Intravascular ultrasound-guided selection for early noninvasive cardiac allograft vasculopathy screening in heart transplant recipients
Autor: | Søren Boesgaard, Nikolaj Ihlemann, Thomas Engstrøm, Lærke Marie Nelson, Finn Gustafsson, Kasper Rossing |
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Rok vydání: | 2020 |
Předmět: |
Coronary angiography
Adult Male medicine.medical_specialty Heart Diseases Dobutamine stress echocardiography medicine.medical_treatment Coronary Artery Disease 030230 surgery Cardiac allograft vasculopathy Coronary Angiography 03 medical and health sciences 0302 clinical medicine Internal medicine Intravascular ultrasound medicine Humans Ultrasonography Interventional Heart transplantation Transplantation medicine.diagnostic_test business.industry Middle Aged Allografts Invasive coronary angiography Risk stratification cardiovascular system Cardiology Heart Transplantation 030211 gastroenterology & hepatology Female business |
Zdroj: | Clinical transplantationREFERENCES. 34(12) |
ISSN: | 1399-0012 |
Popis: | BACKGROUND Noninvasive screening for cardiac allograft vasculopathy (CAV) instead of invasive coronary angiography (ICA) within the first 3 to 5 years after heart transplantation (HTx) is controversial. We evaluated a strategy of intravascular ultrasound (IVUS)-guided conversion to early noninvasive screening post-HTx. METHODS A single-center study of 103 consecutive HTx recipients from 2008 to 2018 undergoing ICA at 1 year post-HTx. Of 88 patients with normal 1-year ICA, sixty-six patients underwent IVUS examination for risk stratification by maximal intimal thickness (MIT) into (i) low-risk group (MIT |
Databáze: | OpenAIRE |
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