articleNew England Journal of MedicineMar 30, 2025GREEN OA

Routine Cerebral Embolic Protection during Transcatheter Aortic-Valve Implantation

John Radcliffe Hospital · University of Oxford · +51 more institutions

PubMed
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Abstract

Background

Transcatheter aortic-valve implantation (TAVI) is associated with procedure-related stroke. Cerebral embolic protection (CEP) devices may reduce embolization to the cerebral circulation and hence the incidence of stroke.

Methods

We conducted a randomized, controlled trial across 33 centers in the United Kingdom. We randomly assigned 7635 participants with aortic stenosis in a 1:1 ratio to undergo TAVI with a CEP device (CEP group) or TAVI without a CEP device (control group). The primary outcome was stroke within 72 hours after TAVI or before discharge from the hospital (if discharge occurred sooner).

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Funding