JACC. Case reports · 2025
A Novel Approach for Cerebral Embolic Protection With Single-Artery Access in TAVR.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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George Isaac, Reisinger Maximilian, Kachel Mateusz, Gogorishvili Irakli, Dughashvili Gvantsa, Nour May, Nazif Tamim M
Аннотация
BACKGROUND: Cerebral embolic protection devices (CEPDs) have been developed to decrease embolic brain injury and stroke during transcatheter aortic valve replacement (TAVR). Simplifying vascular access for a CEPD may increase procedural efficiency and safety FIRST-IN-HUMAN/EARLY REPORTS SUMMARY: This is the first published report of the use of the novel EnCompass F2 filter, which consists of a cylindrical nitinol frame and electrospun filter. Complete cerebral embolic protection during TAVR is possible through single femoral arterial access.
DISCUSSION: Cerebral protection was feasible and safe without device-related complications, clinical stroke, or other neurologic events. Postprocedural diffusion-weighted magnetic resonance imaging revealed only 1 very small, clinically insignificant new brain lesion.
NOVELTY: This presents the first successful use of a CEPD in TAVR through access by a single femoral artery.
TAKE-HOME MESSAGE: The use of the novel EnCompass F2 filter was feasible to provide complete cerebral embolic protection in TAVR using a single access.
DISCUSSION: Cerebral protection was feasible and safe without device-related complications, clinical stroke, or other neurologic events. Postprocedural diffusion-weighted magnetic resonance imaging revealed only 1 very small, clinically insignificant new brain lesion.
NOVELTY: This presents the first successful use of a CEPD in TAVR through access by a single femoral artery.
TAKE-HOME MESSAGE: The use of the novel EnCompass F2 filter was feasible to provide complete cerebral embolic protection in TAVR using a single access.