caa a22 4500 605510040 CHVBK 20210128100644.0 cr unu---uuuuu 210128e20150601xx s 000 0 eng 10.1007/s10877-014-9630-2 doi (NATIONALLICENCE)springer-10.1007/s10877-014-9630-2 Dynamic device properties of pulse contour cardiac output during transcatheter aortic valve implantation [Elektronische Daten] [Martin Petzoldt, Carsten Riedel, Jan Braeunig, Sebastian Haas, Matthias Goepfert, Hendrik Treede, Stephan Baldus, Alwin Goetz, Daniel Reuter] This prospective single-center study aimed to determine the responsiveness and diagnostic performance of continuous cardiac output (CCO) monitors based on pulse contour analysis compared with invasive mean arterial pressure (MAP) during predefined periods of acute circulatory deterioration in patients undergoing transcatheter aortic valve implantation (TAVI). The ability of calibrated (CCOCAL) and self-calibrated (CCOAUTOCAL) pulse contour analysis to detect the hemodynamic response to 37 episodes of balloon aortic valvuloplasty enabled by rapid ventricular pacing was quantified in 13 patients undergoing TAVI. A "low” and a "high” cut-off limit were predefined as a 15 or 25 % decrease from baseline respectively. We found no significant differences between CCOCAL and MAP regarding mean response time [low cut-off: 8.6 (7.1-10.5) vs. 8.9 (7.3-10.8) s, p = 0.76; high cut-off: 11.4 (9.7-13.5) vs. 12.6 (10.7-14.9) s, p = 0.32] or diagnostic performance [area under the receiver operating characteristics curve (AUC): 0.99 (0.98-1.0) vs. 1.0 (0.99-1.0), p = 0.46]. But CCOCAL had a significantly higher amplitude response [95.0 (88.7-98.8) % decrease from baseline] than MAP [41.2 (30.0-52.9) %, p < 0.001]. CCOAUTOCAL had a significantly lower AUC [0.83 (0.73-0.93), p < 0.001] than MAP. Moreover, CCOCAL detected hemodynamic recovery significantly earlier than MAP. In conclusion, CCOCAL and MAP provided equivalent responsiveness and diagnostic performance to detect acute circulatory depression, whereas CCOAUTOCAL appeared to be less appropriate. In contrast to CCOCAL the amplitude response of MAP was poor. Consequently even small response amplitudes of MAP could indicate severe decreases in CO. Springer Science+Business Media New York, 2014 Pulse contour analysis nationallicence Cardiac output nationallicence Monitoring nationallicence Hemodynamic nationallicence Valvuloplasty nationallicence Aortic valve nationallicence TAVI nationallicence Petzoldt Martin Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany aut Riedel Carsten Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany aut Braeunig Jan Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany aut Haas Sebastian Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany aut Goepfert Matthias Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany aut Treede Hendrik Department of Cardiovascular Surgery, University Heart Center Hamburg, Martinistrasse 52, 20246, Hamburg, Germany aut Baldus Stephan Department of General and Interventional Cardiology, University Heart Center Hamburg, Martinistrasse 52, 20246, Hamburg, Germany aut Goetz Alwin Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany aut Reuter Daniel Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany aut Journal of Clinical Monitoring and Computing Springer Netherlands 29/3(2015-06-01), 323-331 1387-1307 29:3<323 2015 29 10877 https://doi.org/10.1007/s10877-014-9630-2 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10877-014-9630-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Petzoldt Martin Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany aut NATIONALLICENCE 700 1- Riedel Carsten Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany aut NATIONALLICENCE 700 1- Braeunig Jan Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany aut NATIONALLICENCE 700 1- Haas Sebastian Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany aut NATIONALLICENCE 700 1- Goepfert Matthias Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany aut NATIONALLICENCE 700 1- Treede Hendrik Department of Cardiovascular Surgery, University Heart Center Hamburg, Martinistrasse 52, 20246, Hamburg, Germany aut NATIONALLICENCE 700 1- Baldus Stephan Department of General and Interventional Cardiology, University Heart Center Hamburg, Martinistrasse 52, 20246, Hamburg, Germany aut NATIONALLICENCE 700 1- Goetz Alwin Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany aut NATIONALLICENCE 700 1- Reuter Daniel Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany aut NATIONALLICENCE 773 0- Journal of Clinical Monitoring and Computing Springer Netherlands 29/3(2015-06-01), 323-331 1387-1307 29:3<323 2015 29 10877