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Insulin Requirements and Management in Trans-Catheter vs. Surgical Aortic Valve Replacement
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作者 Yunyan Qu Liyu Xing +2 位作者 Nazanene H. Esfandiari George M. Deeb roma gianchandani 《Open Journal of Thoracic Surgery》 2019年第3期17-30,共14页
Objective: Trans-catheter Aortic Valve Replacement/Aortic Valve Implantation (TAVR) are increasingly performed today. We compared insulin requirements between TAVR and Surgical Aortic Valve Replacement (SAVR) patients... Objective: Trans-catheter Aortic Valve Replacement/Aortic Valve Implantation (TAVR) are increasingly performed today. We compared insulin requirements between TAVR and Surgical Aortic Valve Replacement (SAVR) patients with and without diabetes mellitus (DM) to determine optimal glucose management strategies during the perioperative period (POP). Methods: Charts of consecutive patients undergoing aortic procedures were retrospectively reviewed for glucose ranges, insulin requirements and routes of insulin administration (subcutaneous vs. intravenous) for patients with and without DM to maintain BG Results: Patients with SAVRs without DM and A1C Conclusions: TAVR patients have different insulin requirements compared to SAVRs (p < 0.05). This information helps build a glucose management algorithm for a procedure which is increasingly performed. 展开更多
关键词 AORTIC Stenosis Diabetes Mellitus Trans-Catheter AORTIC VALVE REPLACEMENT SURGICAL AORTIC VALVE REPLACEMENT Blood Glucose MANAGEMENT
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