主动脉腔内修复术中主动脉、桡动脉和股动脉血压一致性的研究。

Study of agreement of aortic, radial and femoral blood pressures during aortic endografting.

作者信息

Ruiz S, Minville V, Asehnoune K, Conil C, Georges B, Rousseau H, Fourcade O, Conil J-M

机构信息

Département d'anesthésie et de réanimation, faculté de médecine Toulouse-Rangueil, EA 4564-MATN, université Toulouse III Paul-Sabatier, institut Louis-Bugnard (IFR 150), CHU de Toulouse, avenue Jean-Poulhès, 31000 Toulouse, France.

出版信息

Ann Fr Anesth Reanim. 2013 Sep;32(9):e97-e101. doi: 10.1016/j.annfar.2013.06.011. Epub 2013 Aug 13.

DOI:10.1016/j.annfar.2013.06.011

PMID:23953836

Abstract

PURPOSE

To estimate the agreement between radial or femoral, and ascending aortic invasive blood pressure values.

PATIENTS AND METHODS

Prospective study on 32 patients who underwent an aortic endografting under general anesthesia. After deploying the prosthesis under controlled hypotension, a catheter was introduced in the aorta to measure the staged systolic (SAP), diastolic (DAP) and mean (MAP) arterial pressures, in particular at the level of ascending aorta and femoral artery.

RESULTS

No differences were observed between SAP, DAP or MAP measured in the aorta versus femoral or radial arteries. A better agreement was observed between the aortic and femoral MAP (bias of 1mmHg, limits of agreement between: -8.8mmHg and +10.8mmHg) than between the aortic and the radial MAP (bias of 1.7mmHg, limits of agreement between: -14.1mmHg and +17.5mmHg). The comparison between radial and femoral MAP was not satisfying (bias of -4.7mmHg and limits of agreement between -19.1mmHg and +9.7mmHg).

CONCLUSION

The femoral MAP is more accurate to predict value of the aortic MAP than the radial MAP in a hypotensive setting. The clinician should be aware of these discrepancies in conditions of hemodynamic impairment to optimize the treatment.

摘要

目的

评估桡动脉或股动脉与升主动脉有创血压值之间的一致性。

患者与方法

对32例在全身麻醉下接受主动脉腔内修复术的患者进行前瞻性研究。在控制性低血压状态下植入假体后，将导管插入主动脉，测量不同阶段的收缩压（SAP）、舒张压（DAP）和平均动脉压（MAP），特别是在升主动脉和股动脉水平。

结果

在主动脉与股动脉或桡动脉测量的SAP、DAP或MAP之间未观察到差异。主动脉与股动脉MAP之间的一致性（偏差为1mmHg，一致性界限为：-8.8mmHg至+10.8mmHg）优于主动脉与桡动脉MAP之间的一致性（偏差为1.7mmHg，一致性界限为：-14.1mmHg至+17.5mmHg）。桡动脉与股动脉MAP之间的比较结果并不理想（偏差为-4.7mmHg，一致性界限为-19.1mmHg至+9.7mmHg）。