Microcirculatory tissue oxygenation correlates with kidney function after transcatheter aortic valve implantation-Results from a prospective observational study.

TAVI–transcatheter aortic valve implantation TAVR-transcatheter aortic valve replacement cardiovascular interventions hyperspectral imaging (HSI) kidney function microcirculation monitoring risk assessment

Journal

Frontiers in cardiovascular medicine
ISSN: 2297-055X
Titre abrégé: Front Cardiovasc Med
Pays: Switzerland
ID NLM: 101653388

Informations de publication

Date de publication:
2023
Historique:
received: 25 11 2022
accepted: 20 01 2023
entrez: 3 3 2023
pubmed: 4 3 2023
medline: 4 3 2023
Statut: epublish

Résumé

Kidney dysfunction is common in patients with aortic stenosis (AS) and correction of the aortic valve by transcatheter aortic valve implantation (TAVI) often affects kidney function. This may be due to microcirculatory changes. We evaluated skin microcirculation with a hyperspectral imaging (HSI) system, and compared tissue oxygenation (StO We performed 116 HSI image recordings in patients undergoing TAVI for the treatment of severe aortic stenosis and 20 HSI image recordings in control patients. Patients with AS had a lower THI at the palm ( HSI is a promising technique for periinterventional monitoring of tissue oxygenation and microcirculatory perfusion quality, which are related to kidney function, physical capacity, and clinical outcomes after TAVI. https://drks.de/search/de/trial, identifier DRKS00024765.

Identifiants

pubmed: 36865886
doi: 10.3389/fcvm.2023.1108256
pmc: PMC9971913
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1108256

Informations de copyright

Copyright © 2023 Dietrich, Antonovici, Hölle, Nusshag, Kapp, Studier-Fischer, Arif, Nickel, Weigand, Frey, Lichtenstern, Leuschner and Fischer.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Maximilian Dietrich (M)

Department of Anesthesiology, Heidelberg University Hospital, Heidelberg, Germany.

Ana Antonovici (A)

Department of Anesthesiology, Heidelberg University Hospital, Heidelberg, Germany.

Tobias Hölle (T)

Department of Anesthesiology, Heidelberg University Hospital, Heidelberg, Germany.

Christian Nusshag (C)

Department of Nephrology, Heidelberg University Hospital, Heidelberg, Germany.

Anne-Christine Kapp (AC)

Department of Anesthesiology, Heidelberg University Hospital, Heidelberg, Germany.

Alexander Studier-Fischer (A)

Department of General, Visceral and Transplantation Surgery, Heidelberg University Hospital, Heidelberg, Germany.

Rawa Arif (R)

Institute of Cardiac Surgery, Heidelberg University Hospital, Heidelberg, Germany.

Felix Nickel (F)

Department of General, Visceral and Transplantation Surgery, Heidelberg University Hospital, Heidelberg, Germany.

Markus Alexander Weigand (MA)

Department of Anesthesiology, Heidelberg University Hospital, Heidelberg, Germany.

Norbert Frey (N)

Department of Internal Medicine III, Heidelberg University Hospital, Heidelberg, Germany.

Christoph Lichtenstern (C)

Department of Anesthesiology, Heidelberg University Hospital, Heidelberg, Germany.

Florian Leuschner (F)

Department of Internal Medicine III, Heidelberg University Hospital, Heidelberg, Germany.

Dania Fischer (D)

Department of Anesthesiology, Heidelberg University Hospital, Heidelberg, Germany.

Classifications MeSH