1. Transcatheter aortic valve implantation and its impact on endothelial function in patients with aortic stenosis.
- Author
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Arnold L, Haas NA, Jakob A, Fischer J, Massberg S, Deseive S, and Oberhoffer FS
- Subjects
- Humans, Male, Female, Aged, Aged, 80 and over, Treatment Outcome, Time Factors, Hyperemia physiopathology, Aortic Valve physiopathology, Aortic Valve surgery, Aortic Valve diagnostic imaging, Manometry, Severity of Illness Index, Aortic Valve Stenosis physiopathology, Aortic Valve Stenosis surgery, Aortic Valve Stenosis diagnostic imaging, Transcatheter Aortic Valve Replacement adverse effects, Endothelium, Vascular physiopathology
- Abstract
Vascular function is impaired in patients with aortic valve stenosis (AS). The impact of transcatheter aortic valve implantation (TAVI) on endothelial function is inconclusive so far. Therefore, we sought to assess the short-term influence of TAVI on endothelial dysfunction in patients with AS. We recruited 47 patients (76.6 % male, 80.04 years old) with AS scheduled for TAVI. Endothelial function was assessed by fingertip reactive hyperemia peripheral arterial tonometry (RH-PAT). Measurements were conducted one day before and three days after TAVI. Patients were grouped according to RH-PAT change after TAVI. Overall, RH-PAT measurements did not significantly improve after TAVI (Reactive Hyperemia Index: 1.5 vs 1.6, p = 0.883; logarithm of the Reactive Hyperemia Index: 0.44 vs. 0.49, p = 0.523). Interestingly, patients with no RH-PAT improvement after TAVI displayed a more severe AS and had lower blood pressure after TAVI. This might be due to a more disturbed blood flow in patients with a smaller aortic valve area and higher peak aortic valve velocity. The relationship between AS severity, endothelial dysfunction and TAVI has to be investigated in future research that apply longitudinal study designs., Competing Interests: Declaration of competing interest The author(s) declare no competing interests., (Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)
- Published
- 2025
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