Artery Research

Volume 12, Issue C, December 2015, Pages 9 - 10

P2.17 FEASIBILITY OF USING COMPLIOR ANALYSE TO MEASURE CENTRAL SYSTOLIC BLOOD PRESSURE DURING DIALYSIS

Authors
Mabrouk Brahimi1, Martine Catherine1, Nathalie Stocard5, Rachid Mojaat1, Charles Chazot4, Sandrine Millasseau*2, Denis Chemla3
1Montfermeil Hospital, Montfermeil, France
2Pulse Wave Consulting, St Leu la Foret, France
3APHP, Paris, France
4Fresenius Medical Care, Bad Homburg, Germany
5Alam Medical, Vincennes, France
Available Online 23 November 2015.
DOI
https://doi.org/10.1016/j.artres.2015.10.222How to use a DOI?
Abstract

Central systolic blood pressure (cSBP) could be helpful to monitor hypotension during dialysis. However most cSBP devices are based on peripheral estimates which might be unreliable during the specific hemodynamic state of dialysis. Complior Analyse (Alam Medical, France) presents the advantage of measuring cSBP, hand-free, directly from the carotid artery with no mathematical estimation. Our study aims document cSBP variability from Complior Analyse before and during dialysis.

cSBP was measured in 19 stable patients (10M/9F, age:65±16yrs) with regular heart rate who underwent dialysis in Fresenius center, Montfermeil hospital, France (10 patients before dialysis, 13 patients 130±24min after the start of dialysis including 4 patients with data both before and during dialysis). Carotid waveforms were measured in triplicate within 5min and calibrated to mean (MAP) and diastolic pressures (DBP) obtained with a Philips SureSigns monitor on the fistula-free arm.

Mean±SD values and coefficient of variation(CV) of repeated measurements are shown below:

Pre-dialysis CV During dialysis CV
Peripheral SBP(mmHg) 139±16 4% 120±16 7%
Peripheral DBP(mmHg) 74±12 5% 70±8 6%
Peripheral MAP(mmHg) 99±13 6% 88±12 7%
Central cSBP(mmHg) 127±20 3% 117±6 5%

Peripheral form factor (FF) was 37±13% (range 19–59) before dialysis and 39±21% (13–61) during dialysis while central FF was 45±7% (30–57) and 39±21% (21–46), respectively.

Estimation of cSBP during dialysis was feasible with Complior Analyse. Its variability was similar to peripheral BP variability. The wide range of peripheral form factor values suggested that there is a need to improve peripheral BP estimation during dialysis.

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Journal
Artery Research
Volume-Issue
12 - C
Pages
9 - 10
Publication Date
2015/11
ISSN (Online)
1876-4401
ISSN (Print)
1872-9312
DOI
https://doi.org/10.1016/j.artres.2015.10.222How to use a DOI?
Open Access
This is an open access article distributed under the CC BY-NC license.

Cite this article

TY  - JOUR
AU  - Mabrouk Brahimi
AU  - Martine Catherine
AU  - Nathalie Stocard
AU  - Rachid Mojaat
AU  - Charles Chazot
AU  - Sandrine Millasseau*
AU  - Denis Chemla
PY  - 2015
DA  - 2015/11
TI  - P2.17 FEASIBILITY OF USING COMPLIOR ANALYSE TO MEASURE CENTRAL SYSTOLIC BLOOD PRESSURE DURING DIALYSIS
JO  - Artery Research
SP  - 9
EP  - 10
VL  - 12
IS  - C
SN  - 1876-4401
UR  - https://doi.org/10.1016/j.artres.2015.10.222
DO  - https://doi.org/10.1016/j.artres.2015.10.222
ID  - Brahimi2015
ER  -