Abstract
Stroke is a potential complication of treating patients with aortic stenosis via surgical aortic valve replacement (AVR), transcatheter aortic valve replacement (TAVR), and balloon aortic valvuloplasty. Because there are limited and heterogeneous data on the incidence, risk factors, and outcomes of stroke among patients being treated for aortic stenosis, we performed a comprehensive review of the literature. The risk of stroke after AVR in the general population is approximately 1.5%, and the risk is increased (to approximately 2% to 4%) in older and higher-risk patients. Strokes were reported in 1.5% to 6% of patients treated with TAVR, and in the only randomized trial of AVR versus TAVR, there was an increased risk of 30-day strokes (minor and major strokes and transient ischemic attacks) with TAVR (5.5% vs. 2.4%, p = 0.04).
| Original language | English (US) |
|---|---|
| Pages (from-to) | 2143-2150 |
| Number of pages | 8 |
| Journal | Journal of the American College of Cardiology |
| Volume | 58 |
| Issue number | 21 |
| DOIs | |
| State | Published - Nov 15 2011 |
| Externally published | Yes |
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All Science Journal Classification (ASJC) codes
- Cardiology and Cardiovascular Medicine
Cite this
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Stroke associated with surgical and transcatheter treatment of aortic stenosis : A comprehensive review. / Daneault, Benoit; Kirtane, Ajay J.; Kodali, Susheel K.; Williams, Mathew R.; Genereux, Philippe; Reiss, George R.; Smith, Craig R.; Moses, Jeffrey W.; Leon, Martin B.
In: Journal of the American College of Cardiology, Vol. 58, No. 21, 15.11.2011, p. 2143-2150.Research output: Contribution to journal › Article
TY - JOUR
T1 - Stroke associated with surgical and transcatheter treatment of aortic stenosis
T2 - A comprehensive review
AU - Daneault, Benoit
AU - Kirtane, Ajay J.
AU - Kodali, Susheel K.
AU - Williams, Mathew R.
AU - Genereux, Philippe
AU - Reiss, George R.
AU - Smith, Craig R.
AU - Moses, Jeffrey W.
AU - Leon, Martin B.
PY - 2011/11/15
Y1 - 2011/11/15
N2 - Stroke is a potential complication of treating patients with aortic stenosis via surgical aortic valve replacement (AVR), transcatheter aortic valve replacement (TAVR), and balloon aortic valvuloplasty. Because there are limited and heterogeneous data on the incidence, risk factors, and outcomes of stroke among patients being treated for aortic stenosis, we performed a comprehensive review of the literature. The risk of stroke after AVR in the general population is approximately 1.5%, and the risk is increased (to approximately 2% to 4%) in older and higher-risk patients. Strokes were reported in 1.5% to 6% of patients treated with TAVR, and in the only randomized trial of AVR versus TAVR, there was an increased risk of 30-day strokes (minor and major strokes and transient ischemic attacks) with TAVR (5.5% vs. 2.4%, p = 0.04).
AB - Stroke is a potential complication of treating patients with aortic stenosis via surgical aortic valve replacement (AVR), transcatheter aortic valve replacement (TAVR), and balloon aortic valvuloplasty. Because there are limited and heterogeneous data on the incidence, risk factors, and outcomes of stroke among patients being treated for aortic stenosis, we performed a comprehensive review of the literature. The risk of stroke after AVR in the general population is approximately 1.5%, and the risk is increased (to approximately 2% to 4%) in older and higher-risk patients. Strokes were reported in 1.5% to 6% of patients treated with TAVR, and in the only randomized trial of AVR versus TAVR, there was an increased risk of 30-day strokes (minor and major strokes and transient ischemic attacks) with TAVR (5.5% vs. 2.4%, p = 0.04).
UR - http://www.scopus.com/inward/record.url?scp=80855156727&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=80855156727&partnerID=8YFLogxK
U2 - 10.1016/j.jacc.2011.08.024
DO - 10.1016/j.jacc.2011.08.024
M3 - Article
VL - 58
SP - 2143
EP - 2150
JO - Journal of the American College of Cardiology
JF - Journal of the American College of Cardiology
SN - 0735-1097
IS - 21
ER -