Permanent Bilateral Carotid Filters for Stroke Prevention in Atrial Fibrillation.
Tom J R De PotterOfer YodfatGuy ShinarAvraham NetaVivek Y ReddyPetr NeuzilRoland VeltkampStuart J ConnollyPublished in: Current cardiology reports (2020)
The Vine™ filter was assessed for safety in sheep and in 2 observational human studies, the completed CAPTURE 1 (n = 25) and the ongoing CAPTURE 2 (planned n = 100). CAPTURE 1 has shown high procedural and long-term implant safety. A control group was not available for comparison. A mechanical filter for permanent stroke prevention can be implanted bilaterally in the common carotid artery safely and efficiently. A randomized trial is planned for 2021 (n = 3500, INTERCEPT) to demonstrate superiority of a filter + anticoagulation strategy over anticoagulation alone in patients at high risk for ischemic stroke.
Keyphrases
- atrial fibrillation
- catheter ablation
- oral anticoagulants
- left atrial
- left atrial appendage
- direct oral anticoagulants
- end stage renal disease
- heart failure
- percutaneous coronary intervention
- ejection fraction
- newly diagnosed
- chronic kidney disease
- prognostic factors
- venous thromboembolism
- cross sectional
- subarachnoid hemorrhage
- brain injury
- mitral valve