Letter by Erdoes et al Regarding Article, “Cerebral Embolization During Transcatheter Aortic Valve Implantation: A Transcranial Doppler Study”
Population
67 consecutive patients undergoing transfemoral and transapical TAVI with self-expanding and…
Design
Editorial
Authors
Discussion
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Member takes
Implication
Signals ongoing cerebral embolic risk in TAVI; leaves open whether targeted protection reduces clinical stroke.
Structured PICO
P
Population
67 consecutive patients undergoing transfemoral and transapical TAVI with self-expanding and balloon-expandable prostheses
I
Intervention
Transcatheter aortic valve implantation (TAVI)
O
Outcome
High-intensity transient signals by transcranial Doppler ultrasonographysurrogate
High-intensity transient signals are universally detected during TAVI, particularly during deployment of transfemoral self-expanding prostheses, highlighting the need for strategies to reduce periprocedural cerebral embolism.
Cite This Study
Erdoes et al. (2013) studied this question.