Evidence map›Paper›PMID 41531885›Full record

ArticleBrain circulation

Nexfin versus conventional oscillometric cuff for blood pressure monitoring during neuro-endovascular procedures.

Huanwen Chen, Rosy Linda Njonkou-Tchoquessi, Marco Colasurdo, Christopher J Cobb, Seyedmehdi Payabvash, Ajay Malhotra, Dheeraj Gandhi

Abstract read
In one paragraph

Article in Brain circulation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Huanwen Chen *Department of Neurosurgery, Division of Neurointerventional Surgery, University of Maryland Medical Center, Baltimore, USA.
Rosy Linda Njonkou-Tchoquessi *Department of Neurosurgery, Division of Neurointerventional Surgery, University of Maryland Medical Center, Baltimore, USA.
Marco ColasurdoDepartment of Neurology, Oregon Health and Science University, Portland, OR, USA.
Christopher J CobbDepartment of Neurosurgery, Division of Neurointerventional Surgery, University of Maryland Medical Center, Baltimore, USA.
Seyedmehdi PayabvashDepartment of Radiology, Yale New Haven Hospital, New Haven, CT, USA.
Ajay MalhotraDepartment of Radiology, Yale New Haven Hospital, New Haven, CT, USA.
Dheeraj GandhiDepartment of Neurosurgery, Division of Neurointerventional Surgery, University of Maryland Medical Center, Baltimore, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNexfin, a noninvasive blood pressure (BP) monitoring system, can provide continuous real-time measurements of BP, which can be useful for patients with acute neurological injury who require urgent neuroendovascular interventions. While Nexfin has shown promising reliability for other clinical scenarios, its performance has not been demonstrated during neuroendovascular procedures for patients with neurological injury.

methodsThis was a single-center retrospective study. Consecutive patients who underwent neuro-endovascular procedures with Nexfin BP monitoring were identified at a single institution. Mean arterial pressure (MAP) and systolic BP (SBP) from Nexfin, conventional oscillometric cuff, and arterial line were recorded every 5 to 15 min Concordance between measurement modalities was assessed. Nexfin's ability to detect the significant drops in BP (MAP decrease of 10 or more or SBP decrease of 20 or more) on the arterial line was also assessed and compared with cuff.

resultsA total of 620 blood measurements (264 Nexfin, 197 cuff, and 159 arterial line) from 33 patients who underwent neuro-endovascular procedures were collected. Overall, Nexfin measurements correlated well with the arterial line measurements for MAP (Pearson's R = 0.74,

conclusionsFor patients undergoing neuro-endovascular treatments, Nexfin performed as well as conventional cuffs in estimating intraoperative BP measurements from arterial lines, and it was more sensitive than cuffs in detecting intraprocedural relative hypotension without compromising specificity.

Indexed as

blood pressureendovascularhemorrhageinterventionalmonitoringNexfinstroke

Identifiers

PMID41531885
PMCPMC12795492

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.