Feature Channels: Stroke and TAVR procedures

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2-Nov-2022 3:15 PM EDT
Stroke Treatment, Not Neuroimaging, Drives Stroke Hospital Cost Growth
Harvey L. Neiman Health Policy Institute

A study by the Neiman Health Policy Institute found that the costs of an Ischemic Stroke episode increased 4.9% from 2012 to 2019. However, the main driver of those costs was changes in treatments, such as endovascular thrombectomy and intravenous thrombolysis; increases in various types of neuroimaging were not key cost drivers. Over the study period, the share of episodes with treatment increased 155% from 7.3% to 18.5%. There were increases of 80% and 476% in the number of episodes with IVT-only or EVT.

28-Oct-2022 3:20 PM EDT
In Young Adults, Moderate to Heavy Drinking Linked to Higher Risk of Stroke
American Academy of Neurology (AAN)

People in their 20s and 30s who drink moderate to heavy amounts of alcohol may be more likely to have a stroke as young adults than people who drink low amounts or no alcohol, according to a study published in the November 2, 2022, online issue of Neurology®, the medical journal of the American Academy of Neurology. The risk of stroke increased the more years people reported moderate or heavy drinking

21-Oct-2022 4:50 PM EDT
Certain Type of Stroke on the Rise, with Higher Rates Among Black People
American Academy of Neurology (AAN)

Rates of one type of stroke called subarachnoid hemorrhage have increased in older people and men in recent years, and such strokes occur in Black people at a disproportionately higher rate compared to people of other races and ethnicities, according to a study published in the October 26, 2022, online issue of Neurology®, the medical journal of the American Academy of Neurology.

21-Oct-2022 3:05 PM EDT
Does Traffic-Related Air Pollution Increase Risk of Dementia?
American Academy of Neurology (AAN)

Higher exposure to a certain type of traffic-related air pollution called particulate matter may be linked to an increased risk of dementia, according to a meta-analysis published in the October 26, 2022, online issue of Neurology®, the medical journal of the American Academy of Neurology. Researchers specifically looked at fine particulate matter, PM2.5, which consists of pollutant particles of less than 2.5 microns in diameter suspended in air. The meta-analysis included all available studies on air pollution and risk of dementia.

Released: 25-Oct-2022 12:05 AM EDT
Today: ANA2022 Media Roundtable to Spotlight Latest in Neuro Research
American Neurological Association (ANA)

As the American Neurological Association’s 147th Annual Meeting wraps up today, October 25, the ANA is holding a Media Roundtable at 11 a.m. U.S. Central for reporters to access the latest developments in neurology and neuroscience.

   
Released: 9-May-2022 10:30 AM EDT
For stroke survivors, modified cardiac rehabilitation can reduce the chances of death by 76%
Hackensack Meridian Health

Research published in the Journal of Stroke & Cerebrovascular Diseases could change the future of stroke care

Released: 5-Apr-2022 8:00 AM EDT
Successful transfemoral-transcatheter aortic valve replacement in high-risk patients with a grade 4 atheroma in the ascending aorta: cerebral protection with a filter device
General Thoracic and Cardiovascular Surgery

… quite high risk of procedure-related stroke after TAVR due to the grade 4 thrombus formation in the ascending aorta, treated with TF-TAVR with the Sentinel CPS insertion. To our knowledge, the usefulness of a filter device insertion prior to …

Released: 31-Mar-2022 4:00 AM EDT
Same-Day Discharge Post–Transcatheter Aortic Valve Replacement During the COVID-19 Pandemic: The Multicenter PROTECT TAVR Study
Journal of the American College of Cardiology: Cardiovascular Interventions

… The primary endpoint of this study was a composite of cardiovascular death, stroke, myocardial infarction, all-cause readmission, major vascular complications, and new PPM implantation. Secondary outcomes were each component of the …

Released: 31-Mar-2022 4:00 AM EDT
New-onset atrial fibrillation after transcatheter aortic valve replacement: a systematic review and meta-analysis
Journal of the American College of Cardiology: Cardiovascular Interventions

… We separated our assessment of stroke after TAVR into early (<30 days, Figure 2C) and late (>30 days) (Figure 2D) in order to define the … factor for stroke after TAVR but that this risk is limited to the first 30 days after the procedure. This raises …

Released: 30-Mar-2022 7:00 AM EDT
TAVR or SAVR? What can we learn from a pooled meta-analysis of reconstructed time to event data?
European Journal of Cardio-Thoracic Surgery

… of death of any cause or stroke, all-cause mortality, stroke and rehospitalization with a focus on … cause or stroke, the analysis of the HR trend over time shows the superiority of TAVR over … Again, the HR trend over time shows a survival …

