Comparison of a pressure-sensing sheath and radial arterial line for intraoperative blood pressure monitoring in neurointerventional procedures

Journal of Neurointerventional Surgery
Michael T FroehlerMatthew R Fusco

Abstract

The efficiency of neuroendovascular procedures may partly depend on the time devoted to placement of a radial arterial line (RAL) for intraoperative blood pressure monitoring. An alternative approach is to use a pressure-sensing sheath (PSS) that serves to provide invasive blood pressure monitoring without requiring a separate procedure for placement. We compared the use of a RAL versus PSS and assessed procedure time, anesthetist and patient satisfaction, and cost. We performed a single-center, prospective, blockwise, comparative trial of procedure start time using traditional RAL placement versus the EndoPhys PSS for invasive blood pressure monitoring. Endpoints included time from room arrival to groin puncture, patient and anesthetist satisfaction ratings, and costs associated with RAL placement. Twenty patients were enrolled in the PSS+RAL arm and 20 in the PSS-alone arm. Mean time from arrival in the room until groin puncture was 61.9±14.0 min in the RAL group and 51.2±10.8 min in the PSS-alone group (P=0.01; difference=10.7 min). Patients in the PSS-alone group reported less pain than those in the RAL group. Furthermore, anesthetists reported accurate blood pressure in the PSS group. The average cost estimate of RAL place...Continue Reading

References

Jun 23, 2009·Surgery·Abhishek ChatterjeeSamuel R G Finlayson
Jun 5, 2010·Journal of Clinical Anesthesia·Alex Macario
Dec 5, 2014·JAMA Surgery·John Y S KimDavid M Mahvi
Jan 27, 2015·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Nicolas LangwieserBernd Saugel
Apr 15, 2015·JAMA : the Journal of the American Medical Association·Shyam PrabhakaranRichard A Bernstein
Feb 26, 2016·The Journal of Urology·Laura A BertrandUNKNOWN Trauma and Urologic Reconstruction Network of Surgeons
Jul 17, 2016·Journal of Neurointerventional Surgery·Phillip D PurdyAlan C Elliott
Apr 9, 2017·Journal of Pediatric Surgery·Edward P TaggeKenneth W Mitchell
Aug 29, 2017·The Journal of Arthroplasty·Rajitha GunaratneBrett W Robertson
Oct 11, 2017·Global Spine Journal·Kevin PhanSamuel K Cho
Oct 11, 2017·Journal of Reconstructive Microsurgery·Cecil S QiuJohn Y S Kim

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Citations

Jan 16, 2021·Journal of Cardiothoracic and Vascular Anesthesia·Huma FatimaRobina Matyal
Jan 29, 2021·Clinical Neurology and Neurosurgery·Deen L GarbaCarolyn Quinsey
Jul 3, 2021·Sensors·Xina QuanAnoop Rao

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