Why the study?
Cerebrovascular accidents and silent ischemic cerebral embolism are major complications after transcatheter aortic valve implantation, prompting the development of cerebral embolic protection devices.
This review summarizes the available data regarding cerebral embolic protection devices and their clinical significance in preventing cerebrovascular accidents during TAVI.
Cerebrovascular accidents including stroke or transient ischaemic attack are one of the most feared complications after transcatheter aortic valve implantation. Transcatheter aortic valve implantation procedures have been consistently associated with silent ischaemic cerebral embolism as assessed by diffusion-weighted MRI. To reduce the risk of cerebrovascular accidents and silent emboli, cerebral embolic protection devices were developed with the aim of preventing procedural debris reaching the cerebral vasculature. The authors summarise the available data regarding cerebral embolic protection devices and its clinical significance.
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Teitelbaum et al. (2019) studied this question.
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