Relationships Between Intraoperative Hemodynamic Parameters and Delayed Hemodynamic Recovery After Valve Deployment in Transcatheter Aortic Valve Replacement

Akiyo Kameyama; Hisakatsu Ito; Daisuke Hibi; Sakiyo Matsui; Masaaki Kawakami; Hiroshi Ueno; Kazuaki Fukahara; Mitsuaki Yamazaki

doi:10.1053/j.jvca.2018.08.186

Relationships Between Intraoperative Hemodynamic Parameters and Delayed Hemodynamic Recovery After Valve Deployment in Transcatheter Aortic Valve Replacement

Akiyo Kameyama^*, Hisakatsu Ito, Daisuke Hibi, Sakiyo Matsui, Masaaki Kawakami, Hiroshi Ueno, Kazuaki Fukahara, Mitsuaki Yamazaki

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

Abstract

Objective: To determine the relationships between intraoperative hemodynamic parameters and delayed hemodynamic recovery after valve deployment and identify the predictive factors of delayed hemodynamic recovery by focusing on intraoperative hemodynamics in patients with transcatheter aortic valve replacement (TAVR). Design: A retrospective study. Setting: A single university hospital. Participants: Sixty-four patients who underwent elective TAVR between 2015 and 2017. Interventions: No intervention. Measurements and Main Results: The 64 patients were divided into the following 2 groups according to the time for recovery: systolic arterial pressure exceeded 90 mmHg and central venous oxygen saturation (ScvO ₂ ) exceeded 65%—delayed recovery (DR) (n = 36) group, and early recovery (ER) (n = 28) group. ScvO ₂ in the DR group was not lower than that in the ER group after induction of anesthesia. However, ScvO ₂ in the DR group gradually decreased and was lower than that in the ER group before valve deployment, despite improvement in blood pressure through the administration of vasopressor agents. Conclusion: ScvO ₂ monitoring during TAVR is useful to predict delayed recovery greater than 60 seconds after valve deployment in TAVR.

Original language	English
Pages (from-to)	920-926
Number of pages	7
Journal	Journal of Cardiothoracic and Vascular Anesthesia
Volume	33
Issue number	4
DOIs	https://doi.org/10.1053/j.jvca.2018.08.186
State	Published - 2019/04

Keywords

aortic stenosis
intraoperative hemodynamics
mixed central venous oxygen saturation
transcatheter aortic valve replacement

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Anesthesiology and Pain Medicine

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10.1053/j.jvca.2018.08.186

Cite this

Kameyama, A., Ito, H., Hibi, D., Matsui, S., Kawakami, M., Ueno, H., Fukahara, K., & Yamazaki, M. (2019). Relationships Between Intraoperative Hemodynamic Parameters and Delayed Hemodynamic Recovery After Valve Deployment in Transcatheter Aortic Valve Replacement. Journal of Cardiothoracic and Vascular Anesthesia, 33(4), 920-926. https://doi.org/10.1053/j.jvca.2018.08.186

@article{7288ac08503a45f3bd81cb6a98cd9d5b,

title = "Relationships Between Intraoperative Hemodynamic Parameters and Delayed Hemodynamic Recovery After Valve Deployment in Transcatheter Aortic Valve Replacement",

abstract = " Objective: To determine the relationships between intraoperative hemodynamic parameters and delayed hemodynamic recovery after valve deployment and identify the predictive factors of delayed hemodynamic recovery by focusing on intraoperative hemodynamics in patients with transcatheter aortic valve replacement (TAVR). Design: A retrospective study. Setting: A single university hospital. Participants: Sixty-four patients who underwent elective TAVR between 2015 and 2017. Interventions: No intervention. Measurements and Main Results: The 64 patients were divided into the following 2 groups according to the time for recovery: systolic arterial pressure exceeded 90 mmHg and central venous oxygen saturation (ScvO 2 ) exceeded 65%—delayed recovery (DR) (n = 36) group, and early recovery (ER) (n = 28) group. ScvO 2 in the DR group was not lower than that in the ER group after induction of anesthesia. However, ScvO 2 in the DR group gradually decreased and was lower than that in the ER group before valve deployment, despite improvement in blood pressure through the administration of vasopressor agents. Conclusion: ScvO 2 monitoring during TAVR is useful to predict delayed recovery greater than 60 seconds after valve deployment in TAVR.",

keywords = "aortic stenosis, intraoperative hemodynamics, mixed central venous oxygen saturation, transcatheter aortic valve replacement",

author = "Akiyo Kameyama and Hisakatsu Ito and Daisuke Hibi and Sakiyo Matsui and Masaaki Kawakami and Hiroshi Ueno and Kazuaki Fukahara and Mitsuaki Yamazaki",

