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Dynamics of cerebral oxygenation during rapid ventricular pacing and its impact on outcome in transfemoral transcatheter aortic valve implantation.

Philipp Christian SeppeltSilvia Mas-PeiroRoberta De RosaIsabell M MurrayMani ArsalanLars HolzerGösta LotzPatrick MeybohmKai ZacharowskiThomas WaltherAndreas M ZeiherStephan FichtlschererMariuca Vasa-Nicotera
Published in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2020)
During RVP ScO2 significantly declined compared to baseline. A ScO2 decline of >20% is associated with a higher incidence of delirium and stroke and a valid cut-off value to screen for these complications. NIRS measurement during TAVI procedure may be an easy to implement diagnostic tool to detect patients at high risks for cerebrovascular complications and delirium.
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