Careful assessment and planning can lead to favorable outcomes in patients with severe aortic stenosis undergoing neurovascular intervention for subarachnoid hemorrhage.
Supports feasibility of neurovascular intervention in severe aortic stenosis despite restrictions; hypothesis-generating and requires prospective validation before practice implications.
Despite advances in various modalities of management, subarachnoid hemorrhage (SAH) continues to be associated with high mortality, which is further increased by associated comorbidities. Aortic stenosis (AS) is one such disease which can further complicate the course of SAH. We recently managed a known patient of severe AS, who presented with aneurysmal SAH. Patient was planned for eurovascular intervention. With proper assessment and planning, patient was managed with favorable outcome despite the restrictions faced in the neurovascular intervention laboratory.
No takes yet. Share an insight, caveat, or question.
Sharma et al. (2013) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: