The primary objective is to evaluate the performance and the treatment effect of the use of the Emblok embolic protection system use during transcatheter aortic valve replacement with respect to procedure-related cerebral embolic burden as determined by DW-MRI.
The enrollment of up to thirty subjects with severe native aortic valve stenosis who meet clinically approved indications for transcatheter aortic valve replacement. The primary objective evaluates performance and treatment effect of the use of the EMBLOK. A secondary objective of this study is to analyze the safety profile and the type of captured debris from the Emblok filter after TAVR. Due to the small sample size, the study is not powered to detect a reduction in actual stroke rates. However, the potential risk of stroke will be assessed based on neurological evaluations pre and post procedure. In addition, silent ischemic damage and cerebral embolic burden will be assessed using DW MRI studies.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
OTHER
Masking
NONE
Enrollment
28
placement of a filter to capture and remove embolic material from entering the cerebral vascular circulation during aortic valve replacement
Embolic Filter Protection System During TAVR
Hospital San Donato
Milan, Milano, Italy
Hospital San Raffaele
Milan, Italy
Performance Endpoint
successful insertion, placement and removal of the EMBLOK system
Time frame: Day 1 to post procedure
Safety Endpoint (Rate of MACCE)
Rate of MACCE
Time frame: 30 days
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