Neurologic Complications in Transcatheter Aortic Valve Replacement

Abel Ignatius; Marvin H Eng; Tiberio M Frisoli

doi:10.1016/j.iccl.2021.06.006

Neurologic Complications in Transcatheter Aortic Valve Replacement

Interv Cardiol Clin. 2021 Oct;10(4):519-529. doi: 10.1016/j.iccl.2021.06.006.

Authors

Abel Ignatius¹, Marvin H Eng¹, Tiberio M Frisoli²

Affiliations

¹ Center for Structural Heart Disease, Henry Ford Hospital, 2799 W Grand Boulevard, Detroit, MI 48202, USA.
² Interventional Structural Cardiology, Center for Structural Heart Disease, Heart and Vascular Institute, Henry Ford Hospital, 2799 W Grand Boulevard, Detroit, MI 48202, USA; Henry Ford Allegiance Hospital, 205 N East Avenue, Jackson, MI 49201, USA. Electronic address: [email protected].

PMID: 34593114
DOI: 10.1016/j.iccl.2021.06.006

Abstract

Transcatheter aortic valve replacement (TAVR) has become the mainstay of treatment for severe symptomatic aortic stenosis. Although many TAVR complication rates including mortality and aortic regurgitation have decreased, stroke rates have remained stable for years. TAVR-related strokes are devastating to patients and their families, and very costly for health care systems. The predictors of stroke in TAVR are not yet well defined, although older age, female gender, carotid and peripheral arterial disease, bicuspid aortic valve anatomy, and atrial fibrillation are emerging as risk factors across studies.

Keywords: Atrial fibrillation; Cerebral embolic protection; Stroke; TAVR.

Publication types

Review

MeSH terms

Aged
Aortic Valve Stenosis* / surgery
Female
Humans
Postoperative Complications / epidemiology
Risk Factors
Stroke* / epidemiology
Stroke* / etiology
Transcatheter Aortic Valve Replacement* / adverse effects