implantation without…
Design
Cohort
Follow-up
30 days
Authors
Discussion
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Member takes
Implication
CVA after TAVI was associated with high 30-day mortality; hypothesis-generating for prevention trials in elderly patients.
Structured PICO
Does periprocedural CVA impact 30-day mortality in high-risk elderly patients undergoing TAVI?
P
Population
n=389 high-risk elderly patients with symptomatic severe aortic stenosis undergoing TAVI via transfemoral, transapical or subclavian access
I
Intervention
Transcatheter aortic valve implantation (TAVI) complicated by cerebrovascular accident (CVA)
C
Comparator
Transcatheter aortic valve implantation (TAVI) without cerebrovascular accident (CVA)
O
Outcome
Frequency and timing of CVA, and all-cause and cardiovascular mortality at 30 dayshard clinical
Periprocedural CVA after TAVI is a rare but devastating complication that predominantly occurs within the first 24 hours and is associated with a nearly 12-fold increased risk of 30-day mortality.
Cite This Study
Stortecky et al. (2012) studied this question.