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

[41] A prospective randomized evaluation of the TriGuard™ HDH embolic DEFLECTion device during transcatheter aortic valve implantation: results fromthe DEFLECT III trial [J].

Lansky, Alexandra J. ;

Schofer, Joachim ;

Tchetche, Didier ;

Stella, Pieter ;

Pietras, Cody G. ;

Parise, Helen ;

Abrams, Kevin ;

Forrest, John K. ;

Cleman, Michael ;

Reinoehl, Jochen ;

Cuisset, Thomas ;

Blackman, Daniel ;

Bolotin, Gil ;

Spitzer, Stefan ;

Kappert, Utz ;

Gilard, Martine ;

Modine, Thomas ;

Hildick-Smith, David ;

Haude, Michael ;

Margolis, Pauliina ;

Brickman, Adam M. ;

Voros, Szilard ;

Baumbach, Andreas .

EUROPEAN HEART JOURNAL, 2015, 36 (31) :2070-2078

[42] Cerebral Embolic Protection During Transcatheter Aortic Valve Replacement A Disconnect Between Logic and Data? [J].

Latib, Azeem ;

Pagnesi, Matteo .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2017, 69 (04) :378-380

[43] Transcatheter or Surgical Aortic-Valve Replacement in Intermediate-Risk Patients [J].

Leon, Martin B. ;

Smith, Craig R. ;

Mack, Michael J. ;

Makkar, Raj R. ;

Svensson, Lars G. ;

Kodali, Susheel K. ;

Thourani, Vinod H. ;

Tuzcu, E. Murat ;

Miller, D. Craig ;

Herrmann, Howard C. ;

Doshi, Darshan ;

Cohen, David J. ;

Pichard, Augusto D. ;

Kapadia, Samir ;

Dewey, Todd ;

Babaliaros, Vasilis ;

Szeto, Wilson Y. ;

Williams, Mathew R. ;

Kereiakes, Dean ;

Zajarias, Alan ;

Greason, Kevin L. ;

Whisenant, Brian K. ;

Hodson, Robert W. ;

Moses, Jeffrey W. ;

Trento, Alfredo ;

Brown, David L. ;

Fearon, William F. ;

Pibarot, Philippe ;

Hahn, Rebecca T. ;

Jaber, Wael A. ;

Anderson, William N. ;

Alu, Maria C. ;

Webb, John G. .

NEW ENGLAND JOURNAL OF MEDICINE, 2016, 374 (17) :1609-1620

[44] Standardized Endpoint Definitions for Transcatheter Aortic Valve Implantation Clinical Trials A Consensus Report From the Valve Academic Research Consortium [J].

Leon, Martin B. ;

Piazza, Nicolo ;

Nikolsky, Eugenia ;

Blackstone, Eugene H. ;

Cutlip, Donald E. ;

Kappetein, Arie Pieter ;

Krucoff, Mitchell W. ;

Mack, Michael ;

Mehran, Roxana ;

Miller, Craig ;

Morel, Marie-angele ;

Petersen, John ;

Popma, Jeffrey J. ;

Takkenberg, Johanna J. M. ;

Vahanian, Alec ;

van Es, Gerrit-Anne ;

Vranckx, Pascal ;

Webb, John G. ;

Windecker, Stephan ;

Serruys, Patrick W. .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2011, 57 (03) :253-269

[45] Transcatheter Aortic-Valve Implantation for Aortic Stenosis in Patients Who Cannot Undergo Surgery. [J].

Leon, Martin B. ;

Smith, Craig R. ;

Mack, Michael ;

Miller, D. Craig ;

Moses, Jeffrey W. ;

Svensson, Lars G. ;

Tuzcu, E. Murat ;

Webb, John G. ;

Fontana, Gregory P. ;

Makkar, Raj R. ;

Brown, David L. ;

Block, Peter C. ;

Guyton, Robert A. ;

Pichard, Augusto D. ;

Bavaria, Joseph E. ;

Herrmann, Howard C. ;

Douglas, Pamela S. ;

Petersen, John L. ;

Akin, Jodi J. ;

Anderson, William N. ;

Wang, Duolao ;

Pocock, Stuart .

NEW ENGLAND JOURNAL OF MEDICINE, 2010, 363 (17) :1597-1607

[46]

Linke A, 2017, CATHETER CARDIOVASC

[47] Transcatheter Aortic-Valve Replacement for Inoperable Severe Aortic Stenosis [J].

Makkar, Raj R. ;

Fontana, Gregory P. ;

Jilaihawi, Hasan ;

Kapadia, Samir ;

Pichard, Augusto D. ;

Douglas, Pamela S. ;

Thourani, Vinod H. ;

Babaliaros, Vasilis C. ;

Webb, John G. ;

Herrmann, Howard C. ;

Bavaria, Joseph E. ;

Kodali, Susheel ;

Brown, David L. ;

Bowers, Bruce ;

Dewey, Todd M. ;

Svensson, Lars G. ;

Tuzcu, Murat ;

Moses, Jeffrey W. ;

Williams, Matthew R. ;

Siegel, Robert J. ;

Akin, Jodi J. ;

Anderson, William N. ;

Pocock, Stuart ;

Smith, Craig R. ;

Leon, Martin B. .

NEW ENGLAND JOURNAL OF MEDICINE, 2012, 366 (18) :1696-1704

[48] Transcatheter (TAVR) versus surgical (AVR) aortic valve replacement: Occurrence, hazard, risk factors, and consequences of neurologic events in the PARTNER trial [J].

Miller, D. Craig ;

Blackstone, Eugene H. ;

Mack, Michael J. ;

Svensson, Lars G. ;

Kodali, Susheel K. ;

Kapadia, Samir ;

Rajeswaran, Jeevanantham ;

Anderson, William N. ;

Moses, Jeffrey W. ;

Tuzcu, E. Murat ;

Webb, John G. ;

Leon, Martin B. ;

Smith, Craig R. .

JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2012, 143 (04) :832-U368

[49] Transcatheter aortic valve replacement: perioperative stroke and beyond [J].

Mokin, Maxim ;

Zivadinov, Robert ;

Dwyer, Michael G. ;

Lazar, Ronald M. ;

Hopkins, L. Nelson ;

Siddiqui, Adnan H. .

EXPERT REVIEW OF NEUROTHERAPEUTICS, 2017, 17 (04) :327-334

[50] Meta-Analysis of Perioperative Stroke and Mortality in Transcatheter Aortic Valve Implantation [J].

Muralidharan, Aditya ;

Thiagarajan, Karthy ;

Van Ham, Raymond ;

Gleason, Thomas G. ;

Mulukutla, Suresh ;

Schindler, John T. ;

Jeevanantham, Vinodh ;

Thirumala, Parthasarathy D. .

AMERICAN JOURNAL OF CARDIOLOGY, 2016, 118 (07) :1031-1045

← 1 2 3 4 5 6 7 8 →