Sentinel cerebral embolic protection device deployment in aberrant right subclavian artery via left radial artery access

Hannah Lee , Sudhi Tyagi , Paul Pearson , Peter Mason
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Abstract

Procedure-related stroke represents a major complication of transcatheter aortic valve replacement (TAVR). The Sentinel Cerebral Protection System is the only FDA-approved embolic protection device for TAVR and is intended for use via right radial access. As TAVR has become the preferred modality for aortic valve replacement, protection devices like Sentinel have been developed to reduce procedural complications; however, its use in aberrant aortic arch anatomy has not been previously reported. We present a case of successful Sentinel deployment and embolic protection via alternative left radial artery access in a patient with an aberrant right subclavian artery.

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在经左桡动脉入路的反常右锁骨下动脉中部署哨兵脑栓塞保护装置
手术相关中风是经导管主动脉瓣置换术(TAVR)的主要并发症。Sentinel 脑保护系统是唯一经 FDA 批准用于 TAVR 的栓塞保护装置,可通过右桡动脉入路使用。随着 TAVR 成为主动脉瓣置换术的首选方式,Sentinel 等保护装置也应运而生,以减少手术并发症。我们介绍了一例在右锁骨下动脉异常的患者中通过替代左桡动脉入路成功部署 Sentinel 并提供栓塞保护的病例。
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