Large Tissue Debris Causing Cerebral Embolism After Transcatheter Aortic Valve Replacement

IF 1.2 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

International heart journal Pub Date : 2024-01-31 DOI:10.1536/ihj.23-337

Shunsuke Kagawa, Yoshiki Matsumura, Ryo Matsumoto, Yukio Abe, Aiko Terada, Tomoya Ishiguro, Takahiko Naruko

引用次数: 0

Abstract

Cerebral vascular embolism is one of the complications of transcatheter aortic valve replacement (TAVR). Thrombolytic therapy is not expected to be effective when embolic material consists of a large tissue fragment. Instead, mechanical aspiration may be more effective therapy for acute cerebral infarction after TAVR. Here, we describe the case of an 87-year-old woman with aortic valve stenosis and heart failure who underwent TAVR using a self-expandable valve. Acute cerebral infarction with left middle cerebral artery occlusion caused by a large tissue fragment developed after the procedure.

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经导管主动脉瓣置换术后导致脑栓塞的大块组织碎片

脑血管栓塞是经导管主动脉瓣置换术（TAVR）的并发症之一。当栓塞物由大块组织碎片组成时，溶栓疗法预计不会有效。相反，机械抽吸可能是治疗经导管主动脉瓣置换术后急性脑梗塞更有效的方法。在此，我们描述了一名患有主动脉瓣狭窄和心力衰竭的 87 岁女性的病例，她接受了使用自扩张瓣膜的 TAVR 手术。术后出现了急性脑梗死，左侧大脑中动脉闭塞，由一个大的组织碎片引起。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International heart journal 医学-心血管系统

CiteScore

2.50

自引率

6.70%

发文量

148

审稿时长

6-12 weeks

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