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September 18, 2012Clinical CardiologyOpen Access

Infective Endocarditis in the Transcatheter Aortic Valve Replacement Era: Comprehensive Review of a Rare Complication

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Key result

Infective endocarditis after TAVR occurred at a mean of 186 days post-procedure in 10 identified cases, often involving atypical organisms and carrying a poor overall prognosis.

Population

10 case reports of patients who developed infective endocarditis after transcatheter aortic valve replacement

Design

Review

Follow-up

Mean time to infective endocarditis 186 days

Authors

AEAlon EisenTel Aviv UniversityYSYaron ShapiraTel Aviv UniversityASAlex SagieTel Aviv University

Discussion

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Implication

May warrant heightened IE suspicion post-TAVR; leaves open incidence, risk factors, and management strategies.

Structured PICO

P
Population
10 cases of infective endocarditis following transcatheter aortic valve replacement.
E
Exposure
Management of infective endocarditis after TAVR (conservative with antibiotics and/or surgery)
O
Outcome
Clinical characteristics, diagnostic findings, management strategies, and prognosis of infective endocarditis following TAVR

Infective endocarditis after TAVR is a rare but severe complication with a poor prognosis, requiring prompt diagnosis and management similar to SAVR endocarditis.

Cite This Study

Eisen et al. (2012) conducted a review in Infective endocarditis after transcatheter aortic valve replacement (n=10). Transcatheter aortic valve replacement (TAVR) was evaluated on Infective endocarditis characteristics and outcomes. Infective endocarditis after TAVR occurred at a mean of 186 days post-procedure in 10 identified cases, often involving atypical organisms and carrying a poor overall prognosis.

synapsesocial.com/papers/6a63d688f3f956990ff2de9fhttps://doi.org/10.1002/clc.22052

Topics

Infective endocarditis
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Candida endocarditis complicating transapical aortic valve implantation2011 · 17 citations
  2. 2Transcatheter Aortic Valve Implantation2010 · 258 citations
  3. 3Systemic inflammatory response syndrome predicts increased mortality in patients after transcatheter aortic valve implantation2012 · 177 citations
  4. 4Two-Year Outcomes after Transcatheter or Surgical Aortic-Valve Replacement2012 · 2,309 citations
  5. 5One-Year Outcomes of Cohort 1 in the Edwards SAPIEN Aortic Bioprosthesis European Outcome (SOURCE) Registry2011 · 530 citations