New Non‐Invasive Technologies in Cardiac Transplant Follow‐Up: Acquired Evidence and  Future Options

Valeria Pergola; Giulia Mattesi; Elena Cozza; Nicola Pradegan; Chiara Tessari; Carlo maria Dellino; Maria Teresa Savo; Filippo Amato; ANNAGRAZIA CECERE; Martina Perazzolo Marra; Francesco Tona; Andrea Igoren Guaricci; Giorgio De Conti; Gino Gerosa; Sabino Iliceto; Raffaella Motta

doi:10.20944/preprints202306.2206.v1

A peer-reviewed article of this Preprint also exists.

Pergola, V.; Mattesi, G.; Cozza, E.; Pradegan, N.; Tessari, C.; Dellino, C.M.; Savo, M.T.; Amato, F.; Cecere, A.; Perazzolo Marra, M.; Tona, F.; Guaricci, A.I.; De Conti, G.; Gerosa, G.; Iliceto, S.; Motta, R. New Non-Invasive Imaging Technologies in Cardiac Transplant Follow-Up: Acquired Evidence and Future Options. Diagnostics 2023, 13, 2818. Pergola, V.; Mattesi, G.; Cozza, E.; Pradegan, N.; Tessari, C.; Dellino, C.M.; Savo, M.T.; Amato, F.; Cecere, A.; Perazzolo Marra, M.; Tona, F.; Guaricci, A.I.; De Conti, G.; Gerosa, G.; Iliceto, S.; Motta, R. New Non-Invasive Imaging Technologies in Cardiac Transplant Follow-Up: Acquired Evidence and Future Options. Diagnostics 2023, 13, 2818.

Abstract

Heart transplantation (HT) represents the mainstream therapy of end-stage heart failure for selected patients with a median survival of more than 10 years after surgery and substantial improvement in quality of life. Current guidelines suggest a variety of examinations including invasive (coronary angiography and endomyocardial biopsy (EBM) and non-invasive methods (echocardiography, stress echocardiography, computed tomography, PET and MRI) to monitor HT patients. Guidelines do not specify the timing of echocardiographic evaluations and do not recommend echocardiography as an alternative to serial EMB in rejection monitoring [2]. They still recommend as gold standard coronary angiography to be done 1 year after surgery and every 2 years after. In this review we will discuss the advantages of non-invasive techniques over the invasive ones for an adequate follow-up of HT patients.

Keywords

heart transplantation; cardiac allograft vasculopathy; plaque analysis; atrial function; strain echocardiography; stress echocardiography; cardiac computed tomography angiography; fraction flow reserve

Subject

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

New Non‐Invasive Technologies in Cardiac Transplant Follow‐Up: Acquired Evidence and Future Options

Abstract

Keywords

Subject

Comments (0)