Cerebral embolic protection devices during transcatheter aortic valve implantation: clinical versus silent embolism

经导管主动脉瓣置换术中脑栓塞保护装置:临床栓塞与无症状栓塞

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Abstract

Cerebrovascular events following transcatheter aortic valve implantation (TAVI) is one of the most devastating complications. Several studies with magnetic resonance or cerebral filters have demonstrated the universal brain embolization after TAVI, in the majority of patients clinically silent. Embolic protection devices (EPD) have been developed as a mechanical barrier to prevent these emboli to reach cerebral vasculature and potentially reduce neurological events. We review the current evidence about EPD in relation to histopathological and cerebral imaging findings and neurological events.

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