Noninvasive cardiac output measurements are inaccurate in patients with severe aortic valve stenosis undergoing transcatheter aortic valve implantation
| Autor: | Takuma Maeda, Musashi Yahagi, Yuichi Yaguchi, Kyuma Omi, Koya Tabata |
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| Rok vydání: | 2022 |
| Předmět: |
medicine.medical_specialty
Cardiac output Catheter insertion Transcatheter aortic business.industry medicine.medical_treatment Thermodilution Pulmonary artery catheter Aortic Valve Stenosis medicine.disease Transcatheter Aortic Valve Replacement Cardiac output measurement Anesthesiology and Pain Medicine medicine.anatomical_structure Monitoring Intraoperative Internal medicine Aortic valve stenosis medicine Vascular resistance Cardiology Humans In patient Cardiac Output business |
| Zdroj: | Korean Journal of Anesthesiology. 75:151-159 |
| ISSN: | 2005-7563 2005-6419 |
| DOI: | 10.4097/kja.21324 |
| Popis: | Background Noninvasive cardiac output (CO) measurement using ClearSight™ (Edwards Lifesciences, Irvine, CA, US) eliminates the need for intra-arterial catheter insertion. However, the accuracy and reliability of this system have not been evaluated in severe aortic valve stenosis (AS). Methods Thirty patients who underwent elective transcatheter aortic valve implantation (TAVI) were prospectively enrolled in this study. CO was simultaneously measured twice before and twice after valve deployment, for a total of four times per patient, and compared between the ClearSight (COClearSight) system and CO from the pulmonary artery catheter (PAC) thermodilution (COTD) as reference. Bland-Altman analysis was used to compare the percentage error between the measurement methods. Results A total of 112 paired data points were obtained. The percentage error between COClearSight and COTD was 43.1%. The paired datasets were divided into the following groups according to the systemic vascular resistance index (SVRI): low ( |
| Databáze: | OpenAIRE |
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