Cerebral Embolic Protection Devices: Current State of the Art
Transcatheter aortic valve replacement (TAVR) has become a first-line treatment for severe aortic stenosis with intermediate to high-risk population with its use increasingly expanding into younger and low-risk cohorts as well. Cerebrovascular events are one of the most serious consequential complic...
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Format: | Article |
Language: | English |
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Radcliffe Medical Media
2023-03-01
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Series: | US Cardiology Review |
Online Access: | https://www.uscjournal.com/articleindex/usc.2022.12 |
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author | Ankit Agrawal Toshiaki Isogai Shashank Shekhar Samir Kapadia |
author_facet | Ankit Agrawal Toshiaki Isogai Shashank Shekhar Samir Kapadia |
author_sort | Ankit Agrawal |
collection | DOAJ |
description | Transcatheter aortic valve replacement (TAVR) has become a first-line treatment for severe aortic stenosis with intermediate to high-risk population with its use increasingly expanding into younger and low-risk cohorts as well. Cerebrovascular events are one of the most serious consequential complications of TAVR, which increase morbidity and mortality. The most probable origin of such neurological events is embolic in nature and the majority occur in the acute phase after TAVR when embolic events are most frequent. Cerebral embolic protection devices have been designed to capture or deflect these emboli, reducing the risk of peri-procedural ischaemic events. They also carry the potential to diminish the burden of new silent ischemic lesions during TAVR. Our review explores different types of these device systems, their rationale, and the established clinical data. |
first_indexed | 2024-03-07T17:40:24Z |
format | Article |
id | doaj.art-e23e0006bc4c48c693230da175e1d205 |
institution | Directory Open Access Journal |
issn | 1758-3896 1758-390X |
language | English |
last_indexed | 2025-02-17T17:27:35Z |
publishDate | 2023-03-01 |
publisher | Radcliffe Medical Media |
record_format | Article |
series | US Cardiology Review |
spelling | doaj.art-e23e0006bc4c48c693230da175e1d2052024-12-14T16:04:09ZengRadcliffe Medical MediaUS Cardiology Review1758-38961758-390X2023-03-011710.15420/usc.2022.12Cerebral Embolic Protection Devices: Current State of the ArtAnkit Agrawal0Toshiaki Isogai1Shashank Shekhar2Samir Kapadia3Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, OHDepartment of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, OHDepartment of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, OHDepartment of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, OHTranscatheter aortic valve replacement (TAVR) has become a first-line treatment for severe aortic stenosis with intermediate to high-risk population with its use increasingly expanding into younger and low-risk cohorts as well. Cerebrovascular events are one of the most serious consequential complications of TAVR, which increase morbidity and mortality. The most probable origin of such neurological events is embolic in nature and the majority occur in the acute phase after TAVR when embolic events are most frequent. Cerebral embolic protection devices have been designed to capture or deflect these emboli, reducing the risk of peri-procedural ischaemic events. They also carry the potential to diminish the burden of new silent ischemic lesions during TAVR. Our review explores different types of these device systems, their rationale, and the established clinical data.https://www.uscjournal.com/articleindex/usc.2022.12 |
spellingShingle | Ankit Agrawal Toshiaki Isogai Shashank Shekhar Samir Kapadia Cerebral Embolic Protection Devices: Current State of the Art US Cardiology Review |
title | Cerebral Embolic Protection Devices: Current State of the Art |
title_full | Cerebral Embolic Protection Devices: Current State of the Art |
title_fullStr | Cerebral Embolic Protection Devices: Current State of the Art |
title_full_unstemmed | Cerebral Embolic Protection Devices: Current State of the Art |
title_short | Cerebral Embolic Protection Devices: Current State of the Art |
title_sort | cerebral embolic protection devices current state of the art |
url | https://www.uscjournal.com/articleindex/usc.2022.12 |
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