1. Influence of continuously evolving transcatheter aortic valve implantation technology on cerebral oxygenation
- Author
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Bert Ferdinande, Herbert Gutermann, Ward Eertmans, Cathy De Deyne, Tom Fret, Cornelia Genbrugge, Margot Vander Laenen, Maud Beran, Willem Boer, Frank Jans, Kim Engelen, Jo Dens, EERTMANS, Ward, GENBRUGGE, Cornelia, Fret, Tom, Beran, Maud, Engelen, Kim, GUTERMANN, Herbert, VANDER LAENEN, Margot, BOER, Willem, Ferdinande, Bert, JANS, Frank, DENS, Jo, and DE DEYNE, Cathy
- Subjects
Balloon Valvuloplasty ,Male ,medicine.medical_specialty ,Cardiac Catheterization ,Transcatheter aortic ,Health Informatics ,030204 cardiovascular system & hematology ,Critical Care and Intensive Care Medicine ,Balloon ,Transcatheter Aortic Valve Replacement ,03 medical and health sciences ,0302 clinical medicine ,Cerebral oxygenation ,Internal medicine ,Anesthesiology ,medicine ,Humans ,In patient ,030212 general & internal medicine ,Cerebral perfusion pressure ,Aged ,Retrospective Studies ,Aged, 80 and over ,Spectroscopy, Near-Infrared ,business.industry ,Incidence ,Aortic Valve Stenosis ,Oxygen ,Perfusion ,Transcatheter Aortic Valve Implantation ,near-infrared spectroscopy ,rapid ventricular pacing ,evolution in valve technology ,Anesthesiology and Pain Medicine ,Treatment Outcome ,Aortic Valve ,Cerebrovascular Circulation ,Heart Valve Prosthesis ,Cardiology ,Female ,business - Abstract
This study assessed the influence of the evolution in Transcatheter Aortic Valve Implantation technology on cerebral oxygenation. Cerebral oxygenation was measured continuously with Near-Infrared Spectroscopy and compared retrospectively between balloon-expandable, self-expandable and differential deployment valves which were implanted in 12 (34%), 17 (49%) and 6 patients (17%), respectively. Left and right SctO2 values were averaged at four time points and used for analysis (i.e. at baseline, balloon-aortic valvuloplasty, valve deployment, and at the end of the procedure). During balloon-aortic valvuloplasty and valve deployment, cerebral oxygenation decreased in patients treated with balloon or self-expandable valves (balloon-expandable: p = 0.003 and p = 0.002; self-expandable: p
- Published
- 2016