Released: 30-Mar-2022 7:00 AM EDT
Stroke after transcatheter aortic valve replacement: A severe complication with low predictability
Catheterization & Cardiovascular Interventions

… stroke and TIA within 30 days after TAVR in a large single-center all-comers cohort of 1919 patients over a 10-year period with a detailed description of all detected strokes. … TAVR presented with a prior stroke and account for 19.7% of …

Released: 30-Mar-2022 7:00 AM EDT
Successful transfemoral-transcatheter aortic valve replacement in high-risk patients with a grade 4 atheroma in the ascending aorta: cerebral protection with a filter device
General Thoracic and Cardiovascular Surgery

… quite high risk of procedure-related stroke after TAVR due to the grade 4 thrombus formation in the ascending aorta, treated with TF-TAVR with the Sentinel CPS insertion. To our knowledge, the usefulness of a filter device insertion prior to …

Released: 30-Mar-2022 7:00 AM EDT
Cerebral Protection in TAVR—Can We Do Without? A Real-World All-Comer Intention-to-Treat Study—Impact on Stroke Rate, Length of Hospital Stay, and Twelve-Month Mortality
Journal of Personalized Medicine

… Although rates of clinically overt cerebrovascular events associated with TAVR are reported to be low—particularly in low-risk patients [26]—… on patient population, study design, and stroke definition. As we treat more and more patients with TAVR …

Released: 24-Mar-2022 7:00 AM EDT
TAVR or SAVR? What can we learn from a pooled meta-analysis of reconstructed time to event data?
European Journal of Cardio-Thoracic Surgery

… of death of any cause or stroke, all-cause mortality, stroke and rehospitalization with a focus on … cause or stroke, the analysis of the HR trend over time shows the superiority of TAVR over … Again, the HR trend over time shows a survival …

Released: 24-Mar-2022 7:00 AM EDT
Long-Term Maintenance of Sinus Rhythm Is Associated with Favorable Echocardiographic Remodeling and Improved Clinical Outcomes after Transcatheter Aortic Valve Replacement
Journal of Clinical Medicine

… In contrast, incidence of postprocedural stroke was relatively low in our study (1.8%), and periprocedural AF was not associated with higher risk of stroke. Risk of stroke after TAVR can be affected by various factors, including antithrombotic regimens …

Released: 22-Mar-2022 9:00 AM EDT
TAVR or SAVR? What can we learn from a pooled meta-analysis of reconstructed time to event data?
European Journal of Cardio-Thoracic Surgery

… of death of any cause or stroke, all-cause mortality, stroke and rehospitalization with a focus on … cause or stroke, the analysis of the HR trend over time shows the superiority of TAVR over … Again, the HR trend over time shows a survival …

Released: 21-Mar-2022 6:00 AM EDT
Cerebral Protection in TAVR—Can We Do Without? A Real-World All-Comer Intention-to-Treat Study—Impact on Stroke Rate, Length of Hospital Stay, and Twelve-Month Mortality
Journal of Personalized Medicine

… Although rates of clinically overt cerebrovascular events associated with TAVR are reported to be low—particularly in low-risk patients [26]—… on patient population, study design, and stroke definition. As we treat more and more patients with TAVR …

Released: 21-Mar-2022 6:00 AM EDT
Successful transfemoral-transcatheter aortic valve replacement in high-risk patients with a grade 4 atheroma in the ascending aorta: cerebral protection with a filter device
General Thoracic and Cardiovascular Surgery

… quite high risk of procedure-related stroke after TAVR due to the grade 4 thrombus formation in the ascending aorta, treated with TF-TAVR with the Sentinel CPS insertion. To our knowledge, the usefulness of a filter device insertion prior to …

Released: 21-Mar-2022 6:00 AM EDT
The Heart Brain Team and Patient-Centered Management of Ischemic Stroke
Journal of the American College of Cardiology

… What is the role of routine cerebral embolic protection (CEP) with TAVR? Do all TAVR strokes occur because of intraprocedural catheter manipulations (Figure 7)? Are there neurological sequalae to the use of the CEP themselves? Can CEP be …

Released: 21-Mar-2022 6:00 AM EDT
Long-Term Maintenance of Sinus Rhythm Is Associated with Favorable Echocardiographic Remodeling and Improved Clinical Outcomes after Transcatheter Aortic Valve Replacement
Journal of Clinical Medicine

… In contrast, incidence of postprocedural stroke was relatively low in our study (1.8%), and periprocedural AF was not associated with higher risk of stroke. Risk of stroke after TAVR can be affected by various factors, including antithrombotic regimens …

