Cerebral protection during transcatheter aortic valve implantation in an extreme high-risk patient

Stephanie Voss; Christian Nöbauer; Rüdiger Lange; Sabine Bleiziffer

doi:10.1093/ejcts/ezx226

Cerebral protection during transcatheter aortic valve implantation in an extreme high-risk patient

Eur J Cardiothorac Surg. 2017 Nov 1;52(5):998-999. doi: 10.1093/ejcts/ezx226.

Authors

Stephanie Voss¹, Christian Nöbauer¹, Rüdiger Lange¹, Sabine Bleiziffer¹

Affiliation

¹ Department of Cardiovascular Surgery, German Heart Center Munich, Clinic at the Technical University, Munich, Germany.

PMID: 28977497
DOI: 10.1093/ejcts/ezx226

Abstract

Stroke during transcatheter aortic valve replacement is one of the most feared complications. New technologies have been developed, attempting to prevent cerebral embolization of thrombotic and calcific debris. We report a 78-year-old patient (EuroSCORE log 45.6%, STS Stroke Score 5.1%) with calcific aortic stenosis at particular risk for cerebrovascular accidents. The patient underwent transapical transcatheter aortic valve replacement using the dual filter-based Claret Sentinel™ Device for cerebral protection. Claret Sentinel Device use was associated with capture of macroscopic debris. Postoperatively, no neurological deficits could be detected by the National Institutes of Health Stroke Scale and modified Rankin scale.

Keywords: Cerebral embolic protection; TAVR.

Publication types

Case Reports

MeSH terms

Aged
Heart Valve Prosthesis Implantation* / adverse effects
Heart Valve Prosthesis Implantation* / methods
Humans
Intracranial Embolism / prevention & control*
Male
Risk Factors
Tomography, X-Ray Computed
Transcatheter Aortic Valve Replacement* / adverse effects
Transcatheter Aortic Valve Replacement* / methods