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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Main Authors: Ankit Agrawal, Toshiaki Isogai, Shashank Shekhar, Samir Kapadia
Format: Article
Language:English
Published: Radcliffe Medical Media 2023-03-01
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.
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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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