Released: 17-Mar-2022 7:00 AM EDT
CRT-700.12 TAVR Vascular Access Closure Using the Tri-Suture Technique
Journal of the American College of Cardiology: Cardiovascular Interventions

… remain high when compared to other TAVR related complications. We assessed outcomes in consecutive patients treated with TAVR using a novel Tri-… Non disabling stroke was observed in 1 patient. Median discharge was 1 day post TAVI …

Released: 17-Mar-2022 7:00 AM EDT
Cerebral Protection in TAVR—Can We Do Without? A Real-World All-Comer Intention-to-Treat Study—Impact on Stroke Rate, Length of Hospital Stay, and Twelve-Month Mortality
Journal of Personalized Medicine

… Although rates of clinically overt cerebrovascular events associated with TAVR are reported to be low—particularly in low-risk patients [26]—… on patient population, study design, and stroke definition. As we treat more and more patients with TAVR …

Released: 17-Mar-2022 7:00 AM EDT
Use of Direct Oral Anticoagulant and Outcomes in Patients With Atrial Fibrillation after Transcatheter Aortic Valve Replacement: Insights From the STS/ACC TVT Registry
Journal of the American Heart Association

… and use of OAC in patients with TAVR and AF, we excluded all patients with a prior mechanical valve, prior stroke within 1 year, in‐… In an analysis from a large clinical data registry of US patients with AF undergoing TAVR, we found that the 1‐year …

Released: 17-Mar-2022 7:00 AM EDT
Cerebral Embolic Protection and Stroke-Related Mortality Following Transcatheter Aortic Valve Replacement
Journal of the American College of Cardiology: Cardiovascular Interventions

… Therefore, we sought to assess the association between CEP and stroke-related mortality following TAVR using a large-scale US … mortality risk of stroke following TAVR. This result needs cautious interpretation because the sample size of stroke …

Released: 17-Mar-2022 7:00 AM EDT
Long-Term Maintenance of Sinus Rhythm Is Associated with Favorable Echocardiographic Remodeling and Improved Clinical Outcomes after Transcatheter Aortic Valve Replacement
Journal of Clinical Medicine

… In contrast, incidence of postprocedural stroke was relatively low in our study (1.8%), and periprocedural AF was not associated with higher risk of stroke. Risk of stroke after TAVR can be affected by various factors, including antithrombotic regimens …

Released: 16-Mar-2022 7:05 AM EDT
Successful transfemoral-transcatheter aortic valve replacement in high-risk patients with a grade 4 atheroma in the ascending aorta: cerebral protection with a filter device
General Thoracic and Cardiovascular Surgery

… quite high risk of procedure-related stroke after TAVR due to the grade 4 thrombus formation in the ascending aorta, treated with TF-TAVR with the Sentinel CPS insertion. To our knowledge, the usefulness of a filter device insertion prior to …

Released: 16-Mar-2022 7:05 AM EDT
Cerebral Protection in TAVR—Can We Do Without? A Real-World All-Comer Intention-to-Treat Study—Impact on Stroke Rate, Length of Hospital Stay, and Twelve …
Journal of Personalized Medicine

… Although rates of clinically overt cerebrovascular events associated with TAVR are reported to be low—particularly in low-risk patients [26]—… on patient population, study design, and stroke definition. As we treat more and more patients with TAVR …

Released: 16-Mar-2022 7:05 AM EDT
Characterization of Cerebral Embolic Capture Using the SENTINEL Device During Transcatheter Aortic Valve Implantation in Low to IntermediateRisk Patients: The SENTINEL-LIR Study
Circulation: Cardiovascular Interventions

… Post-TAVR stroke causes acute and long-term morbidity and mortality. The stroke rate 30 days after TAVR was reported as 3.4% in low-risk … TAVR may reduce the incidence of ischemic stroke and in-hospital mortality.However, the effectiveness of …

Released: 16-Mar-2022 7:05 AM EDT
Long-Term Maintenance of Sinus Rhythm Is Associated with Favorable Echocardiographic Remodeling and Improved Clinical Outcomes after Transcatheter Aortic Valve Replacement
Journal of Clinical Medicine

… In contrast, incidence of postprocedural stroke was relatively low in our study (1.8%), and periprocedural AF was not associated with higher risk of stroke. Risk of stroke after TAVR can be affected by various factors, including antithrombotic regimens …

Released: 15-Mar-2022 9:00 AM EDT
Safety of Transcatheter Aortic Valve Replacement in Patients with Aortic Aneurysm: A Propensity-Matched Analysis
Cardiology and Therapy

