What can be done for cerebral embolic protection in TAVI? Analysis in the light of 10 years' experience with protected carotid artery stenting.

Abstract:

:In the last 30 years, development of minimally invasive percutaneous procedures to treat cardiovascular defects has been thriving. Although these techniques present obvious advantages, like avoiding cardiopulmonary bypass, the passage of catheter systems and the deployment of devices in the blood circulation can cause particle embolization that may result in stroke. In carotid artery stenting, cerebral embolic protection devices (CEPD) such as filtering membranes have been available for already 10 years. In transcatheter aortic valve implantation (TAVI), the development of CEPD is starting and three membrane-based devices are in clinical trials. There are controversial discussions about the efficacy of CEPD in TAVI. The experience with CEPD in carotid artery stenting can help to understand some of the technical issues and shortcomings of current devices and thereby ultimately reduce cerebral complication risks during TAVI procedures.

journal_name

Expert Rev Med Devices

authors

Egron S,Kütting M,Marzelle J,Becquemin JP,Schmitz-Rode T,Steinseifer U

doi

10.1586/17434440.2015.1120666

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

15-29

issue

1

eissn

1743-4440

issn

1745-2422

journal_volume

13

pub_type

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