Invasive coronary angiography as a tool in cardiac evaluation for liver transplant candidates

• Invasive coronary angiography was performed in high risk transplant candidates. Multidisciplinary decision on listing for and revascularisation. 169 patients listed underwent angiography, 73 had artery disease. Coronary disease did not affect 5-year survival post-transplant. Cardiovascular assessment is central to evaluation of liver (LT) However, there a lack consensus the diagnostic algorithm screening (CAD), place invasive (ICA) remains undefined. We retrospectively analysed 1201 adults who elective LT over period. For LT, data 5 years post-LT collected. ICA 259 (21.6%): 134 no CAD, 58 mild, 33 moderate, 34 severe. Detection CAD associated with age (OR 1.08, P < 0.01), current smoking 4.92, 0.01) prior 8.93, 0.001). Poor performance cardiopulmonary exercise test (CPET) 1.02, .05) diabetes mellitus 1.54, 0.05). 122 (10.2%) were declined due severity cardiovascular 169/779 (21.7%) undergone ICA, present 73/169 (43.2%). The non-risk-adjusted all-cause 82.6%, difference those without ICA. In reduced 3.78, Multi-modality cardiac useful high-risk undergoing assessment. can be used non-invasive assessments factors delineate candidacy. selected has been undertaken comparable survival.