Hemodynamic Consequences of Two Different Surgical and Anesthetic Techniques for the Treatment of Aortic Valve Stenosis - A Randomized Comparison
| Autor: | Pia Katarina Ryhammer, Kim Terp, Carl-Johan Jakobsen, Jacob Greisen, Linda Aagaard Rasmussen, Vibeke E. Hjortdal |
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| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Cardiac index Hemodynamics Stroke volume Perioperative 030204 cardiovascular system & hematology Hematocrit medicine.disease 03 medical and health sciences 0302 clinical medicine Anesthesiology and Pain Medicine Aortic valve replacement Multicenter trial Internal medicine Aortic valve stenosis Anesthesia Cardiology Medicine 030212 general & internal medicine business |
| Zdroj: | Journal of Anesthesia & Clinical Research. |
| ISSN: | 2155-6148 |
| Popis: | There are two substantially different methods of doing aortic valve replacement in elderly patients with severe aortic valve stenosis: The trans-apical aortic valve replacement (TAVI) and the standard surgical aortic valve replacement (SAVR). The impact of surgery as well as anesthesia has great influence on perioperative hemodynamics. We compared the perioperative hemodynamic variables in comparable groups of patients going through either of these procedures. Methods: The present study is a subset of the STACATO trial, which was a multicenter trial with the objective of comparing the two treatment methods in patients with significant valvular aortic stenosis who were eligible for either procedure. This study analyses hemodynamic data as well as arterial blood gases and s-creatinine from the 58 randomized patients in our institution. Results: Patients in the SAVR group had lower values of cardiac index (CI) and stroke volume index (SVI) than the TAVI group at all times (p |
| Databáze: | OpenAIRE |
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