Stroke After Transcatheter Aortic Valve Replacement: Incidence, Definitions, Etiologies and Management Options

被引：13

作者：

Patel, Prakash A. ^{[1
]}

Patel, Saumil ^{[1
]}

Feinman, Jared W. ^{[1
]}

Gutsche, Jacob T. ^{[1
]}

Vallabhajosyula, Prashanth ^{[2
]}

Shah, Ronak ^{[1
]}

Giri, Jay ^{[3
]}

Desai, Nimesh D. ^{[2
]}

Zhou, Elizabeth ^{[1
]}

Weiss, Stuart J. ^{[1
]}

Augoustides, John G. ^{[1
]}

机构：

[1] Univ Penn, Perelman Sch Med, Dept Anesthesiol & Crit Care, Cardiovasc & Thorac Div, Philadelphia, PA 19104 USA

[2] Univ Penn, Dept Surg, Perelman Sch Med, Div Cardiovasc Surg, Philadelphia, PA 19104 USA

[3] Univ Penn, Dept Med, Div Cardiovasc Med, Perelman Sch Med, Philadelphia, PA 19104 USA

来源：

JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA | 2018年 / 32卷 / 02期

关键词：

transcatheter aortic valve replacement; stroke; transient ischemic attack; cognitive function; mortality; cerebral embolism; heparin; bivalirudin; platelet blockade; novel oral anticoagulants; modified Rankin scale; infarction; hemorrhage; diffusion weighted magnetic resonance imaging; transcranial Doppler; balloon-inflatable valve; self-expanding valve; embolic protection; aortic arch; Embrella device; Montage device; Sentinel device; Triguard device; thrombosis; definitions; trial endpoints; Valve Academic Research Consortium; Neurologic Academic Research Consortium; Society of Thoracic Surgeons; American Heart Association; American Stroke Association; American College of Cardiology; CEREBRAL EMBOLIC PROTECTION; END-POINT DEFINITIONS; CEREBROVASCULAR EVENTS; CLINICAL-OUTCOMES; HIGH-RISK; RANDOMIZED EVALUATION; ATRIAL-FIBRILLATION; NEUROLOGIC EVENTS; DEFLECTION DEVICE; IMPLANTATION;

D O I：

10.1053/j.jvca.2017.08.034

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Neurologic complications after transcatheter aortic valve replacement are devastating. The etiologies of stroke in this setting are best addressed in an integrated fashion during each phase of the perioperative pathway. The conduct of this triphasic approach will continue to be refined to reduce the stroke risks even further, given the major focus on aspects such as embolic protection devices and valve thrombosis. This neurologic focus in transcatheter aortic valve replacement has transformed the investigational approach to neurologic events in cardiovascular clinical trials, resulting in novel guidelines for the diagnosis and assessment of neurologic injury after cardiovascular interventions. (C) 2017 Elsevier Inc. All rights reserved.

引用

页码：968 / 981

页数：14

共 77 条

[1] Embolic Protection Devices During TAVI: Current Evidence and Uncertainties [J].

Altisent, Omar Abdul-Jawad ;

Puri, Rishi ;

Rodes-Cabaua, Josep .

REVISTA ESPANOLA DE CARDIOLOGIA, 2016, 69 (10) :962-972

[2] Sex-based differences in outcomes with bivalirudin or unfractionated heparin for transcatheter aortic valve replacement: Results from the BRAVO-3 randomized trial [J].

Asgar, A. ;

Chandrasekhar, J. ;

Mikhail, G. ;

Webb, J. ;

Lefevre, T. ;

Tamburino, C. ;

Hildick-Smith, D. ;

Hambrecht, R. ;

Van Belle, E. ;

Widder, J. ;

Dumonteil, N. ;

Hink, U. ;

Jeger, R. ;

Linke, A. ;

Deliargyris, E. ;

Gao, P. ;

Mehran, R. ;

Hengstenberg, C. ;

Anthopoulos, P. ;

Dangas, G. .

