Filter neuroprotection of a single patent internal carotid artery during transapical aortic valve implantation

Siddharth Sarangi; John F. Bresnahan; Charles J. Bruce; Gössl Mario; Rakesh M. Suri

doi:10.1111/jocs.12347

Filter neuroprotection of a single patent internal carotid artery during transapical aortic valve implantation

Siddharth Sarangi, John F. Bresnahan, Charles J. Bruce, Gössl Mario, Rakesh M. Suri

Cardiovascular Diseases

Research output: Contribution to journal › Article › peer-review

Abstract

The finding of a mobile calcific plaque attached to the aortic valve cusp during transcatheter aortic valve implantation (TAVI/TAVR) necessitated utilization of an embolic protection device, for cerebral protection. We report the urgent but successful deployment of such a filter in a patient with a single patent internal carotid artery. Although stroke rates observed in first-generation TAVI trials were higher than those reported following conventional open aortic valve replacement, adjunctive neuroprotective measures, particularly in patients with a large amount of threatened cerebral territory, may minimize potential neurologic injury. doi: 10.1111/jocs.12347

Original language	English (US)
Pages (from-to)	260-262
Number of pages	3
Journal	Journal of cardiac surgery
Volume	30
Issue number	3
DOIs	https://doi.org/10.1111/jocs.12347
State	Published - Mar 1 2015

ASJC Scopus subject areas

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

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10.1111/jocs.12347

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abstract = "The finding of a mobile calcific plaque attached to the aortic valve cusp during transcatheter aortic valve implantation (TAVI/TAVR) necessitated utilization of an embolic protection device, for cerebral protection. We report the urgent but successful deployment of such a filter in a patient with a single patent internal carotid artery. Although stroke rates observed in first-generation TAVI trials were higher than those reported following conventional open aortic valve replacement, adjunctive neuroprotective measures, particularly in patients with a large amount of threatened cerebral territory, may minimize potential neurologic injury. doi: 10.1111/jocs.12347",

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AB - The finding of a mobile calcific plaque attached to the aortic valve cusp during transcatheter aortic valve implantation (TAVI/TAVR) necessitated utilization of an embolic protection device, for cerebral protection. We report the urgent but successful deployment of such a filter in a patient with a single patent internal carotid artery. Although stroke rates observed in first-generation TAVI trials were higher than those reported following conventional open aortic valve replacement, adjunctive neuroprotective measures, particularly in patients with a large amount of threatened cerebral territory, may minimize potential neurologic injury. doi: 10.1111/jocs.12347

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Filter neuroprotection of a single patent internal carotid artery during transapical aortic valve implantation

Abstract

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