4 Moreover, self‐expandable valves, which here presented a trend towards significance in increasing periprocedural CVE occurrence, have not always been associated with increased stroke incidence after TAVR. 5 Finally, both recent improvements in device technology and increasing operator experience over time have been associated with lower peri‐procedural stroke rates in most but not all studies. 2 , 3 This may be related to the different implantation techniques adopted (eg. use of a periprocedural balloon, device repositioning, etc.) as well as clinical differences among the studied populations (e.g., carotid disease, atrial fibrillation, etc.).
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