Avaliação da doença vascular do enxerto no transplante cardíaco: experiência de um centro brasileiro

Abstract

Background: Cardiac transplantation continues to be the treatment of choice for heart failure refractory to optimized treatment. Two methods have high sensitivity for diagnosing allograft rejection episodes and cardiac allograft vasculopathy (CAV), important causes of mortality after transplantation.

Intimal thickening in cardiac allograft vasculopathy and intravascular ultrasound guided angioplasty of left main coronary artery and left anterior descending artery. Case report and literature review

“…[3][4][5] Since the early 1990's and especially in the last decade, numerous studies have been published describing, improving and validating the IVUS measurements of maximal intimal thickness as a predictor of poor prognosis when greater than 0.5mm. [6][7][8][9][10][11] In 2010, the International Society for Heart and Lung Transplantation (ISHLT) standardized a nomenclature for CAV based on its angiographic severity. This classification, ranging from CAV0 to CAV3, according to severity and importance, takes into account graft dysfunction, which can reclassify CAV from CAV1 or CAV2 to CAV3.…”