Is femoral and radial artery pressure different during reperfusion in liver transplantation?

Acosta, F; Sansano, T; Beltran, R; Palenciano, C.G; Reche, M; Roqués, V; Robles, R; Bueno, F.S; Ramı́rez, Pablo; Parrilla, Pascual

doi:10.1016/s0041-1345(00)01821-2

Cited by 10 publications

(12 citation statements)

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“…A reverse central‐to‐radial difference has been documented after cardiopulmonary bypass [3–5] and in other clinical situations, including septic patients being given vasoconstrictor drugs [6]. Although similar blood pressure differences have been described during liver transplant surgery [7], these differences have not been confirmed [8]. The aim of this study was to determine the extent and timing of femoral to radial blood pressure differences during liver transplant surgery and the relationship between these differences and other haemodynamic variables.…”

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confidence: 99%

Radial to femoral arterial blood pressure differences during liver transplantation

et al. 2005

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SummaryThis observational study compared femoral and radial arterial blood pressure in 72 patients undergoing liver transplant surgery. Simultaneous femoral and radial arterial blood pressures, cardiac index, core temperature and vasoconstrictor therapy were recorded at seven time points during the operation. No significant differences between radial and femoral pressures were found at the start of surgery. Femoral and radial systolic arterial blood pressures were statistically significantly different during liver reperfusion (mean (SD) arterial pressure = 92 (22) mmHg vs. 76 (22) mmHg, p < 0.01). Mean arterial blood pressures showed no statistically significant differences throughout the study. Vasoconstrictor drug administration was associated with a larger systolic pressure difference between femoral and radial arteries (28 (24) mmHg in patients being given vasoconstrictor drugs vs. 9 (19) mmHg in patients not needing vasoconstrictors during reperfusion, p < 0.001). In conclusion, differences in systolic arterial blood pressure occur between femoral and radial arterial monitoring sites during liver reperfusion, and in particular in patients being given vasoconstrictor therapy. Thus, if femoral arterial monitoring is not available, clinicians should rely on mean rather than systolic arterial pressure measurements from a radial artery catheter during liver transplantation.

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confidence: 99%

Radial to femoral arterial blood pressure differences during liver transplantation

et al. 2005

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“…Although the correlation between radial and femoral arterial pressures during living transplantation has been studied,[ 3 4 ] frequent comparisons at the time of reperfusion are not available. Excessive fluid administered to treat hypotension can cause destruction of the endothelial glycocalyx layer that prolongs recovery after surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Numerous studies have reported inconsistencies between femoral and radial arterial pressures during liver transplantation. [ 3 4 ] In the context of limited literature reported in India, we sought to compare femoral arterial blood pressure (FABP) with radial arterial blood pressure (RABP) during the reperfusion phase of living donor liver transplantation with a view to predict the relationship and optimise management amongst our patient profiles.…”

Section: Introductionmentioning

confidence: 99%

Correlation between radial and femoral arterial blood pressure during reperfusion in living donor liver transplantation

et al. 2021

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Background and Aims: Accurate blood pressure measurements are the mainstay for the efficient management of abrupt cardiovascular changes during reperfusion in liver transplant. We sought to compare the femoral and radial pressures during reperfusion and at T1: baseline, T2: 1 h in dissection: T3: portosystemic shunt, T4: reperfusion, T5: at bile duct anastomosis. Methods: A retrospective study was performed amongst 102 adult patients who underwent R lobe living donor liver transplantation. Mean arterial pressure (MAP) and systolic arterial pressure (SAP) at 10 s intervals at reperfusion and at five fixed time points were compared by intraclass correlation coefficient (ICC) and limits of agreement by Bland–Altman statistics. Results: MAP by both routes had a good correlation at all time points during reperfusion (overall ICC: 0.946 [0.938, 0.949]) in comparison with SAP (overall ICC: 0.650 [0.6128, 0.684]). At the lowest reperfusion pressure (reperfusion point), MAP showed high levels of agreements (ICC: 0.833 [0.761, 0.885]), whereas SAP showed only a poor level of agreement (ICC 0.343 [0.153, 0.508]). The Bland–Altman analysis for MAP showed a bias of 7.18 (5.94) mmHg and limits of agreement of − 4.5 mmHg to + 18.8 mmHg and for SAP a bias of 25.2 (22.04) mmHg and limits of agreement of − 18.0 mmHg to + 68.4 mmHg at the reperfusion point. The incidence of post-reperfusion syndrome (PRS) was 52.94% by femoral and 57.84% by radial routes. Conclusions: Radial MAP correlated well with femoral MAP during reperfusion and at predefined time points and can be used interchangeably for intraoperative monitoring. A high incidence of PRS was noted by our technique of measurement.

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“…The Russian Journal of Transplantation ных изменениях в соотношении показателей центрального и периферического давления во время ОТП уже публиковались ранее [7], но они не были подтверждены для рестриктивной тактики периоперационной инфузионной терапии при волемической поддержке в ходе операции.…”

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Blood pressure monitoring during liver transplantation: the method of measurement does matter

Катин

Дзядзько

Гурова

et al. 2019

Transplantologiâ (Mosk.)

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Introduction. Accurate blood pressure (BP) measurements are the mainstay for the efficient management of abrupt changes of hemodynamics and perfusion during orthotopic liver transplantation (OLT).Material and methods. The prospective study included 39 patients. We compared the BP values measured in the femoral and radial arteries during the different phases of the OLT.Results. The central systolic arterial pressure (SAP) and mean arterial pressure (MAP) measured invasive in the femoral artery were significantly higher than those measured in the peripheral artery during the anhepatic phase (95.1±10.6 vs. 84.5±9.9 mm Hg, and 66±8.8 vs. 59.7±7.1 mm Hg, respectively), after 5 minutes of reperfusion (91.1±17.3 vs. 78.5±18.4 mm Hg, and 63.9±13.1 vs. 57.7±13.6 mm Hg, respectively), and after 15 minutes of reperfusion (102.2±16.8 vs. 88.1±14.4 mm Hg, and 67.7±10.7 vs. 62.5±10.4 mm Hg, respectively). We found a strong correlation between the differences of SAP and MAP and the dose of norepinephrine administered during the anhepatic phase (r=0.76 and r=0.77 for SAP and MAP, respectively), and after 5 minutes of reperfusion (r=0.71 and r=0.52 for SAP and MAP, respectively). The difference between central and peripheral BPs after 15 minutes of reperfusion mainly depended on the changes in the potassium concentration (r=0.55 for SAP and MAP) and base deficiency (r=0.73 and r=0.82 for SAP and MAP, respectively).Conclusion. Thus, it was proved that the invasive measurement of BP in the femoral artery is a more accurate method compared with that in the radial artery as it is less exposed to high doses of vasopressors and variations in the acid-base state during OLT.

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Is femoral and radial artery pressure different during reperfusion in liver transplantation?

Cited by 10 publications

References 1 publication

Radial to femoral arterial blood pressure differences during liver transplantation

Radial to femoral arterial blood pressure differences during liver transplantation

Correlation between radial and femoral arterial blood pressure during reperfusion in living donor liver transplantation

Blood pressure monitoring during liver transplantation: the method of measurement does matter

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