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2017, 89 (01) :144-153

[3] Influence of Transcatheter Aortic Valve Replacement Strategy and Valve Design on Stroke After Transcatheter Aortic Valve Replacement [J].

Athappan, Ganesh ;

Gajulapalli, R. Dilip ;

Sengodan, Prasanna ;

Bhardwaj, Anju ;

Ellis, Stephen G. ;

Svensson, Lars ;

Tuzcu, Emin Murat ;

Kapadia, Samir R. .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2014, 63 (20) :2101-2110

[4] Serial Changes in Cognitive Function Following Transcatheter Aortic Valve Replacement [J].

Auffret, Vincent ;

Campelo-Parada, Francisco ;

Regueiro, Ander ;

Del Trigo, Maria ;

Chiche, Olivier ;

Chamandi, Chekrallah ;

Allende, Ricardo ;

Cordoba-Soriano, Juan G. ;

Paradis, Jean-Michel ;

De Larochelliere, Robert ;

Doyle, Daniel ;

Dumont, Eric ;

Mohammadi, Siamak ;

Cote, Melanie ;

Marrero, Alier ;

Puri, Rishi ;

Rodes-Cabau, Josep .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2016, 68 (20) :2129-2141

[5] Predictors of Early Cerebrovascular Events in Patients With Aortic Stenosis Undergoing Transcatheter Aortic Valve Replacement [J].

Auffret, Vincent ;

Regueiro, Ander ;

Del Trigo, Maria ;

Altisent, Omar Abdul-Jawad ;

Campelo-Parada, Francisco ;

Chiche, Olivier ;

Puri, Rishi ;

Rodes-Cabau, Josep .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2016, 68 (07) :673-684

[6] Con: Routine Use of Embolic Filters in Transcatheter Aortic Valve Replacement Is not Indicated [J].

Awad, Hamdy ;

Hackett, Kathryn ;

Ramadan, Mohamed Ehab ;

Crestanello, Juan .

JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, 2018, 32 (02) :1056-1061

[7] Cerebral Embolic Protection Devices During Transcatheter Aortic Valve Implantation Systematic Review and Meta-Analysis [J].

Bagur, Rodrigo ;

Solo, Karla ;

Alghofaili, Saleh ;

Nombela-Franco, Luis ;

Kwok, Chun Shing ;

Hayman, Samual ;

Siemieniuk, Reed A. ;

Foroutan, Farid ;

Spencer, Frederick A. ;

Vandvik, Per O. ;

Schaeufele, Tim G. ;

Mamas, Mamas A. .

STROKE, 2017, 48 (05) :1306-+

[8] Transcatheter Aortic Valve Implantation With or Without Preimplantation Balloon Aortic Valvuloplasty: A Systematic Review and Meta-Analysis [J].

Bagur, Rodrigo ;

Kwok, Chun Shing ;

Nombela-Franco, Luis ;

Ludman, Peter F. ;

de Belder, Mark A. ;

Sponga, Sandro ;

Gunning, Mark ;

Nolan, James ;

Diamantouros, Pantelis ;

Teefy, Patrick J. ;

Kiaii, Bob ;

Chu, Michael W. A. ;

Mamas, Mamas A. .

JOURNAL OF THE AMERICAN HEART ASSOCIATION, 2016, 5 (06)

[9] Cerebral Embolism A Silent Iatrogenic Complication of TAVR That Needs Voiced Consideration [J].

Barthelemy, Olivier ;

Collet, Jean Philippe ;

Montalescot, Gilles .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2016, 68 (06) :600-602

[10] Pro: Routine Use of Embolic Protection Devices in Transcatheter Aortic Valve Replacement Should Be Considered [J].

Bhandary, Sujatha P. ;

Essandoh, Michael ;

Mowafy, Hatem ;

Andritsos, Michael .

JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, 2018, 32 (02) :1050-1055

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