Gasior Tomasz, Mangner Norman, Bijoch Julia, Wojakowski Wojciech
Division of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland.
Technical University of Dresden, Heart Center Dresden, Department of Internal Medicine and Cardiology, Dresden, Germany.
J Interv Cardiol. 2018 Dec;31(6):891-898. doi: 10.1111/joic.12573. Epub 2018 Nov 22.
In the recent years, ischemic brain injury related to embolization after transcatheter aortic valve replacement (TAVR) has received increased attention as new embolic protection strategies emerged to protect the brain. Diverse cerebral protection devices have been developed to reduce cerebral embolization during TAVR. These devices work through various mechanisms and are in different stages of clinical translation. This review provides the evidence-based review of peri-procedural stroke prevention during TAVR and summarizes currently available cerebral embolic protection devices.
近年来，随着用于保护大脑的新型栓塞保护策略的出现，经导管主动脉瓣置换术（TAVR）后与栓塞相关的缺血性脑损伤受到了更多关注。为减少TAVR期间的脑栓塞，已开发出多种脑保护装置。这些装置通过各种机制发挥作用，处于不同的临床转化阶段。本综述提供了基于证据的TAVR围手术期卒中预防综述，并总结了目前可用的脑栓塞保护装置。
