Preoperative 2D-echocardiographic assessment of pulmonary arterial pressure in subgroups of liver transplantation recipients
Background The clinical efficacy of preoperative 2D-echocardiographic assessment of pulmonary arterial pressure (PAP) has not been evaluated fully in liver transplantation (LT) recipients. Methods From October 2010 to February 2017, a total of 344 LT recipients who underwent preoperative 2D-echocard...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Anesthesiologists
2021-10-01
|
| Series: | Anesthesia and Pain Medicine |
| Subjects: | |
| Online Access: | http://www.anesth-pain-med.org/upload/pdf/apm-21028.pdf |
| _version_ | 1797825372980510720 |
|---|---|
| author | Jungchan Park Myung Soo Park Ji-Hye Kwon Ah Ran Oh Seung-Hwa Lee Gyu-Seong Choi Jong Man Kim Keoungah Kim Gaab Soo Kim |
| author_facet | Jungchan Park Myung Soo Park Ji-Hye Kwon Ah Ran Oh Seung-Hwa Lee Gyu-Seong Choi Jong Man Kim Keoungah Kim Gaab Soo Kim |
| author_sort | Jungchan Park |
| collection | DOAJ |
| description | Background The clinical efficacy of preoperative 2D-echocardiographic assessment of pulmonary arterial pressure (PAP) has not been evaluated fully in liver transplantation (LT) recipients. Methods From October 2010 to February 2017, a total of 344 LT recipients who underwent preoperative 2D-echocardiography and intraoperative right heart catheterization (RHC) was enrolled and stratified according to etiology, disease progression, and clinical setting. The correlation of right ventricular systolic pressure (RVSP) on preoperative 2D-echocardiography with mean and systolic PAP on intraoperative RHC was evaluated, and the predictive value of RVSP > 50 mmHg to identify mean PAP > 35 mmHg was estimated. Results In the overall population, significant but weak correlations were observed (R = 0.27; P < 0.001 for systolic PAP, R = 0.24; P < 0.001 for mean PAP). The positive and negative predictive values of RVSP > 50 mmHg identifying mean PAP > 35 mmHg were 37.5% and 49.9%, respectively. In the subgroup analyses, correlations were not significant in recipients of deceased donor type LT (R = 0.129; P = 0.224 for systolic PAP, R = 0.163; P = 0.126 for mean PAP) or in recipients with poorly controlled ascites (R = 0.215; P = 0.072 for systolic PAP, R = 0.21; P = 0.079 for mean PAP). Conclusion In LT recipients, the correlation between RVSP on preoperative 2D-echocardiography and PAP on intraoperative RHC was weak; thus, preoperative 2D-echocardiography might not be the optimal tool for predicting intraoperative PAP. In LT candidates at risk of pulmonary hypertension, RHC should be considered. |
| first_indexed | 2024-03-13T10:53:10Z |
| format | Article |
| id | doaj.art-3b88adb812d54505b4c0fce4de935855 |
| institution | Directory Open Access Journal |
| issn | 1975-5171 2383-7977 |
| language | English |
| last_indexed | 2024-03-13T10:53:10Z |
| publishDate | 2021-10-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Anesthesia and Pain Medicine |
| spelling | doaj.art-3b88adb812d54505b4c0fce4de9358552023-05-17T05:51:41ZengKorean Society of AnesthesiologistsAnesthesia and Pain Medicine1975-51712383-79772021-10-0116434435210.17085/apm.210281104Preoperative 2D-echocardiographic assessment of pulmonary arterial pressure in subgroups of liver transplantation recipientsJungchan Park0Myung Soo Park1Ji-Hye Kwon2Ah Ran Oh3Seung-Hwa Lee4Gyu-Seong Choi5Jong Man Kim6Keoungah Kim7Gaab Soo Kim8 Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Medicine, Dongtan Sacred Heart Hospital, Hallym University School of Medicine, Hwaseong, Korea Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Medicine, Heart, Stroke, and Vascular Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Anesthesiology, School of Dentistry, Dankook University, Cheonan, Korea Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaBackground The clinical efficacy of preoperative 2D-echocardiographic assessment of pulmonary arterial pressure (PAP) has not been evaluated fully in liver transplantation (LT) recipients. Methods From October 2010 to February 