Cerebral Embolic Protection in TAVI: Friend or Foe

Cerebrovascular accidents including stroke or transient ischaemic attack are one of the most feared complications after transcatheter aortic valve implantation. Transcatheter aortic valve implantation procedures have been consistently associated with silent ischaemic cerebral embolism as assessed by...

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Autores principales: Michael Teitelbaum, Rafail A Kotronias, Luciano A Sposato, Rodrigo Bagur
Formato: article
Lenguaje:EN
Publicado: Radcliffe Medical Media 2019
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Acceso en línea:https://doaj.org/article/9a20c77b439042c29b96e47818e2ef24
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Sumario:Cerebrovascular accidents including stroke or transient ischaemic attack are one of the most feared complications after transcatheter aortic valve implantation. Transcatheter aortic valve implantation procedures have been consistently associated with silent ischaemic cerebral embolism as assessed by diffusion-weighted MRI. To reduce the risk of cerebrovascular accidents and silent emboli, cerebral embolic protection devices were developed with the aim of preventing procedural debris reaching the cerebral vasculature. The authors summarise the available data regarding cerebral embolic protection devices and its clinical significance.