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

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.

Keywords: Stroke; TAVI; Thrombectomy; tPA.

Publication types

  • Case Reports

MeSH terms

  • Administration, Intravenous
  • Aged, 80 and over
  • Fibrinolytic Agents / administration & dosage*
  • Humans
  • Male
  • Stroke / diagnostic imaging
  • Stroke / etiology
  • Stroke / physiopathology
  • Stroke / therapy*
  • Thrombectomy / methods*
  • Thrombolytic Therapy / methods*
  • Transcatheter Aortic Valve Replacement / adverse effects*
  • Treatment Outcome

Substances

  • Fibrinolytic Agents