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September 20, 2023Blood Pressure MonitoringOpen Access

ClearSight finger cuff arterial pressure measurement showed acceptable agreement with direct intra-arterial pressure in elderly TAVR patients, with a systolic blood pressure bias of -4.88 mmHg.

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Why the study?

This study aimed to assess the agreement between direct intra-arterial pressure and ClearSight finger cuff arterial pressure measurements in elderly patients undergoing TAVR.

Does ClearSight finger cuff arterial pressure measurement agree with direct intra-arterial pressure in elderly patients undergoing TAVR?

Population

30 patients aged 65 years and older undergoing TAVR under general anesthesia in Japan

Comparison

Direct intra-arterial pressure vs ClearSight finger cuff arterial pressure measurements

Design

Prospective observational study

Follow-up

30 min after valve deployment

Key result

ClearSight finger cuff arterial pressure measurement showed acceptable agreement with direct intra-arterial pressure in elderly TAVR patients, with a systolic blood pressure bias of -4.88 mmHg.

Authors

MYMusashi YahagiMSMomoko Sasaki

Discussion

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Member takes

Overview

ClearSight shows good agreement with intra-arterial BP in TAVR; leaves open non-invasive monitoring as alternative pending larger validation.

Study Design

Type

Observational (n=30)

Multicenter

No

Structured PICO

Does ClearSight finger cuff arterial pressure measurement agree with direct intra-arterial pressure in elderly patients undergoing TAVR?

P
Population
30 patients aged 65 years and older undergoing transcatheter aortic valve replacement under general anesthesia, monitored for 30 minutes post-valve deployment.
E
Exposure
ClearSight finger cuff arterial pressure measurement recorded for 30 min after valve deployment
C
Comparator
Direct intra-arterial pressure measurement recorded concurrently
O
Outcome
Agreement between direct intra-arterial pressure and ClearSight finger cuff arterial pressure measurements assessed by bias and precision (Bland-Altman analysis)surrogate

Main Result

Effect estimate: Bias -4.88 ± 15.46 mmHg for SBP, 4.73 ± 8.95 mmHg for mean, and 9.53 ± 9.01 mmHg for DBP

Non-invasive ClearSight finger cuff arterial pressure monitoring provides acceptable agreement with direct intra-arterial pressure in elderly patients undergoing TAVR, offering a potential alternative for hemodynamic monitoring.

Cite This Study

Yahagi et al. (2023) conducted an observational in Elderly patients undergoing transcatheter aortic valve replacement (TAVR) (n=30). ClearSight finger cuff arterial pressure measurement vs. Direct intra-arterial pressure measurement was evaluated on Agreement between direct intra-arterial pressure and ClearSight finger cuff arterial pressure measurements (Bias -4.88 ± 15.46 mmHg for SBP, 4.73 ± 8.95 mmHg for mean, and 9.53 ± 9.01 mmHg for DBP). ClearSight finger cuff arterial pressure measurement showed acceptable agreement with direct intra-arterial pressure in elderly TAVR patients, with a systolic blood pressure bias of -4.88 mmHg.

synapsesocial.com/papers/6a7bd04aa540d02696c2a0bahttps://doi.org/10.1097/mbp.0000000000000666
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Measurement error risk for finger-cuff blood pressure after aortic valve replacement are aortic valve area index and heart rate; FloTrac vs ClearSight2022 · 1 citations
  2. 2Non-Invasive Hemodynamic Monitoring in Transcatheter Aortic Valve Implantation2025
  3. 3Validation of noninvasive continuous arterial pressure measurement by ClearSight System™ during induction of anesthesia for cardiovascular surgery2020 · 30 citations
  4. 4Continuous Non-invasive finger cuff CareTaker® comparable to invasive intra-arterial pressure in patients undergoing major intra-abdominal surgery2017 · 72 citations
  5. 5Use of pulse contour technology for continuous blood pressure monitoring in pediatric patients2020