Feasibility of Transcatheter Caval Valve Implantation to Improve Sleep-Disordered Breathing in Patients With Severe Tricuspid Regurgitation-A Pilot Study

被引:0
作者
Wang, Youmeng [1 ]
Fernandes Branco, Roberto [1 ]
Fietzeck, Andrea [1 ]
Penzel, Thomas [1 ]
Schobel, Christoph [2 ]
机构
[1] Charite, Sleep Med Ctr, Berlin, Germany
[2] Univ Klinikum Essen GmbH, Univ Med Essen, Ruhrlandklin, Westdeutsch Lungenzentrum, Essen, Germany
关键词
sleep-disordered breathing; tricuspid regurgitation; right heart failure; transcatheter caval valve implantation; ApneaLink; HEART-FAILURE; LUNG-FUNCTION; APNEA; EXERCISE; SURGERY; IMPACT; PREVALENCE; THERAPY; RISK; OSA;
D O I
10.3389/fcvm.2021.673164
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Transcatheter caval valve implantation (CAVI) has been evaluated as a treatment option for inoperable patients with severe symptomatic tricuspid regurgitation (TR). We studied the effect of CAVI on sleep disorder breathing (SDB) in patients with right heart failure and TR. Twenty right heart failure patients with severe symptomatic TR who underwent portable monitoring of SDB (ApneaLink), echocardiography, cardiopulmonary exercise (CPET), and laboratory testing were enrolled. This was a single-center, nonblinded study. There were no significant changes in sleep variables, echocardiographic parameters, laboratory results, lung function, and CPET after CAVI. In conclusion, these data suggest that CAVI may not have an effect on SDB; however, additional follow-up fully powered studies with appropriate statistical analyses are needed.
引用
收藏
页数:7
相关论文
共 35 条
[1]   The Impact of Untreated Obstructive Sleep Apnea on Cardiopulmonary Complications in General and Vascular Surgery: A Cohort Study [J].
Abdelsattar, Zaid M. ;
Hendren, Samantha ;
Wong, Sandra L. ;
Campbell, Darrell A., Jr. ;
Ramachandran, Satya Krishna .
SLEEP, 2015, 38 (08) :1205-1210
[2]   Airflow obstruction, lung function, and risk of incident heart failure: the Atherosclerosis Risk in Communities (ARIC) study [J].
Agarwal, Sunil K. ;
Heiss, Gerardo ;
Barr, R. Graham ;
Chang, Patricia P. ;
Loehr, Laura R. ;
Chambless, Lloyd E. ;
Shahar, Eyal ;
Kitzman, Dalane W. ;
Rosamond, Wayne D. .
EUROPEAN JOURNAL OF HEART FAILURE, 2012, 14 (04) :414-422
[3]   Enhanced Ventilatory response to exercise in patients with chronic heart failure and central sleep apnea [J].
Arzt, M ;
Harth, M ;
Luchner, A ;
Muders, F ;
Holmer, SR ;
Blumberg, FC ;
Riegger, GAJ ;
Pfeifer, M .
CIRCULATION, 2003, 107 (15) :1998-2003
[4]   Obstructive sleep apnoea and its cardiovascular consequences [J].
Bradley, T. Douglas ;
Floras, John S. .
LANCET, 2009, 373 (9657) :82-93
[5]   Positional obstructive sleep apnea in bariatric surgery patients: risk factor for postoperative cardiopulmonary complications? [J].
de Raaff, Christel A. L. ;
Bindt, Dana M. ;
de Vries, Nico ;
van Wagensveld, Bart A. .
SLEEP AND BREATHING, 2016, 20 (01) :113-119
[6]  
Del Forno Benedetto, 2018, F1000Res, V7, P355, DOI 10.12688/f1000research.13328.1
[7]   Population-based study of lung function and incidence of heart failure hospitalisations [J].
Engstrom, Gunnar ;
Melander, Olle ;
Hedblad, Bo .
THORAX, 2010, 65 (07) :633-638
[8]   Transcatheter Tricuspid Valve Repair With the PASCAL System [J].
Fam, Neil P. ;
Ho, Edwin C. ;
Zahrani, Mohammed ;
Samargandy, Sondos ;
Connelly, Kim A. .
JACC-CARDIOVASCULAR INTERVENTIONS, 2018, 11 (04) :407-408
[9]   Impact of tricuspid regurgitation and right ventricular dysfunction on outcomes after transcatheter aortic valve replacement: A systematic review and meta-analysis [J].
Fan, Jiaqi ;
Liu, Xianbao ;
Yu, Lei ;
Sun, Yinghao ;
Jaiswal, Sanjay ;
Zhu, Qifeng ;
Chen, Han ;
He, Yuxin ;
Wang, Lihan ;
Ren, Kaida ;
Wang, Jian'an .
CLINICAL CARDIOLOGY, 2019, 42 (01) :206-212
[10]   Recognition and treatment of sleep-disordered breathing: an important component of chronic disease management [J].
Farrell, Peter C. ;
Richards, Glenn .
JOURNAL OF TRANSLATIONAL MEDICINE, 2017, 15