经导管主动脉瓣置换术相关脑卒中及脑栓塞保护装置研究进展New advances in stroke and cerebral embolism protection devices in transcatheter aortic valve replacement
李云峰,周世强,史喜德,李飞
摘要(Abstract):
脑卒中作为经导管主动脉瓣置换术(TAVR)最严重并发症之一,显著增加患者神经认知功能下降和死亡的风险。随着TAVR的适应证进一步扩展到外科低风险患者群体,脑卒中的防治至关重要。近年来多种脑栓塞保护装置(CEPD)被用于过滤或偏转去往脑循环的栓塞碎片,已成为预防脑卒中的一种选择,因此亟需了解CEPD在预防脑卒中的作用及适用群体,然而,目前TAVR相关脑卒中的风险因素以及常规使用CEPD的证据尚存在争议。本文就TAVR相关脑卒中及CEPD的研究证据进行综述,并概述了这一领域的最新进展。
关键词(KeyWords): 主动脉瓣狭窄;脑栓塞保护;脑卒中;经导管主动脉瓣置换术
基金项目(Foundation): 国家自然科学基金项目(82170250)
作者(Author): 李云峰,周世强,史喜德,李飞
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