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Implementation of the recruitment procedure, assessment and intervention was found to be feasible and the approach taken was acceptable to participants, with no adverse effects.
Considering that post-procedure assessments might not be different than pre-procedure assessment, only the pre- and per-procedure assessments were included, that is at least 85 paired assessments before and 85 paired assessments during the procedure, which is equal to 170 paired assessments.
The odds of an increase in BPS between pre-procedure and post-procedure assessments were more than 25 times higher for repositioning (painful) compared with eye care (nonpainful; P < 0.0001), after controlling for analgesics and sedatives.
All procedures, assessments, and analyses were performed blindly to minimize observer bias.
In addition to items developed specifically for the study regarding general conditions, procedures, assessments of effects and attitudes, the Work Satisfaction Scale was used.
CONCLUSIONS: The rate of finding obstructive CAD at elective coronary angiography varied considerably among reporting centers and was associated with patient selection and pre-procedure assessment strategies.
In such patients, invasive catheter angiography, transesophageal ultrasound [5], invasive intravascular ultrasound, or low dose catheter CT angiography [6] have been suggested as alternatives for pre-procedure assessment.
Common elective indications for thoracic or abdominal aorta imaging includes the assessment and follow-up of aortic aneurysms, pre- and post-procedure assessment of endovascular aneurysm repair (EVAR) and in the setting of suspected aortitis.
Although there is growing evidence of the importance of MDCT in the pre-procedure assessment, one of the current challenges is to find the precise role of MDCT in valve assessment and sizing.
This review outlines the principal aspects of TAVR, the multidisciplinary approach and utilisation of different imaging modalities, as well as a step-by-step approach to MDCT acquisition protocols, reconstruction techniques, pre-procedure measurements and post-procedure assessment.
Given the exponential rise in the number of procedures being performed with varying local expertise, there is a need to standardise imaging protocols as part of pre- and post-procedure assessment of TAVR patients.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com