Redefining CAV surveillance strategies: Benefits of CCTA vs. ICA

Cardiac allograft vasculopathy (CAV) assessment post-heart transplantation (HT) typically relies on invasive coronary angiography (ICA). However, cardiac computed tomography angiography (CCTA) is emerging as a promising alternative due to its potential benefits in economic, safety, and logistical as...

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Veröffentlicht in:	Journal of cardiovascular computed tomography 2024-07
Hauptverfasser:	Pergola, Valeria, Pradegan, Nicola, Cozza, Elena, Cozac, Dan Alexandru, Cao, Irene, Tessari, Chiara, Savo, Maria Teresa, Toscano, Giuseppe, Angelini, Annalisa, Tarzia, Vincenzo, Tarantini, Giuseppe, Tona, Francesco, De Conti, Giorgio, Iliceto, Sabino, Gerosa, Gino, Motta, Raffaella
Format:	Artikel
Sprache:	eng
Schlagworte:	Business in CT Cardiac allograft vasculopathy Cardiac computed tomography angiography Financial aspect of CT Heart transplantation Radiation exposure
Online-Zugang:	Volltext
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Zusammenfassung:	Cardiac allograft vasculopathy (CAV) assessment post-heart transplantation (HT) typically relies on invasive coronary angiography (ICA). However, cardiac computed tomography angiography (CCTA) is emerging as a promising alternative due to its potential benefits in economic, safety, and logistical aspects. This study aimed to evaluate the impact of a CCTA program on these aspects in CAV surveillance post-HT. A retrospective single-center study was conducted between March 2021 and February 2023, involving HT patients who underwent either CCTA or ICA. Among 260 patients undergoing CAV surveillance, 115 (44.2%) patients underwent CCTA, and 145 (55.8%) patients underwent ICA. The CCTA group showed incurred lower overall costs (p
ISSN:	1934-5925 1876-861X 1876-861X
DOI:	10.1016/j.jcct.2024.07.004