1. Novel Cerebral Protection Technique During Right Transcarotid TAVR in Bicuspid Aortic Stenosis and Porcelain Aorta.
- Author
-
Hiendlmayr B, McGuire KE, Curtis LE, Perucki WH, Gowani SA, Abdelaziz A, Hoover NE, Cheema M, and Azemi T
- Subjects
- Aorta, Thoracic diagnostic imaging, Aorta, Thoracic surgery, Aortic Diseases diagnosis, Aortic Valve Stenosis diagnosis, Carotid Artery, Common, Computed Tomography Angiography, Humans, Postoperative Complications diagnosis, Postoperative Complications etiology, Risk Factors, Stroke diagnosis, Stroke etiology, Subclavian Artery, Time Factors, Aortic Diseases surgery, Aortic Valve Stenosis surgery, Cerebrovascular Circulation physiology, Embolic Protection Devices, Postoperative Complications prevention & control, Stroke prevention & control, Transcatheter Aortic Valve Replacement adverse effects
- Abstract
Periprocedural stroke related to transcatheter aortic valve replacement (TAVR) is associated with increased morbidity and mortality. Cerebral embolic protection using the Sentinel device (Claret Medical) has demonstrated reduced rates of stroke during TAVR. However, alternative access such as a transcarotid approach precludes the use of the Sentinel device. We report a case using cerebral embolic protection during a right transcarotid TAVR.
- Published
- 2018