… Reports show that > 95% of endovascular TAVR in the US is via transfemoral access, so our population are mostly patients undergoing … in non-TAVR populations [28]. Our study shows that the procedure-related stroke rate was not …

Released: 15-Mar-2022 9:00 AM EDT
Characterization of Cerebral Embolic Capture Using the SENTINEL Device During Transcatheter Aortic Valve Implantation in Low to IntermediateRisk Patients: The SENTINEL-LIR Study
Circulation: Cardiovascular Interventions

… Post-TAVR stroke causes acute and long-term morbidity and mortality. The stroke rate 30 days after TAVR was reported as 3.4% in low-risk … TAVR may reduce the incidence of ischemic stroke and in-hospital mortality.However, the effectiveness of …

Released: 10-Mar-2022 6:00 AM EST
Successful transfemoral-transcatheter aortic valve replacement in high-risk patients with a grade 4 atheroma in the ascending aorta: cerebral protection with a filter device
General Thoracic and Cardiovascular Surgery

… quite high risk of procedure-related stroke after TAVR due to the grade 4 thrombus formation in the ascending aorta, treated with TF-TAVR with the Sentinel CPS insertion. To our knowledge, the usefulness of a filter device insertion prior to …

Released: 9-Mar-2022 10:50 AM EST
Successful transfemoral-transcatheter aortic valve replacement in high-risk patients with a grade 4 atheroma in the ascending aorta: cerebral protection with a filter device
General Thoracic and Cardiovascular Surgery

… quite high risk of procedure-related stroke after TAVR due to the grade 4 thrombus formation in the ascending aorta, treated with TF-TAVR with the Sentinel CPS insertion. To our knowledge, the usefulness of a filter device insertion prior to …

Released: 8-Mar-2022 6:00 AM EST
2-Year Outcomes After Transcatheter Versus Surgical Aortic Valve Replacement in Low-Risk Patients
Journal of the American College of Cardiology

… primary endpoint of death or disabling stroke were 4.3% in the TAVR group and 6.3% in the … between years 1 and 2 as it relates to early TAVR benefits seen in death or disabling stroke. … used Bayesian statistical inference to predict that TAVR …

Released: 8-Mar-2022 6:00 AM EST
Long-Term Maintenance of Sinus Rhythm Is Associated with Favorable Echocardiographic Remodeling and Improved Clinical Outcomes after Transcatheter Aortic Valve Replacement
Journal of Clinical Medicine

… In contrast, incidence of postprocedural stroke was relatively low in our study (1.8%), and periprocedural AF was not associated with higher risk of stroke. Risk of stroke after TAVR can be affected by various factors, including antithrombotic regimens …

Released: 8-Mar-2022 6:00 AM EST
Successful transfemoral-transcatheter aortic valve replacement in high-risk patients with a grade 4 atheroma in the ascending aorta: cerebral protection with a filter device
General Thoracic and Cardiovascular Surgery

… quite high risk of procedure-related stroke after TAVR due to the grade 4 thrombus formation in the ascending aorta, treated with TF-TAVR with the Sentinel CPS insertion. To our knowledge, the usefulness of a filter device insertion prior to …

Released: 8-Mar-2022 6:00 AM EST
Cerebral Protection in TAVR—Can We Do Without? A Real-World All-Comer Intention-to-Treat Study—Impact on Stroke Rate, Length of Hospital Stay, and Twelve-Month Mortality
Journal of Personalized Medicine

… Although rates of clinically overt cerebrovascular events associated with TAVR are reported to be low—particularly in low-risk patients [26]—… on patient population, study design, and stroke definition. As we treat more and more patients with TAVR …

Released: 4-Mar-2022 7:00 AM EST
Successful transfemoral-transcatheter aortic valve replacement in high-risk patients with a grade 4 atheroma in the ascending aorta: cerebral protection with a filter device
General Thoracic and Cardiovascular Surgery

… quite high risk of procedure-related stroke after TAVR due to the grade 4 thrombus formation in the ascending aorta, treated with TF-TAVR with the Sentinel CPS insertion. To our knowledge, the usefulness of a filter device insertion prior to …

Released: 4-Mar-2022 7:00 AM EST
Cerebral Protection in TAVR—Can We Do Without? A Real-World All-Comer Intention-to-Treat Study—Impact on Stroke Rate, Length of Hospital Stay, and Twelve-Month Mortality
Journal of Personalized Medicine

… Although rates of clinically overt cerebrovascular events associated with TAVR are reported to be low—particularly in low-risk patients [26]—… on patient population, study design, and stroke definition. As we treat more and more patients with TAVR …

