Preventing it depends on acknowledging it.
It only takes one piece, and it can happen to any TAVI patient.
Any stroke can be devastating
Any stroke can devastate your patients and their families. Even minor cognitive events can result in significant negative consequences on their quality of life.
The rates are underdiagnosed. But the effects are impossible to ignore.
The Facts of Stroke
rate across contemporary
studies, independent of
center experience, operator
volume, or patient risk score.1-5
Post-procedure TAVI patients show overt signs of ischemic
Increase in stroke-related
30-day mortality, post-TAVI7
The Cost of TAVI related Stroke is high
In the Short Term ...
Risk of short-term mortality.2,3
Longer Hospital Stay
In patients with stroke following TAVI compared to patients without stroke.1
In hospitalization costs for every additional day spent in hospital.4
2) Werner N, al. Incidence and clinical impact of stroke complicating transcatheter aortic valve implantation: results from the German TAVI Registry. Catheter Cardiovasc Interv 2016;88:644–653. 52.
3) Stortecky S, et al. Cerebrovascular accidents complicating transcatheter aortic valve implantation: frequency, timing and impact on outcomes. EuroIntervention 2012;8:62–70.
4) Epstain D, et al. THE HOSPITAL COSTS OF CARE FOR STROKE IN NINE EUROPEAN COUNTRIES. Health Econ. 17: S21–S31 (2008).
…but also, in the Long Term
Of All TAVI-Related Stroke Is Major
Those patients return home with moderate or severe disability and increased healthcare consumption.1
After Experiencing A Stroke
Over 60% of survivors are still living with disability, ~40% have depression and 30% have cognitive impairment.2
Social Costs Of Stroke
Average total cost* of patient & caregivers productivity loss, only in the first year after experiencing stroke.3
2)Crichton SL, et al. Patient outcomes up to 15 y ears af ter stroke: surv iv al, disability, quality of life, cognition and mental healthJournal of Neurology , Neurosurgery & Psy chiatry 2016;87:1091-1098.
3) Kotsev a et al. Patient and caregiv er productiv ity loss and indirect costs associated with cardiov ascular ev ents in Europe. Eur J Prev Cardiol, 2019 Jul;26(11).
* Country -range.
Costs can be significant for hospitals, healthcare systems & the society
The picture shows the breakdown of Healthcare and Societal costs of stroke (assessed in 2017) reported in The Burden of Stroke in Europe report conducted by King’s College London f or the Stroke Alliance f or Europe (SAFE).
Burden of TAVI-Related Stroke in 5 European markets and Economic Benefits of CEP
In EU Big 5 ~1800 Strokes Avoided and 47M Euro Saved.
If all eligible TAVI patients* had recieved CEP.
*Assuming all anatomically eligible patients were receiv ing SENTINEL CEP dev ice.
Clinical assumptions: Seeger et al., 2019 (TAVI-related stroke rate); Durko et al., 2018 and ISTAT database (population projections).
Economic assumptions: The economic burden of TAVI-related stroke includes acute phase management, outpatient care, rehabilitation, nursing and societal costs.
Costs were weighted on the clinical course of TAVI-related stroke surv iv ors (Huded TCT 2018), estimated at 1 y ear and adjusted to 2020 values.
The cost of TAVI-related stroke is meaningful
Stroke has an impact on the quality-of-life of patients, their families and caregivers. And in addition to this, patients experiencing stroke have higher costs due to hospitalization, longer LoS, hospital re-admissions, rehabilitation and social costs.
Societal Costs of Stroke