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经导管主动脉瓣置换术(TAVI)后并发卒中患者的静脉溶栓与机械取栓:两例报告。

Intravenous Thrombolysis and Mechanical Thrombectomy in Patients with Stroke after TAVI: A Report of Two Cases.

机构信息

Department of Stroke and Neuroscience, Charing Cross Hospital, Imperial College London NHS Healthcare Trust, London, United Kingdom; Division of Brain Sciences, Department of Medicine, Hammersmith Campus, Imperial College London, London, United Kingdom.

Department of Cardiology, Imperial College Healthcare NHS Trust, London, United Kingdom.

出版信息

J Stroke Cerebrovasc Dis. 2019 Oct;28(10):104277. doi: 10.1016/j.jstrokecerebrovasdis.2019.06.035. Epub 2019 Jul 18.

Abstract

Transcatheter Aortic Valve Implantation (TAVI) is an increasingly treatment modality for severe aortic stenosis, which is associated with a considerable peri-procedural risk of stroke. To date, the clinical safety and efficacy of Tissue plasminogen activator (tPA) and mechanical thrombectomy in stroke post-TAVI is not established. We describe 2 cases of patients with stroke after TAVI who received tPA therapy and mechanical thrombectomy.

摘要

经导管主动脉瓣植入术(TAVI)是一种治疗严重主动脉瓣狭窄的方法,与围手术期中风风险较高有关。迄今为止,组织型纤溶酶原激活剂(tPA)和机械血栓切除术在 TAVI 后中风中的临床安全性和疗效尚未确定。我们描述了 2 例 TAVI 后中风患者接受 tPA 治疗和机械血栓切除术的病例。

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