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. 2022 Mar 8;18:117–122. doi: 10.2147/VHRM.S358741

Table 1.

Studies of Arterial Stiffness in Aortic Valve Stenosis

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 Inline graphic 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.