ORCID: https://orcid.org/0000-0003-3580-2268; Fischer, Julius
ORCID: https://orcid.org/0000-0002-4802-2220; Massberg, Steffen
ORCID: https://orcid.org/0000-0001-7387-3986; Deseive, Simon
ORCID: https://orcid.org/0000-0001-8768-1184 und Oberhoffer, Felix Sebastian
(2025):
Transcatheter aortic valve implantation and its impact on endothelial function in patients with aortic stenosis.
In: Microvascular Research, Bd. 157, 104735
[PDF, 889kB]

Abstract
Vascular function is impaired in patients with aortic valve stenosis (AS). The impact of transcatheter aortic valve implantation (TAVI) on endothelial function is inconclusive so far. Therefore, we sought to assess the short-term influence of TAVI on endothelial dysfunction in patients with AS.
We recruited 47 patients (76.6 % male, 80.04 years old) with AS scheduled for TAVI. Endothelial function was assessed by fingertip reactive hyperemia peripheral arterial tonometry (RH-PAT). Measurements were conducted one day before and three days after TAVI. Patients were grouped according to RH-PAT change after TAVI. Overall, RH-PAT measurements did not significantly improve after TAVI (Reactive Hyperemia Index: 1.5 vs 1.6, p = 0.883; logarithm of the Reactive Hyperemia Index: 0.44 vs. 0.49, p = 0.523). Interestingly, patients with no RH-PAT improvement after TAVI displayed a more severe AS and had lower blood pressure after TAVI. This might be due to a more disturbed blood flow in patients with a smaller aortic valve area and higher peak aortic valve velocity.
The relationship between AS severity, endothelial dysfunction and TAVI has to be investigated in future research that apply longitudinal study designs.
Dokumententyp: | Zeitschriftenartikel |
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Fakultät: | Medizin > Klinikum der LMU München > Kinderklinik und Kinderpoliklinik im Dr. von Haunerschen Kinderspital |
Themengebiete: | 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit |
URN: | urn:nbn:de:bvb:19-epub-125330-1 |
ISSN: | 00262862 |
Sprache: | Englisch |
Dokumenten ID: | 125330 |
Datum der Veröffentlichung auf Open Access LMU: | 12. Mai 2025 08:35 |
Letzte Änderungen: | 12. Mai 2025 08:35 |