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Dynamic device properties of pulse contour cardiac output during transcatheter aortic valve implantation

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Dynamic device properties of pulse contour cardiac output during transcatheter aortic valve implantation. / Petzoldt, Martin; Riedel, Carsten; Braeunig, Jan; Haas, Sebastian; Goepfert, Matthias S; Treede, Hendrik; Baldus, Stephan; Goetz, Alwin E; Reuter, Daniel A.

In: J CLIN MONIT COMPUT, Vol. 29, No. 3, 06.2015, p. 323-331.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Petzoldt, M, Riedel, C, Braeunig, J, Haas, S, Goepfert, MS, Treede, H, Baldus, S, Goetz, AE & Reuter, DA 2015, 'Dynamic device properties of pulse contour cardiac output during transcatheter aortic valve implantation', J CLIN MONIT COMPUT, vol. 29, no. 3, pp. 323-331. https://doi.org/10.1007/s10877-014-9630-2

APA

Petzoldt, M., Riedel, C., Braeunig, J., Haas, S., Goepfert, M. S., Treede, H., Baldus, S., Goetz, A. E., & Reuter, D. A. (2015). Dynamic device properties of pulse contour cardiac output during transcatheter aortic valve implantation. J CLIN MONIT COMPUT, 29(3), 323-331. https://doi.org/10.1007/s10877-014-9630-2

Vancouver

Petzoldt M, Riedel C, Braeunig J, Haas S, Goepfert MS, Treede H et al. Dynamic device properties of pulse contour cardiac output during transcatheter aortic valve implantation. J CLIN MONIT COMPUT. 2015 Jun;29(3):323-331. https://doi.org/10.1007/s10877-014-9630-2

Bibtex

@article{0266096a180747758a74c6794cabd7ce,
title = "Dynamic device properties of pulse contour cardiac output during transcatheter aortic valve implantation",
abstract = "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.",
author = "Martin Petzoldt and Carsten Riedel and Jan Braeunig and Sebastian Haas and Goepfert, {Matthias S} and Hendrik Treede and Stephan Baldus and Goetz, {Alwin E} and Reuter, {Daniel A}",
year = "2015",
month = jun,
doi = "10.1007/s10877-014-9630-2",
language = "English",
volume = "29",
pages = "323--331",
journal = "J CLIN MONIT COMPUT",
issn = "1387-1307",
publisher = "Springer Netherlands",
number = "3",

}

RIS

TY - JOUR

T1 - Dynamic device properties of pulse contour cardiac output during transcatheter aortic valve implantation

AU - Petzoldt, Martin

AU - Riedel, Carsten

AU - Braeunig, Jan

AU - Haas, Sebastian

AU - Goepfert, Matthias S

AU - Treede, Hendrik

AU - Baldus, Stephan

AU - Goetz, Alwin E

AU - Reuter, Daniel A

PY - 2015/6

Y1 - 2015/6

N2 - 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.

AB - 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.

U2 - 10.1007/s10877-014-9630-2

DO - 10.1007/s10877-014-9630-2

M3 - SCORING: Journal article

C2 - 25355556

VL - 29

SP - 323

EP - 331

JO - J CLIN MONIT COMPUT

JF - J CLIN MONIT COMPUT

SN - 1387-1307

IS - 3

ER -