Invasive Coronary Imaging Assessment for Cardiac Allograft Vasculopathy: State-of-the-Art Review

Cardiac allograft vasculopathy: a review.

Cardiac allograft vasculopathy (CAV) is a major factor limiting long-term survival after cardiac transplantation. CAV is an accelerated form of coronary artery disease (CAD) that is characterized by concentric fibrous intimal hyperplasia along the length of coronary vessels. Both immunologic and nonimmunologic risk factors contribute to the development of CAV by causing endothelial dysfunction ...

Coronary stenting in cardiac allograft vasculopathy.

OBJECTIVE The purpose of this study was to evaluate acute angiographic success, in-hospital complications and long-term outcome after intracoronary stenting in patients with cardiac allograft vasculopathy. BACKGROUND The application of conventional interventional modalities to treat discrete lesions in patients with cardiac allograft vasculopathy is associated with higher procedural morbidity...

IVUS in the Assessment of Coronary Allograft Vasculopathy

Cardiac allograft vasculopathy (CAV) is a unique form of accelerated atherosclerosis and remains the leading cause of late morbidity and mortality in heart transplant patients accounting for 30% mortality at 5 years (Miller et al., 1993), (Taylor et al., 2007). Although the pathogenesis of CAV is not fully elucidated, it seems to result from a complex interplay between immunologic and nonimmuno...

Clinical implications of intracoronary imaging in cardiac allograft vasculopathy.

Multiparametric cardiovascular magnetic resonance assessment of cardiac allograft vasculopathy

OBJECTIVES This study sought to evaluate the diagnostic performance of multiparametric cardiovascular magnetic resonance (CMR) for detecting cardiac allograft vasculopathy (CAV) using contemporary invasive epicardial artery and microvascular assessment techniques as reference standards, and to compare the performance of CMR with that of angiography. BACKGROUND CAV continues to limit the long-...