The risk and extent of neurologic events are equivalent for high-risk patients treated with transcatheter or surgical aortic valve replacement [1]
Neurologic outcomes were evaluated in a randomized trial of TAVR or surgical aortic valve replacement (SAVR) for severe AS (750 pts). Stroke occurred about 50% more often in SAVR than TAVR pts at all follow-up time periods, but the differences were not statisticalyl significant. Cognitive changes after stroke were similar between the two groups.
Commentaries:
http://www.jtcvsonline.org/article/S0022-5223(16)30014-9/fulltext [3]
http://www.jtcvsonline.org/article/S0022-5223(16)00404-9/fulltext [4]