Portal de Periódicos da CAPES

P3288Transcatheter aortic valve implantation: prognostic impact of pre and post-procedural cardiac biomarkers

2017; Oxford University Press; Volume: 38; Issue: suppl_1 Linguagem: Inglês

10.1093/eurheartj/ehx504.p3288

1522-9645

Mariama Akodad, Marco Spaziano, Bernard Chevalier, Thomas Hovasse, Hakim Benamer, Philippe Garot, Annabelle Dinan‐Zannier, Xavier Troussier, Thierry Unterseeh, Stéphane Champagne, Thierry Lefévre,

Infective Endocarditis Diagnosis and Management

Transcatheter valve interventions and their complications 671the left common carotid artery.No additional contrast agent was used during the actual deployment of the double filter.Self-expanding THVs underwent in 4 pts, Balloon-expandable THVs in 29.Balloon post-dilation for significant paravalvular aortic regurgitation was needed in 7 pts (21%) after TAVI.Filters were retrieved after TAVI.Technical success rate with delivery of the proximal and distal filter was 93.7%.In two cases the device was not placed due to excessive tortuosity of the brachiocephalic artery.No peri or post procedural transient ischemic attacks, minor or major strokes occurred.Macroscopic material liberated during the TAVI procedure was captured in the device filter baskets in 27 pts (81.8%).The visible material captured was found in 1 or both filters, different sizes, maximum of 3 mm.Conclusions: In our experience the use of dual filter-based cerebral embolic protection device system is feasible and safe.Embolic debris traveling to the brain and potentially conducive to cerebrovascular events was captured in 81% of TAVI procedures where a filter-based embolic protection device was used.