Exploratory Use of Cardiovascular Magnetic Resonance Imaging in Liver Transplantation

Reddy, Sahadev T; Thai, Ngoc; Fakhri, Asghar; Oliva, Jose; Tom, Kusum; Dishart, Michael K.; Doyle, Mark; Yamrozik, June; Williams, Ronald; Grant, Saundra; Poydence, Jacqueline; Shah, Moneal; Singh, Anil; Nathan, Swami; Biederman, Robert W

doi:10.1097/tp.0b013e3182a078e9

Cited by 13 publications

(15 citation statements)

References 36 publications

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“…It reliably detects subendocardial infarcts frequently missed by SPECT and identifies scar tissue better than PET . CMR may be a “1‐stop shop,” offering images of coronary and cardiac anatomy, as well as liver parenchyma with hepatic arterial and venous circulation …”

Section: Resultsmentioning

confidence: 99%

Cardiac diseases among liver transplant candidates

Gitman¹,

Albertz

Nicolau‐Raducu

et al. 2018

Clinical Transplantation

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Improvements in early survival after liver transplant (LT) have allowed for the selection of LT candidates with multiple comorbidities. Cardiovascular disease is a major contributor to post-LT complications. We performed a literature search to identify the causes of cardiac disease in the LT population and to describe techniques for diagnosis and perioperative management. As no definite guidelines for preoperative assessment (except for pulmonary heart disease) are currently available, we recommend an algorithm for preoperative cardiac work-up.

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Section: Resultsmentioning

confidence: 99%

Cardiac diseases among liver transplant candidates

Gitman¹,

Albertz

Nicolau‐Raducu

et al. 2018

Clinical Transplantation

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“…In an observational study of 51 liver transplant candidates, Reddy et al explored the feasibility of a comprehensive ''one-stop shop'' evaluation of cardiac function, structure, coronary disease, and viability along with thoracoabdominal vasculature and liver anatomy using magnetic resonance imaging. 80 Although promising, the wide scale applicability of this technique is questionable. The diagnostic accuracy and outcome data of cardiac magnetic resonance in this population are lacking.…”

Section: Coronary Disease Surveillancementioning

confidence: 99%

“…The diagnostic accuracy and outcome data of cardiac magnetic resonance in this population are lacking. 80 Gadolinium related nephrotoxicity is also a concern.…”

Section: Coronary Disease Surveillancementioning

confidence: 99%

Cardiac imaging for the assessment of patients being evaluated for kidney or liver transplantation

Parikh

Appis

Doukky

2015

Journal of Nuclear Cardiology

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Cardiac risk assessment prior to kidney and liver transplantation is controversial. Given the paucity of available organs, selecting appropriate recipients with favorable short- and long-term cardiovascular risk profile is crucial. Using noninvasive cardiac imaging tools to guide cardiovascular risk assessment and management can also be challenging and controversial. In this article, we address the burden of coronary artery disease among kidney and liver transplant candidates and review the literature pertaining to the diagnostic accuracy and the prognostic value of noninvasive cardiac imaging techniques in this population.

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“…Limitations of CMR include lack of availability, high cost, high expertise level needed for accurate diagnosis, awareness of referring physicians about the applications of the technique, claustrophobia, metallic clips, pacemakers (unless CMR compatible) and defibrillator [136]. Even though, according to Reddy et al CMR was feasible and 45 out of 51 patients completed the examination which lasted 72 min and included the exclusion of hepatocellular carcinoma [137].…”

Section: Limitations Of Cmr and Application In Lt Candidatesmentioning

confidence: 99%

Cardiac Imaging in Liver Transplantation Candidates: Current Knowledge and Future Perspectives

Dimitroglou

Aggeli

Alexopoulou

et al. 2019

JCM

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Cardiovascular dysfunction in cirrhotic patients is a recognized clinical entity commonly referred to as cirrhotic cardiomyopathy. Systematic inflammation, autonomic dysfunction, and activation of vasodilatory factors lead to hyperdynamic circulation with high cardiac output and low peripheral vascular resistance. Counter acting mechanisms as well as direct effects on cardiac cells led to systolic or diastolic dysfunction and electromechanical abnormalities, which are usually masked at rest but exposed at stress situations. While cardiovascular complications and mortality are common in patients undergoing liver transplantation, they cannot be adequately predicted by conventional cardiac examination including transthoracic echocardiography. Newer echocardiography indices and other imaging modalities such as cardiac magnetic resonance have shown increased diagnostic accuracy with predictive implications in cardiovascular diseases. The scope of this review was to describe the role of cardiac imaging in the preoperative assessment of liver transplantation candidates with comprehensive analysis of the future perspectives anticipated by the use of newer echocardiography indices and cardiac magnetic resonance applications.

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Exploratory Use of Cardiovascular Magnetic Resonance Imaging in Liver Transplantation

Abstract: In this proof-of-concept study, it appears feasible to perform a comprehensive, efficient, and safe preoperative liver transplant imaging in a CMR suite-a one-stop shop, even in seriously ill patients.

Cited by 13 publications

References 36 publications

Cardiac diseases among liver transplant candidates

Cardiac diseases among liver transplant candidates

Cardiac imaging for the assessment of patients being evaluated for kidney or liver transplantation

Cardiac Imaging in Liver Transplantation Candidates: Current Knowledge and Future Perspectives

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