note = "Publisher Copyright: {\textcopyright} 2018 Elsevier Inc.",

year = "2019",

month = apr,

doi = "10.1053/j.jvca.2018.08.186",

language = "英語",

volume = "33",

pages = "920--926",

journal = "Journal of Cardiothoracic and Vascular Anesthesia",

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Kameyama, A, Ito, H, Hibi, D, Matsui, S, Kawakami, M , Ueno, H, Fukahara, K & Yamazaki, M 2019, 'Relationships Between Intraoperative Hemodynamic Parameters and Delayed Hemodynamic Recovery After Valve Deployment in Transcatheter Aortic Valve Replacement', Journal of Cardiothoracic and Vascular Anesthesia, vol. 33, no. 4, pp. 920-926. https://doi.org/10.1053/j.jvca.2018.08.186

Relationships Between Intraoperative Hemodynamic Parameters and Delayed Hemodynamic Recovery After Valve Deployment in Transcatheter Aortic Valve Replacement. / Kameyama, Akiyo; Ito, Hisakatsu; Hibi, Daisuke et al.
In: Journal of Cardiothoracic and Vascular Anesthesia, Vol. 33, No. 4, 04.2019, p. 920-926.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Relationships Between Intraoperative Hemodynamic Parameters and Delayed Hemodynamic Recovery After Valve Deployment in Transcatheter Aortic Valve Replacement

AU - Kameyama, Akiyo

AU - Ito, Hisakatsu

AU - Hibi, Daisuke

AU - Matsui, Sakiyo

AU - Kawakami, Masaaki

AU - Ueno, Hiroshi

AU - Fukahara, Kazuaki

AU - Yamazaki, Mitsuaki

PY - 2019/4

Y1 - 2019/4

N2 - Objective: To determine the relationships between intraoperative hemodynamic parameters and delayed hemodynamic recovery after valve deployment and identify the predictive factors of delayed hemodynamic recovery by focusing on intraoperative hemodynamics in patients with transcatheter aortic valve replacement (TAVR). Design: A retrospective study. Setting: A single university hospital. Participants: Sixty-four patients who underwent elective TAVR between 2015 and 2017. Interventions: No intervention. Measurements and Main Results: The 64 patients were divided into the following 2 groups according to the time for recovery: systolic arterial pressure exceeded 90 mmHg and central venous oxygen saturation (ScvO 2 ) exceeded 65%—delayed recovery (DR) (n = 36) group, and early recovery (ER) (n = 28) group. ScvO 2 in the DR group was not lower than that in the ER group after induction of anesthesia. However, ScvO 2 in the DR group gradually decreased and was lower than that in the ER group before valve deployment, despite improvement in blood pressure through the administration of vasopressor agents. Conclusion: ScvO 2 monitoring during TAVR is useful to predict delayed recovery greater than 60 seconds after valve deployment in TAVR.

AB - Objective: To determine the relationships between intraoperative hemodynamic parameters and delayed hemodynamic recovery after valve deployment and identify the predictive factors of delayed hemodynamic recovery by focusing on intraoperative hemodynamics in patients with transcatheter aortic valve replacement (TAVR). Design: A retrospective study. Setting: A single university hospital. Participants: Sixty-four patients who underwent elective TAVR between 2015 and 2017. Interventions: No intervention. Measurements and Main Results: The 64 patients were divided into the following 2 groups according to the time for recovery: systolic arterial pressure exceeded 90 mmHg and central venous oxygen saturation (ScvO 2 ) exceeded 65%—delayed recovery (DR) (n = 36) group, and early recovery (ER) (n = 28) group. ScvO 2 in the DR group was not lower than that in the ER group after induction of anesthesia. However, ScvO 2 in the DR group gradually decreased and was lower than that in the ER group before valve deployment, despite improvement in blood pressure through the administration of vasopressor agents. Conclusion: ScvO 2 monitoring during TAVR is useful to predict delayed recovery greater than 60 seconds after valve deployment in TAVR.

KW - aortic stenosis

KW - intraoperative hemodynamics

KW - mixed central venous oxygen saturation

KW - transcatheter aortic valve replacement

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U2 - 10.1053/j.jvca.2018.08.186

DO - 10.1053/j.jvca.2018.08.186

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C2 - 30327245

AN - SCOPUS:85054669368

SN - 1053-0770

VL - 33

SP - 920

EP - 926

JO - Journal of Cardiothoracic and Vascular Anesthesia

JF - Journal of Cardiothoracic and Vascular Anesthesia

IS - 4

ER -

Relationships Between Intraoperative Hemodynamic Parameters and Delayed Hemodynamic Recovery After Valve Deployment in Transcatheter Aortic Valve Replacement

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Keywords

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