New advances in stroke and cerebral embolism protection devices in transcatheter aortic valve replacement
10.3969/j.issn.1004-8812.2024.01.010
- VernacularTitle:经导管主动脉瓣置换术相关脑卒中及脑栓塞保护装置研究进展
- Author:
Yun-Feng LI
1
;
Shi-Qiang ZHOU
;
Xi-De SHI
;
Fei LI
Author Information
1. 中国人民解放军空军军医大学第一附属医院心血管内科, 陕西西安 710032
- Keywords:
Aortic stenosis;
Cerebral embolic protection;
Stroke;
Transcatheter aortic valve replacement
- From:
Chinese Journal of Interventional Cardiology
2024;32(1):51-57
- CountryChina
- Language:Chinese
-
Abstract:
Stroke is one of the most serious complications of transcatheter aortic valve replacement(TAVR),tremendously increasing mortality and the loss of neurocognitive function.Since TAVR is expected to further spread into lower-risk patient groups,there will be greater emphasis to obviate such serious complications.One possible technique for preventing stroke is using cerebral embolic protection devices(CEPDs).CEPDs are designed for capturing or deflecting emboli that are enter route to the brain and hence to protect the brain from embolism.Since this is a rapidly growing field with recent advances,and the impact of CEPD on preventing neurological events is still limited,there is an urgent need for understanding the role of CEPD in preventing clinically significant strokes.Although their clinical utilization is increasing,the risk factors for stroke related to TAVR and evidence for using CEPDs are not yet clear.In this review,we present an overview of the available literature on TAVR related stroke and CEPD,and outline recent advances within this field.
