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经导管主动脉瓣置换术中的非侵入性实时血流动力学监测:病例系列

Non-invasive Real-Time Hemodynamic Monitoring During Transcatheter Aortic Valve Replacement: A Case Series.

作者信息

Khalpey Zain, Aslam Usman, Phillips Tyler, Davis Elliott, Khalpey Zacharya I, Kumar Ujjawal, Khaliel Feras H

机构信息

Department of Cardiac Surgery, HonorHealth, Scottsdale, USA.

Khalpey AI Lab, Applied & Translational AI Research Institute (ATARI), Scottsdale, USA.

出版信息

Cureus. 2025 May 4;17(5):e83468. doi: 10.7759/cureus.83468. eCollection 2025 May.

Abstract

This study analyzes arterial pressure rise times during transcatheter aortic valve replacement (TAVR) procedures across four cases. We demonstrate that successful TAVR deployment is associated with immediate improvements in arterial pressure wave characteristics, specifically showing decreased rise times, suggesting enhanced hemodynamic performance post-valve deployment. We also demonstrate a correlation between established methods of hemodynamic monitoring (arterial line, blood pressure cuff) and a novel non-invasive device.

摘要

本研究分析了4例经导管主动脉瓣置换术(TAVR)过程中的动脉压上升时间。我们证明,成功的TAVR植入与动脉压波形特征的即刻改善相关,具体表现为上升时间缩短,提示瓣膜植入后血流动力学性能增强。我们还证明了既定的血流动力学监测方法(动脉导管、血压袖带)与一种新型无创设备之间的相关性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f71e/12133118/709c2819f7ba/cureus-0017-00000083468-i01.jpg

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