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中风预防：让我们为X世代经导管主动脉瓣置换术做好准备。

Stroke Prevention: Let's Prepare for Generation X TAVR.

作者信息

Davidson Laura J, Davidson Charles J

机构信息

Division of Cardiology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.

出版信息

Catheter Cardiovasc Interv. 2016 Oct;88(4):653-655. doi: 10.1002/ccd.26787.

DOI:10.1002/ccd.26787
PMID:27759922
Abstract

Stroke leads to significant morbidity, disability, and mortality after TAVR. CKD and prior stroke are risk factors for stroke. Stratification of stroke risk would improve outcomes associated with TAVR. Ongoing prospective randomized trials on embolic protection and post implant anticoagulation are promising strategies to reduce stroke risk and new brain MRI lesions.

摘要

经导管主动脉瓣置换术（TAVR）后，中风会导致严重的发病率、残疾和死亡率。慢性肾脏病（CKD）和既往中风是中风的危险因素。对中风风险进行分层将改善与TAVR相关的预后。正在进行的关于栓塞保护和植入后抗凝的前瞻性随机试验是降低中风风险和新的脑磁共振成像（MRI）病变的有前景的策略。

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