2017, a total of 344 LT recipients who underwent preoperative 2D-echocardiography and intraoperative right heart catheterization (RHC) was enrolled and stratified according to etiology, disease progression, and clinical setting. The correlation of right ventricular systolic pressure (RVSP) on preoperative 2D-echocardiography with mean and systolic PAP on intraoperative RHC was evaluated, and the predictive value of RVSP > 50 mmHg to identify mean PAP > 35 mmHg was estimated. Results In the overall population, significant but weak correlations were observed (R = 0.27; P < 0.001 for systolic PAP, R = 0.24; P < 0.001 for mean PAP). The positive and negative predictive values of RVSP > 50 mmHg identifying mean PAP > 35 mmHg were 37.5% and 49.9%, respectively. In the subgroup analyses, correlations were not significant in recipients of deceased donor type LT (R = 0.129; P = 0.224 for systolic PAP, R = 0.163; P = 0.126 for mean PAP) or in recipients with poorly controlled ascites (R = 0.215; P = 0.072 for systolic PAP, R = 0.21; P = 0.079 for mean PAP). Conclusion In LT recipients, the correlation between RVSP on preoperative 2D-echocardiography and PAP on intraoperative RHC was weak; thus, preoperative 2D-echocardiography might not be the optimal tool for predicting intraoperative PAP. In LT candidates at risk of pulmonary hypertension, RHC should be considered.http://www.anesth-pain-med.org/upload/pdf/apm-21028.pdfcatheterizationechocardiographyhypertensionliver transplantationpulmonaryswan-ganz |
| spellingShingle | Jungchan Park Myung Soo Park Ji-Hye Kwon Ah Ran Oh Seung-Hwa Lee Gyu-Seong Choi Jong Man Kim Keoungah Kim Gaab Soo Kim Preoperative 2D-echocardiographic assessment of pulmonary arterial pressure in subgroups of liver transplantation recipients Anesthesia and Pain Medicine catheterization echocardiography hypertension liver transplantation pulmonary swan-ganz |
| title | Preoperative 2D-echocardiographic assessment of pulmonary arterial pressure in subgroups of liver transplantation recipients |
| title_full | Preoperative 2D-echocardiographic assessment of pulmonary arterial pressure in subgroups of liver transplantation recipients |
| title_fullStr | Preoperative 2D-echocardiographic assessment of pulmonary arterial pressure in subgroups of liver transplantation recipients |
| title_full_unstemmed | Preoperative 2D-echocardiographic assessment of pulmonary arterial pressure in subgroups of liver transplantation recipients |
| title_short | Preoperative 2D-echocardiographic assessment of pulmonary arterial pressure in subgroups of liver transplantation recipients |
| title_sort | preoperative 2d echocardiographic assessment of pulmonary arterial pressure in subgroups of liver transplantation recipients |
| topic | catheterization echocardiography hypertension liver transplantation pulmonary swan-ganz |
| url | http://www.anesth-pain-med.org/upload/pdf/apm-21028.pdf |
| work_keys_str_mv | AT jungchanpark preoperative2dechocardiographicassessmentofpulmonaryarterialpressureinsubgroupsoflivertransplantationrecipients AT myungsoopark preoperative2dechocardiographicassessmentofpulmonaryarterialpressureinsubgroupsoflivertransplantationrecipients AT jihyekwon preoperative2dechocardiographicassessmentofpulmonaryarterialpressureinsubgroupsoflivertransplantationrecipients AT ahranoh preoperative2dechocardiographicassessmentofpulmonaryarterialpressureinsubgroupsoflivertransplantationrecipients AT seunghwalee preoperative2dechocardiographicassessmentofpulmonaryarterialpressureinsubgroupsoflivertransplantationrecipients AT gyuseongchoi preoperative2dechocardiographicassessmentofpulmonaryarterialpressureinsubgroupsoflivertransplantationrecipients AT jongmankim preoperative2dechocardiographicassessmentofpulmonaryarterialpressureinsubgroupsoflivertransplantationrecipients AT keoungahkim preoperative2dechocardiographicassessmentofpulmonaryarterialpressureinsubgroupsoflivertransplantationrecipients AT gaabsookim preoperative2dechocardiographicassessmentofpulmonaryarterialpressureinsubgroupsoflivertransplantationrecipients |