Assessment of postoperative nutritional status and physical function between open surgical aortic valve replacement and transcatheter aortic valve implantation in elderly patients
-
- Sebe Mayu
- Department of Nutrition and Metabolism, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan
-
- Tsutsumi Rie
- Department of Nutrition and Metabolism, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan
-
- Oyama Takuro
- Department of Anesthesiology, Institute of Biomedical Sciences, Tokushima University, Tokushima, Japan
-
- Horikawa Yousuke T.
- Department of Anesthesiology, Institute of Biomedical Sciences, Tokushima University, Tokushima, Japan Department of Pediatrics, Sharp Rees-Stealy Medical Group
-
- Uemura Yuta
- Department of Anesthesiology, Institute of Biomedical Sciences, Tokushima University, Tokushima, Japan
-
- Kakuta Nami
- Department of Anesthesiology, Institute of Biomedical Sciences, Tokushima University, Tokushima, Japan
-
- Sakai Yoko
- Department of Anesthesiology, Institute of Biomedical Sciences, Tokushima University, Tokushima, Japan
-
- Morio Atsushi
- Department of Anesthesiology and Critical Care, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
-
- Miyoshi Hirotsugu
- Department of Anesthesiology and Critical Care, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
-
- Kondo Takashi
- Department of Anesthesiology and Critical Care, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
-
- Urabe Tomoaki
- Department of Anesthesiology and Critical Care, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
-
- Noda Yuko
- Department of Anesthesiology and Critical Care, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
-
- Kamiya Satoshi
- Department of Anesthesiology and Critical Care, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
-
- Saeki Noboru
- Department of Anesthesiology and Critical Care, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
-
- Kuroda Masashi
- Department of Nutrition and Metabolism, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan
-
- Tanaka Katsuya
- Department of Anesthesiology, Institute of Biomedical Sciences, Tokushima University, Tokushima, Japan
-
- Tsutsumi Yasuo M.
- Department of Anesthesiology and Critical Care, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
-
- Sakaue Hiroshi
- Department of Nutrition and Metabolism, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan Diabetes Therapeutics and Research Centre, Tokushima University, Tokushima, Japan
Abstract
<p>Background and aims : Severe aortic stenosis (AS) has been normally treated with surgical aortic valve replacement (AVR) whereas recently, transcatheter aortic valve implantation (TAVI) has been introduced as a minimally invasive operation for patients with high surgical risk and frailty. In this study, we have evaluated postoperative physical function and nutrition intake in the patients following AVR and TAVI. Methods : This prospective observational study involved 9 patients with surgical aortic valve replacement (AVR) and 7 patients with transcatheter aortic valve implantation (TAVI). Body composition was measured one day prior surgery, postoperative day (POD) 1, POD 3, POD 5 and POD 7. Hand grip strength, calf circumference and gait speed were measured one day before surgery and on the day of discharge. Results : Skeletal muscle was significantly decreased in AVR patients at postoperative day 3 and 7, while there was no change in TAVI patients. Patients with TAVI showed higher dietary intake after surgery compared to patients with AVR, and they maintained hand grip strength and calf circumference at discharge. Conclusions : In elderly patients with AS, TAVI can improve post-operative recovery maintaining nutritional status and physical function even. J. Med. Invest. 67 : 139-144, February, 2020</p>
Journal
-
- The Journal of Medical Investigation
-
The Journal of Medical Investigation 67 (1.2), 139-144, 2020
The University of Tokushima Faculty of Medicine