关键词: cardiac allograft vasculopathy coronary flow reserve coronary physiology fractional flow reserve heart transplantation index of microcirculatory resistance

来  源:   DOI:10.1016/j.jscai.2023.100627   PDF(Pubmed)

Abstract:
Cardiac allograft vasculopathy is a leading cause of allograft failure and death among heart transplant recipients. Routine coronary angiography and intravascular ultrasound in the early posttransplant period are widely accepted as the current standard-of-care diagnostic modalities. However, many studies have now demonstrated that invasive coronary physiological assessment provides complementary long-term prognostic data and helps identify patients who are at risk of accelerated cardiac allograft vasculopathy and acute rejection.
摘要:
心脏移植血管病变是心脏移植受者中同种异体移植失败和死亡的主要原因。移植后早期的常规冠状动脉造影和血管内超声被广泛接受为当前的标准护理诊断方式。然而,许多研究表明,有创冠状动脉生理评估提供了补充的长期预后数据,并有助于确定有加速心脏移植血管病变和急性排斥反应风险的患者.
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