Released: 3-Mar-2022 6:00 AM EST
Use of Direct Oral Anticoagulant and Outcomes in Patients With Atrial Fibrillation after Transcatheter Aortic Valve Replacement: Insights From the STS/ACC TVT Registry
Journal of the American Heart Association

… and use of OAC in patients with TAVR and AF, we excluded all patients with a prior mechanical valve, prior stroke within 1 year, in‐… In an analysis from a large clinical data registry of US patients with AF undergoing TAVR, we found that the 1‐year …

Released: 3-Mar-2022 6:00 AM EST
Successful transfemoral-transcatheter aortic valve replacement in high-risk patients with a grade 4 atheroma in the ascending aorta: cerebral protection with a filter device
General Thoracic and Cardiovascular Surgery

… quite high risk of procedure-related stroke after TAVR due to the grade 4 thrombus formation in the ascending aorta, treated with TF-TAVR with the Sentinel CPS insertion. To our knowledge, the usefulness of a filter device insertion prior to …

Released: 3-Mar-2022 6:00 AM EST
Non‐vitamin K oral anticoagulants versus vitamin K antagonists in post transcatheter aortic valve replacement patients with clinical indication for oral anticoagulation: A meta‐analysis
Clinical Investigations

… Our meta‐analysis suggests that in post‐TAVR patients requiring OAC therapy, all‐cause mortality, stroke or systemic embolism, and major and/or life‐threatening bleeding are similar between the NOAC and VKA groups. The NOACs may be considered as …

Released: 3-Mar-2022 6:00 AM EST
Cerebral Protection in TAVR—Can We Do Without? A Real-World All-Comer Intention-to-Treat Study—Impact on Stroke Rate, Length of Hospital Stay, and Twelve-Month Mortality
Journal of Personalized Medicine

… Although rates of clinically overt cerebrovascular events associated with TAVR are reported to be low—particularly in low-risk patients [26]—… on patient population, study design, and stroke definition. As we treat more and more patients with TAVR …

Released: 2-Mar-2022 8:00 AM EST
Cerebral Protection in TAVR—Can We Do Without? A Real-World All-Comer Intention-to-Treat Study—Impact on Stroke Rate, Length of Hospital Stay, and Twelve-Month Mortality
Journal of Personalized Medicine

… Although rates of clinically overt cerebrovascular events associated with TAVR are reported to be low—particularly in low-risk patients [26]—… on patient population, study design, and stroke definition. As we treat more and more patients with TAVR …

Released: 2-Mar-2022 8:00 AM EST
Successful transfemoral-transcatheter aortic valve replacement in high-risk patients with a grade 4 atheroma in the ascending aorta: cerebral protection with a filter device
General Thoracic and Cardiovascular Surgery

… quite high risk of procedure-related stroke after TAVR due to the grade 4 thrombus formation in the ascending aorta, treated with TF-TAVR with the Sentinel CPS insertion. To our knowledge, the usefulness of a filter device insertion prior to …

Released: 28-Feb-2022 6:00 AM EST
Non-vitamin K oral anticoagulants versus vitamin K antagonists in post transcatheter aortic valve replacement patients with clinical indication for oral anticoagulation: A meta-analysis
Clinical Cardiology

… TAVR in patients with another indication of OAC, which were published before 28th September 28, 2021. The effectiveness of outcomes was all-cause mortality and stroke … We included 4947 post-TAVR patients with another indication of OAC …

Released: 28-Feb-2022 6:00 AM EST
Cerebral Protection in TAVR—Can We Do Without? A Real-World All-Comer Intention-to-Treat Study—Impact on Stroke Rate, Length of Hospital Stay, and Twelve-Month Mortality
Journal of Personalized Medicine

… Background: Stroke associated with transcatheter aortic valve replacement (TAVR) is a potentially devastating complication. Until recently, … of TAVR-related stroke. However, its effectiveness is still undetermined. Objectives: To explore the impact of …

Released: 25-Feb-2022 8:00 AM EST
The role of TAVR in patients with heart failure: do we have the responses to all questions?
Heart Failure Reviews

… A meta-analysis including 7673 patients undergone to TAVR demonstrated that low stroke-volume index, a parameter of transaortic flow, was related with an increased mortality compared with patients with normal stroke volume index [36] …

Released: 24-Feb-2022 7:00 AM EST
The role of TAVR in patients with heart failure: do we have the responses to all questions?
Heart Failure Reviews

… A meta-analysis including 7673 patients undergone to TAVR demonstrated that low stroke-volume index, a parameter of transaortic flow, was related with an increased mortality compared with patients with normal stroke volume index [36] …


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