Continuous Noninvasive Arterial Pressure Monitoring for Transcatheter Aortic Valve Replacement
| Autor: | Shu Y. Lu, Adam A. Dalia |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Mean arterial pressure
medicine.medical_specialty medicine.medical_treatment Blood Pressure 030204 cardiovascular system & hematology Transcatheter Aortic Valve Replacement 03 medical and health sciences 0302 clinical medicine Valve replacement 030202 anesthesiology Internal medicine medicine.artery medicine Humans Arterial Pressure Heart valve Radial artery Retrospective Studies business.industry Blood Pressure Determination Aortic Valve Stenosis medicine.disease Stenosis Anesthesiology and Pain Medicine Blood pressure medicine.anatomical_structure Treatment Outcome Continuous noninvasive arterial pressure Aortic Valve Cardiology Arterial line Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of cardiothoracic and vascular anesthesia. 35(7) |
| ISSN: | 1532-8422 |
| Popis: | The objective of the present study, which was conducted in patients undergoing transcatheter aortic valve replacement, was to compare continuous noninvasive arterial pressure measured with the ClearSight device (Edwards Lifesciences, Irvine, CA) with invasive radial artery pressure used as the reference method. The authors hypothesized that the ClearSight device is an accurate, precise, safe, and efficient method for arterial blood pressure measurement comparable with an invasive radial arterial line.The study included the retrospective review of 20 consecutive patients scheduled for elective transcatheter aortic valve replacement with the SAPIEN 3 transcatheter heart valve (Edwards Lifesciences) at a single tertiary academic hospital, who underwent monitoring with both the ClearSight device and an invasive radial arterial pressure line. The patients underwent transcatheter aortic valve replacement from October to December 2019.Single tertiary academic medical center.The study comprised 20 patients, with 2,243 unique blood pressure data points.None.A statistically significant correlation between the invasive radial arterial pressure line and the ClearSight device was observed for systolic blood pressure (correlation coefficient 0.86; p0.001), diastolic blood pressure (correlation coefficient 0.56; p0.001), and mean arterial pressure (correlation coefficient 0.78; p0.001). Bland-Altman analysis was used to assess the agreement of systolic blood pressure, diastolic blood pressure, and mean arterial pressure between the two methods. Results for systolic blood pressure between the arterial line and ClearSight device were as follows: bias = 9.8 ± 10.1, percentage bias = 7.6%, and mean error = 15.8%. Results for diastolic blood pressure between the arterial line and ClearSight device were as follows: bias = -5.9 ± 7.8, percentage bias = 10.7%, and mean error = 28.4%. Results for mean arterial pressure between the arterial line and ClearSight device were as follows: bias = 0.3 ± 7.4, percentage bias = 0.4%, and mean error = 18.3%. The concordance rates of systolic blood pressure, diastolic blood pressure, and mean arterial pressure were 100%, 95.1%, and 98.8%, respectively.The accuracy, agreement, and precision of the ClearSight device were convincing for mean arterial pressure, systolic blood pressure, and diastolic blood pressure for patients with severe aortic stenosis undergoing elective transcatheter aortic valve replacement. |
| Databáze: | OpenAIRE |
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