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Swan Ganz catheter-Edwards Lifesciences obtains values of cardiac output/index and systemic vascular resistance/index using the mean artery pressure of either radial or femoral artery.
During weaning from extracorporeal circulation, arterial waveform-derived cardiac output measurements from radial cannulation site is not reliable as compared with measurements obtained from femoral cannulation site.
50 consecutive cardiac surgical patients undergoing on-pump primary coronary artery bypass, valve replacement or combined surgery are included in the study. Cardiac output is measured sequentially by the arterial pressure waveform analysis method from radial and femoral arterial sites
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cardiac output/index/SVR | Active Comparator | Record of CO/CI/SVR before and after weaning form ECC from radial and femoral artery cannula. |
|
| Hypotension event | Active Comparator | Prevent of hypotension event calculated from radial/femoral artery cannula |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CO/CI/SVR | Device | fluctuations of CO/CI/SVR regarding data from radial or femoral arterial cannula, and the therapeutic intervention that it demands these values. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Cardiac output | Measurement of cardiac output from radial and femoral arterial cannula | 5 minutes after weaning from extracorporeal circulation (ECC) |
| Prediction of hypotension episode (HPI) | Measurement of possibility of hypotension episode (HPI) from femoral and radial arterial cannula | 5 minutes after weaning from ECC |
| Systemic Vascular resistance (SVR) | Measurement of SVR from femoral and radial arterial cannula | 5 minutes after weaning from ECC |
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Inclusion Criteria: Coronary artery disease , aortic valve stenosis, aortic valve regurgitation, mitral valve stenosis, mitral valve regurgitation,
Exclusion Criteria: none
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Irene Asouhidou, MD,PhD | Contact | 00306944740633 | iasouh@aol.com | |
| Theodoros Karaiskos, MD,PhD | Contact | theokaraiskos@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Olga Ananiadou, MD,PhD | George PAPANIKOLAOU G.H. | Study Chair |
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| ID | Term |
|---|---|
| D003324 | Coronary Artery Disease |
| D000082862 | Aortic Valve Disease |
| ID | Term |
|---|---|
| D003327 | Coronary Disease |
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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| D001161 |
| Arteriosclerosis |
| D001157 | Arterial Occlusive Diseases |
| D014652 | Vascular Diseases |
| D006349 | Heart Valve Diseases |