Shahandeh Negeen, Song Justin, Saito Kan, Honda Yasuhiro, Zimmermann Frederik M, Ahn Jung-Min, Fearon William F, Parikh Rushi V
Division of Cardiology, Department of Medicine, University of California, Los Angeles, Los Angeles, California.
Division of Cardiovascular Medicine, Stanford University, Stanford, California.
J Soc Cardiovasc Angiogr Interv. 2023 Mar 21;2(3):100627. doi: 10.1016/j.jscai.2023.100627. eCollection 2023 May-Jun.
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.
心脏移植血管病变是心脏移植受者移植失败和死亡的主要原因。移植后早期进行常规冠状动脉造影和血管内超声检查已被广泛接受为当前的标准护理诊断方式。然而，现在许多研究表明，有创冠状动脉生理评估可提供补充性的长期预后数据，并有助于识别有加速性心脏移植血管病变和急性排斥反应风险的患者。
