Key result
Various strategies, including preprocedural planning, cerebral embolic protection devices, and tailored medical therapy, are available to mitigate periprocedural stroke risk following TAVR.
Why the study?
Despite advancements in TAVR technology and operator experience, periprocedural stroke remains a significant concern predominantly driven by immediate postprocedural thromboembolic events.
This review summarizes current strategies to mitigate periprocedural stroke risk during TAVR, including embolic protection devices and tailored medical therapy.
Answers are grounded in this paper and cite their sources.
May inform TAVR periprocedural planning; leaves open which strategies reduce stroke in randomized trials.
Transcatheter aortic valve replacement (TAVR) has become the treatment option for symptomatic severe aortic stenosis patients across all risk profiles. Despite remarkable advancements in technology and operator experience, the occurrence of periprocedural stroke remains a significant concern, predominantly attributed to thromboembolic events in the immediate postprocedural period. To optimize patient outcomes, various strategies have been developed to minimize the risk of stroke, encompassing comprehensive preprocedural planning, effective management of comorbidities, utilization of cerebral embolic protection devices, and tailored medical therapy. This comprehensive review summarizes the currently available strategies for mitigating periprocedural stroke post-TAVR and provides insights into future directions.
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Kodan et al. (2023) conducted a review in Symptomatic severe aortic stenosis. Strategies to minimize periprocedural stroke (preprocedural planning, cerebral embolic protection, medical therapy) was evaluated. Various strategies, including preprocedural planning, cerebral embolic protection devices, and tailored medical therapy, are available to mitigate periprocedural stroke risk following TAVR.
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