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ID 114644
Title Alternative
高齢患者における外科的大動脈弁置換術と経カテーテル大動脈弁留置術間の術後栄養状態と身体機能の評価
Postoperative assessment after AVR and TAVI
Author
Sebe, Mayu Tokushima University
Horikawa, Yousuke T. Tokushima University|Sharp Rees-Stealy Medical Group
Morio, Atsushi Hiroshima University
Miyoshi, Hirotsugu Hiroshima University
Kondo, Takashi Hiroshima University
Urabe, Tomoaki Hiroshima University
Noda, Yuko Hiroshima University
Kamiya, Satoshi Hiroshima University
Saeki, Noboru Hiroshima University
Keywords
Aortic stenosis
Surgical aortic valve replacement
Transcatheter aortic valve implant
Nutrition intake
Physical function
Content Type
Thesis or Dissertation
Description
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.
Journal Title
The Journal of Medical Investigation
ISSN
13496867
13431420
NCID
AA12022913
AA11166929
Publisher
Tokushima University Faculty of Medicine
Volume
67
Issue
1-2
Start Page
139
End Page
144
Sort Key
139
Published Date
2020-02
Remark
内容要旨・審査要旨・論文本文の公開
本論文は, 著者Mayu Sebeの学位論文として提出され, 学位審査・授与の対象となっている。
EDB ID
DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
eng
TextVersion
ETD
MEXT report number
甲第3414号
Diploma Number
甲栄第275号
Granted Date
2020-03-23
Degree Name
Doctor of Nutritional Science
Grantor
Tokushima University
departments
Medical Sciences
University Hospital