title: Intra-aortic Filtration in Cardiac Surgery: An Effective Method to Reduce Neurologic Injury in High-Risk Patients.
abstract: Cardiac surgery is associated with a significant risk of adverse outcomes, particularly neurologic and renal. Embolic events are the primary source of these deleterious consequences. Intraaortic filtration is the only current technology shown to effectively capture particulates released during cardiac procedures and decrease morbidity and mortality. Although most surgical candidates may potentially benefit from intraaortic filtration, some patients are more likely to experience improved outcomes. Based on the evidence reported in the literature and the extensive experience of the authors, the following opinion details the authors' rationale and recommendations for patient selection for intraaortic filtration during cardiac surgery.
authors.affiliation: From the *Department of Cardiac Surgery, University of Munich, Munich, Germany; and †Department of Cardiac Surgery, Landesklinikum St. Poelten, St. Poelten, Austria; ‡Division of Cardiac Surgery, Department of Cardiac Surgery, University of Maryland Medical Center, Baltimore, MD; §Department of Cardiothoracic Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands; ¶Department of Cardiac Surgery, C. Pasquinucci Hospital, Massa Carrara, Italy; ∥Department of Cardiovascular Surgery, Hospital Clinico University of Barcelona, Barcelona, Spain; and **Department of Thoracic and Cardiovascular Surgery, Herz-und Gefaesszentrum Bad Bevensen, Bad Bevensen, Germany.
authors.forename: Christoph
authors.initials: C
authors.lastname: Schmitz
authors.forename: Konrad
authors.initials: K
authors.lastname: Binder
authors.forename: Johannes O
authors.initials: JO
authors.lastname: Bonatti
authors.forename: Wim Jan
authors.initials: WJ
authors.lastname: van Boven
authors.forename: Mattia
authors.initials: M
authors.lastname: Glauber
authors.forename: Carlos A
authors.initials: CA
authors.lastname: Mestres
authors.forename: Gerhard
authors.initials: G
authors.lastname: Wimmer-Greinecker