SPECT myocardial perfusion imaging in liver transplantation candidates.

Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology
W Lane DuvallMilena J Henzlova

Abstract

The optimal cardiovascular evaluation prior to liver transplantation remains controversial and includes stress echocardiography, stress MPI, cardiac CTA, and coronary angiography. This study summarizes our experience of the past decade using SPECT MPI in patients with end-stage liver disease, including patient characteristics, stress testing protocols, test results, the need for repeat testing, and downstream testing. All patients who underwent a clinically indicated stress SPECT MPI study as part of their pre-liver transplant evaluation from 2004 to 2014 were reviewed from the Nuclear Cardiology database. Results of perfusion imaging, repeat testing, subsequent angiography, and need for revascularization were reviewed. A total of 2500 patients were referred for SPECT MPI, of those 111 had known CAD and 271 underwent more than one MPI study. Compared to other patients undergoing stress MPI, pre-liver transplant patients were younger, had fewer cardiac risk factors and lower prevalence of prior cardiac history, and used pharmacologic stress more often. During the study decade, patient age increased, prevalence of hypertension increased and smoking decreased, prevalence of known CAD increased, and the number of abnormal studies d...Continue Reading

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Citations

Sep 1, 2018·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Cigdem Akincioglu, Saurabh Malhotra
Jun 23, 2020·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Javier Gomez
Dec 6, 2018·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Thomas H Schindler, Thorsten Leucker
Aug 11, 2020·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Adrián I LöfflerMichael Salerno
Dec 15, 2020·Current Opinion in Organ Transplantation·Paul Emile LevyLisa B VanWagner
Feb 9, 2020·Gastroenterology Clinics of North America·Anchalia Chandrakumaran, Mohammad Shadab Siddiqui
Apr 8, 2021·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Kameel Kassab, Rami Doukky
Nov 22, 2020·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Pranab M Barman, Lisa B VanWagner

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