TY  - BOOK
AU  - Ben-Dor, Itsik
AU  - Hauville, Camille
AU  - Lindsay, Joseph
AU  - Pichard, Augusto D
AU  - Waksman, Ron
TI  - Clinical and silent stroke following aortic valve surgery and transcatheter aortic valve implantation. [Review]
SN  - 1878-0938
KW  - *Aortic Valve Stenosis/su [Surgery]
KW  - *Aortic Valve/su [Surgery]
KW  - *Heart Valve Prosthesis Implantation/ae [Adverse Effects]
KW  - *Stroke/ep [Epidemiology]
KW  - Aortic Valve Stenosis/mo [Mortality]
KW  - Cardiac Catheterization
KW  - Heart Valve Prosthesis Implantation/mt [Methods]
KW  - Humans
KW  - Risk Assessment
KW  - Risk Factors
KW  - Stroke/et [Etiology]
KW  - Survival Rate
KW  - World Health
KW  - MedStar Heart & Vascular Institute
KW  - Journal Article
KW  - Research Support, Non-U.S. Gov't
KW  - Review
N1  - Available in print through MWHC library: 2002 - present
N2  - Transcatheter aortic valve implantation (TAVI) has been introduced as an alternative to conventional surgery for high-risk patients with aortic stenosis. A recently published randomized clinical trial demonstrated reduction of mortality in high-risk or inoperable patients when compared to medical treatment or balloon aortic valvuloplasty. Despite this evidence of superiority, the rate of TAVI complications is high, and perhaps the most devastating of the nonfatal complications is cerebral injury. This review will compare the incidence of stroke and "silent" cerebral injury after surgical aortic valve replacement and after TAVI and will discuss mechanisms that can lead to cerebral injury during these procedures and subsequently how to prevent this with new protection devices. Copyright  2012. Published by Elsevier Inc
UR  - http://dx.doi.org/10.1016/j.carrev.2011.11.001
ER  -