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Cardiac Transplantation

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Abstract

Cardiac allograft rejection (CAR) is a major complication in the first year after cardiac transplantation affecting 40% of patients with at least one episode. CAR is responsible of death in 12% and increases the subsequent risk of death up to 4 years and, moreover, is an independent risk factor for cardiac allograft vasculopathy (CAV).

Early detection of CAR is a major challenge in clinical practice. In clinical practice, the currently applied protocols include right ventricular endomyocardial biopsy (EMB) that is considered the gold standard for the early diagnosis of CAR. The aim of the present chapter is to review the possible application of cardiac magnetic resonance (CMR) in the study of CAR.

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References

  1. Mavrogeni SI, Athanasopoulos G, Gouziouta A, et al. Cardiac transplantation: towards a new noninvasive approach of cardiac allograft rejection. Expert Rev Cardiovasc Ther. 2017;15(4):307–13.

    Article  CAS  Google Scholar 

  2. Badano LP, Miglioranza MH, Edvardsen T, et al. European Association of Cardiovascular Imaging/Cardio-vascular Imaging Department of the Brazilian Society of Cardiology recommendations for the use of cardiac imaging to assess and follow patients after heart transplantation. Eur Heart J Cardiovasc Imaging. 2015;16(9):919–48.

    Article  Google Scholar 

  3. Lu W, Zheng J, Pan XD, et al. Diagnostic performance of cardiac magnetic resonance for the detection of acute cardiac allograft rejection: a systematic review and meta-analysis. J Thorac Dis. 2015;7(3):252–63.

    PubMed  PubMed Central  Google Scholar 

  4. Krieghoff C, Barten MJ, Hildebrand L, et al. Assessment of subclinical acute cellular rejection after heart transplantation: comparison of cardiac magnetic resonance imaging and endomyocardial biopsy. Eur Radiol. 2014;24:2360–71.

    Article  Google Scholar 

  5. Butler CR, Kim DH, Chow K, et al. Cardiovascular MRI predicts 5-year adverse clinical outcome in heart transplant recipients. Am J Transplant. 2014;14(9):2055–61.

    Article  CAS  Google Scholar 

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Imazio, M., Andriani, M., Lobetti Bodoni, L., Gaita, F. (2019). Cardiac Transplantation. In: Learning Cardiac Magnetic Resonance . Springer, Cham. https://doi.org/10.1007/978-3-030-11608-8_7

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  • DOI: https://doi.org/10.1007/978-3-030-11608-8_7

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-11607-1

  • Online ISBN: 978-3-030-11608-8

  • eBook Packages: MedicineMedicine (R0)

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