Table 1.
Study | Cohort | Change in SBP | Change in Stiffness | Day Post AVR | Method | Comments |
---|---|---|---|---|---|---|
Barbetseas et al 20069 | 31 SAVR, 52% male, mean age 67 | ⇔ | ↑ | 7 and 180 | ASi | No change in stiffness after 6 months. ΔASi correlated with AVAi. |
Nemes et al 200710 | 12 SAVR, 58% male, mean age 65 | ↓SBP | ↓ | 21, 180 and 365 | ASi | Gradual decreased ASi with time |
Vavuranakis et al 201211 | 30 TAVI, 47% male, mean age 80 | ↑ MAP ⇔ SBP | ⇔ | 7–8 | ASi | No significant Δstiffness nor aortic distensibility |
Vizzardi et al 201412 | 15 TAVI, 40% male, mean age 83 | ⇔ | ↓ | 180 and 365 | ASi | Sustained decreased stiffness after 12 months and increased distensibility |
Cantürk et al 201714 | 38 SAVR, 78% male, mean age 59 | ⇔ | ⇔ | 90 | PWV (MOG) | Baseline PWV was associated with MPG and AVA. |
Goudzwaard et al 201915 | 40 TAVI, 58% male, mean age 80 | ↓ | ↓ | 1 | PWV and AIx with MOG | ΔPWV was inversely correlated with baseline PWV |
Yotti et al 201518 | 23 TAVI, 63% male, mean age 79 | ↑ SBP, DBP, MAP | ↑ | 0 | Invasive AIx | ↑ Vascular load after TAVI |
Pagolatou et al 202019 | 33 TAVI, 49% male, mean age 84 | ↑ aortic BP | ↓ AIx | 1 | Invasive AIx | |
Müller et al 201820 | 50 TAVI, 45% male, mean age 83 | ⇔ | ↓ | 2–7 | AIx (SphygmoCor) | ↓ Time to peak after TAVI |
Terentes-Printzios et al 202021 | 90 TAVI, 50% male, mean age 80 | ⇔ | ↓AIx | 1–365 | AIx (SphygmoCor) | ↓AIx directly after TAVI but no difference after 1 year. |
Al Musa et al 201613 | 32 TAVI, 63% male, mean age 81 | ⇔ | ⇔ | 90 | aPWV-MRI | Also, decreased distensibility ascending/descending aorta |
40 SAVR, 78% male, mean age 73 | ⇔ | ↑ | 90 | |||
Bruschi et al 201624 | 15 SAVR, 60% male, mean age 77 | ↓ SBP | ⇔ | 7 | cfPWV (Complior) | cfPWV correlated with Pmax/mean |
15 TAVI, 40% male, mean age 82 | ⇔ | ⇔ | 7 | |||
Chirinos JA et al 201922 | 38 SAVR, 68% male, mean age 72 | ⇔ | ↑cfPWV ↑ cMRI | 180 | cfPWV (SphygmoCor and MRI) | ↓ LV mass, ↑ total peripheral resistance, ↓ total arterial compliance |
Terentes-Printzios et al 202021 | 90 TAVI, 50% male, mean age 80 | ⇔ | ↑cf/baPWV ↓ AIx@75 | 6 and 365 | cfPWV (Complior), baPWV, AIx | Sustained cf/baPWV after 1 year. |
Raimundo et al 202123 | 150 SAVR, 51% male, mean age 73 | ? | ↑ | ~60 | cfPWV Complior | cfPWV 9.0±2.1 9.9±2.2 |
Plunde et al 20217 | 32 SAVR, 67% male, mean age 69 | ⇔ | ⇔/↑ | 3 | cfPWV (SphygmoCor) CAVI, baPWV | ↑ CAVI/baPWV, ⇔ cfPWV |
Notes: A summary of studies assessing aortic/arterial stiffness before and after aortic valve replacement (AVR). Importantly, this tables incorporate a variety of methods including indirect measures of stiffness such as augmentation index, which is also dependent on other entities. Mobil-O-Graph (MOG) is a highly questioned method to determine arterial stiffness as it is almost entirely dependent on age and systolic blood pressure.
Abbreviations: TAVI, transcatheter aortic valve implantation; SAVR, surgical aortic valve replacement; cfPWV, carotid-femoral pulse wave velocity; AIx, augmentation index; MRI, magnetic resonance imaging; ASi, aortic stiffness index; LV, left ventricle; aPWV, aortic pulse wave velocity.