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Improved Registration of 3D CT Angiography with X-ray Fluoroscopy for Image Fusion During Transcatheter Aortic Valve Implantation
Published on: June 3, 2018
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Cerebral embolic protection systems for transcatheter aortic valve replacement
Tomasz Gasior1, Norman Mangner2, Julia Bijoch3
1Division of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland.
Journal of Interventional Cardiology
|November 24, 2018
Summary
Transcatheter aortic valve replacement (TAVR) can cause brain injury from emboli. This review covers new cerebral protection devices designed to prevent stroke during TAVR procedures.
Area of Science:
- Cardiology
- Neurology
- Medical Devices
Background:
- Ischemic brain injury following transcatheter aortic valve replacement (TAVR) is a growing concern.
- Cerebral embolization during TAVR can lead to peri-procedural stroke.
- Emerging embolic protection strategies aim to mitigate neurological complications.
Purpose of the Study:
- To provide an evidence-based review of stroke prevention strategies during TAVR.
- To summarize the current landscape of cerebral embolic protection devices for TAVR.
Main Methods:
- Literature review of studies on TAVR-associated stroke.
- Analysis of the mechanisms and clinical translation of various cerebral protection devices.
- Evidence-based assessment of peri-procedural stroke prevention.
Main Results:
- Diverse cerebral protection devices have been developed for TAVR.
- These devices employ various mechanisms to reduce embolization.
- The clinical translation of these devices varies.
Conclusions:
- Cerebral embolic protection during TAVR is an active area of research and development.
- Understanding device mechanisms and clinical evidence is crucial for stroke prevention.
- Further research and clinical adoption of effective devices are needed to improve patient outcomes.
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