Perioperative medicine & outcomes
Perioperative Cardiovascular Risk Assessment and Management in Liver Transplant Recipients: A Review of the Literature Merging Guidelines and Interventions
Study context
- Population
- Liver transplant candidates/recipients with known coronary artery disease (CAD) or risk factors
Main finding
As reported in the abstract
- Standard noninvasive CAD screening tests have low sensitivity in end-stage liver disease due to hyperdynamic state and vasodilatation, leading to overuse of invasive coronary angiography
- Coronary artery calcium scoring on CT predicts cardiovascular events and can risk-stratify liver transplantation (LT) candidates; qualitative assessment on noncontrast and contrast-enhanced chest CT can be used instead of calcium score
- Percutaneous coronary intervention could allow shorter dual-antiplatelet therapy in simple lesions, with safer perioperative outcomes
- Hybrid coronary revascularization is an option for high-risk LT candidates with multivessel disease not amenable to percutaneous coronary intervention
Original publication
Perioperative Cardiovascular Risk Assessment and Management in Liver Transplant Recipients: A Review of the Literature Merging Guidelines and Interventions. J Cardiothorac Vasc Anesth. Published 30 November 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →