Department of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padua Medical School, Padua, Italy.
Catheter Cardiovasc Interv. 2022 May;99(6):1906-1907. doi: 10.1002/ccd.30220. Epub 2022 Apr 29.
Periprocedural cerebrovascular events (CVE) after transcatheter aortic‐valve replacement (TAVR) are infrequent (but not rare) and fearsome complications. Stroke rates after TAVR remain below 4% in recent literature, but data on predictors of peri‐procedural CVE occurrence is generally controversial and inconsistent. The incidence of peri‐procedural stroke seems to be lower in patients treated with TAVR rather than surgical aortic valve replacement, especially among those patients with low‐surgical risk.
经导管主动脉瓣置换术(TAVR)后的围手术期脑血管事件(CVE)并不常见(但也不少见),是一种可怕的并发症。近期文献报道 TAVR 后的中风发生率仍低于 4%,但关于围手术期 CVE 发生的预测因素的数据通常存在争议且不一致。与外科主动脉瓣置换术相比,TAVR 治疗的患者围手术期卒中的发生率似乎较低,尤其是那些低手术风险的患者。