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- W4231238963 abstract "Transcatheter aortic valve implantation (TAVI) has dramatically altered the treatment of high-risk patients with symptomatic, severe aortic stenosis. Its utilisation has also begun to extend into intermediate- and low-surgical risk patients. Despite major advancements in the field of TAVI, stroke remains a significant complication because of its high mortality and morbidity rate . This article reviews the role of mechanical thrombectomy (MT) in the management of TAVI-related periprocedural stroke. A comprehensive literature search was performed for studies to include in this systematic review of MT in periprocedural and post-TAVI stroke patients. The search identified 11 case reports in which MT was utilised to treat periprocedural stroke successfully. MT without thrombolysis has several potential benefits for TAVI-related periprocedural stroke because a large proportion of strokes are secondary to nonthrombotic emboli and there is a high bleeding risk associated with patients undergoing TAVI. The authors propose that centres undertaking TAVI procedures have dedicated thrombolysis and thrombectomy pathways for patients who experience a TAVI-related periprocedural stroke." @default.
- W4231238963 created "2022-05-12" @default.
- W4231238963 date "2020-08-03" @default.
- W4231238963 modified "2023-10-16" @default.
- W4231238963 title "Mechanical Thrombectomy for Transcatheter Aortic Valve Insertion (TAVI)-Related Periprocedural Stroke: Current Literature and Future Directions" @default.
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- W4231238963 doi "https://doi.org/10.33590/emjintcardiol/20-00054" @default.
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