Cardiac allograft vasculopathy can be distinguished from donor-transmitted coronary atherosclerosis by optical coherence tomography imaging in a heart transplantation recipient double layered intimal thickness

Teruhiko Imamura, Koichiro Kinugawa, Takahide Murasawa, Yukie Kagami, Miyoko Endo, Hironori Muraoka, Takeo Fujino, Toshiro Inaba, Hisataka Maki, Masaru Hatano, Osamu Kinoshita, Kan Nawata, Shunei Kyo, Issei Komuro, Minoru Ono

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13 Citations (Scopus)

Abstract

Although survival after heart transplantation (HTx) has improved in recent years, cardiac allograft vasculopathy (CAV) is still the leading cause of remote morbidity and mortality in HTx recipients, partly because of diffi culty with its diagnosis. In general, routine surveillance for CAV is advocated with coronary angiography accompanied by intravascular ultrasound (IVUS) if necessary. However, these modalities have limitations with respect to low spatial resolution, and suffi cient qualitative/quantitative assessment of coronary intima has not been accomplished. Recently, optical coherence tomography (OCT) has emerged as a novel intracoronary imaging technique using an optical analogue of ultrasound with a spatial resolution of 10-20 μm, which is 10 times greater than IVUS. We here experienced a 49-year-old male who received a HTx 3 years ago, and OCT was executed during low molecular weight dextran injection. OCT demonstrated distinct double intimal layers probably consisting of a donor-transmitted atherosclerotic layer and an inner intimal proliferation due to CAV, which was indistinguishable by IVUS and virtual histological analyses. We believe that OCT imaging is not only a new loadstar during treatment of CAV but also a new generation modality for screening for early CAV in HTx recipients.

Original languageEnglish
Pages (from-to)178-180
Number of pages3
JournalInternational heart journal
Volume55
Issue number2
DOIs
Publication statusPublished - 2014

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

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    Imamura, T., Kinugawa, K., Murasawa, T., Kagami, Y., Endo, M., Muraoka, H., Fujino, T., Inaba, T., Maki, H., Hatano, M., Kinoshita, O., Nawata, K., Kyo, S., Komuro, I., & Ono, M. (2014). Cardiac allograft vasculopathy can be distinguished from donor-transmitted coronary atherosclerosis by optical coherence tomography imaging in a heart transplantation recipient double layered intimal thickness. International heart journal, 55(2), 178-180. https://doi.org/10.1536/ihj.13-279