Abstract:
:Liver transplantation is the best treatment option for early-stage hepatocellular carcinoma, liver cirrhosis, fulminant liver failure, and end-stage liver diseases. Even though advances in surgical techniques and perioperative care have improved postoperative outcomes, perioperative cardiovascular complications are a leading cause of postoperative morbidity and mortality following liver transplantation. Ischemic coronary artery disease (CAD) and cardiomyopathy are the most common cardiovascular diseases and could be negative predictors of postoperative outcomes in liver transplant recipients. Therefore, comprehensive cardiovascular evaluations are required to assess perioperative risks and prevent concomitant cardiovascular complications that would preclude good outcomes in liver transplant recipients. The two major types of cardiac computed tomography are the coronary artery calcium score (CACS) and coronary computed tomography angiography (CCTA). CCTA in combination with the CACS is a validated noninvasive alternative to coronary angiography for diagnosing and grading the severity of CAD. A CACS > 400 is associated with significant CAD and a known important predictor of posttransplant cardiovascular complications in liver transplant recipients. In this review article, we discuss the usefulness, advantages, and disadvantages of CCTA combined with CACS as a noninvasive diagnostic tool for preoperative cardiac evaluation and for maximizing the perioperative outcomes of liver transplant recipients.
journal_name
Biomed Res Intjournal_title
BioMed research internationalauthors
Choi JM,Kong YG,Kang JW,Kim YKdoi
10.1155/2017/4081525subject
Has Abstractpub_date
2017-01-01 00:00:00pages
4081525eissn
2314-6133issn
2314-6141journal_volume
2017pub_type
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journal_title:BioMed research international
pub_type: 杂志文章,评审
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journal_title:BioMed research international
pub_type: 杂志文章,meta分析,评审
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pub_type: 杂志文章
doi:10.1155/2014/424652
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pub_type: 杂志文章
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更新日期:2013-01-01 00:00:00
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pub_type: 杂志文章,收录出版
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journal_title:BioMed research international
pub_type: 杂志文章
doi:10.1155/2019/8428304
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journal_title:BioMed research international
pub_type: 杂志文章,meta分析,评审
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pub_type: 杂志文章
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