Effect of rapid ventricular pacing on cerebral oxygenation in transcatheter aortic valve implantation (Tavi): Role of routine near-infrared spectroscopy monitoring

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dc.authorid0000-0002-5273-1871
dc.authorid0000-0001-7478-6235
dc.authorid0000-0002-4951-6716
dc.authorid0000-0002-0799-4875
dc.contributor.authorKaraaslan, Pelin
dc.contributor.authorDarçın, Kamil
dc.contributor.authorÖzyüksel, Arda
dc.contributor.authorKutlu, Esra
dc.contributor.authorKöse, Emine Arzu
dc.contributor.authorBoztosun, Bilal
dc.contributor.authorAkçevin, Atıf
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:37:27Z
dc.date.available10.07.201910:49:14
dc.date.available2019-07-10T19:37:27Z
dc.date.issued2017
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Anesteziyoloji ve Reanimasyon Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kalp ve Damar Cerrahisi Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Kardiyoloji Ana Bilim Dalı
dc.description.abstractObjective: Transcatheter aortic valve implantation has become an important treatment modality in patients with high risk comorbidities for surgical aortic valve replacement. The objective of this study is to evaluate the cerebral perfusion status using near infrared spectroscopy method especially during the rapid ventricular pacing phase of the transcatheter aortic valve implantation procedure. Methods: 20 consecutive patients undergoing trans-femoral aortic valve implantation procedure between May 2015 and March 2016 in our institute were retrospectively evaluated. The periprocedural cerebral oxygenation was measured with a near infrared spectroscopy sensor (INVOSTM-5100 C, Medtronic Inc., Minneapolis, MI, USA) located on the forehead of the patients. All hemodynamic data and cerebral near infrared spectroscopy values were recorded before, during and after the procedure with constant time intervals, especially at the time of rapid ventricular pacing and device deployment. Results: The mean age was 74.4 ± 9.2 years. Male female ratio was 1.8 to 1 (13 males, 7 females). Mean procedure time was 70.2 ± 14.3 minutes. The rapid ventricular pacing included two episodes with a total time for pacing of 22.6 ± 5.1 seconds. There was a statistically significant difference with regard to the heart rate and the cerebral near infrared spectroscopy values (p=0.006 and p=0.02; respectively) in all patients during the rapid ventricular pacing period. The cerebral near infrared spectroscopy values were statistically lower than baseline levels (p<0.001). Conclusion: This observational study presents the significant decrease of cerebral near infrared spectroscopy values during the rapid ventricular pacing phase of the transcatheter aortic valve implantation procedure. Further studies may reveal cut-off values both for near infrared spectroscopy values and rapid ventricular pacing duration in order to determine a critical cut-off level.
dc.identifier.citationKaraaslan, P., Darçın, K., Özyüksel, A., Kutlu, E., Köse, E. A., Boztosun, B. ... Akçevin, A. (2017). Effect of rapid ventricular pacing on cerebral oxygenation in transcatheter aortic valve implantation (Tavi): Role of routine near-infrared spectroscopy monitoring. Biomedical Research (India), 28(7), 3176-3181.
dc.identifier.endpage3181
dc.identifier.issn0970-938X
dc.identifier.issn0976-1683
dc.identifier.issue7
dc.identifier.scopusqualityQ4
dc.identifier.startpage3176
dc.identifier.urihttps://hdl.handle.net/20.500.12511/1407
dc.identifier.volume28
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherScientific Publishers of India
dc.relation.ispartofBiomedical Research (India)en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAortic Valve Stenosis
dc.subjectCardiac Pacing
dc.subjectCerebral Ischemia
dc.subjectCerebrovascular Stroke
dc.subjectNear Infrared Spectroscopy
dc.subjectTranscatheter Aortic Valve Implantation
dc.titleEffect of rapid ventricular pacing on cerebral oxygenation in transcatheter aortic valve implantation (Tavi): Role of routine near-infrared spectroscopy monitoring
dc.typeArticle

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