Coronary artery calcium assessment on non-gated chest CT to optimize pre-operative cardiac screening in liver transplantation

• DOI: 10.1016/j.ijcard.2024.132015
• Publication Date: 2024-04-10T15:20:50Z
• Authors: Roos A. Groen; Fei Lynn Barbero; Susan E. Fischer; Paul R.M. van Dij...; Jeroen J. Bax; Maarten E. Tushuizen; J. Wouter Jukema; Minneke J. Coenraad; Michiel A. de Graaf
• Keywords: WARRANTY PERIOD; Science & Technology; Cardiac & Cardiovascular Systems; Liver transplantation; MORTALITY; AGATSTON SCORE; Pre -operative cardiac screening; Coronary artery disease; Coronary artery calcium; EUROPEAN-SOCIETY; CARDIOLOGY ESC; Non-gated computed tomography; Cardiovascular System & Cardiology; COMPUTED-TOMOGRAPHY; RISK-ASSESSMENT; CARDIOVASCULAR ASSESSMENT; Life Sciences & Biomedicine; NONCARDIAC SURGERY; TASK-FORCE

Guidelines recommend standard pre-operative cardiac screening in all liver transplantation (LT) recipients, despite the relatively low prevalence of obstructive coronary artery disease. Most LT recipients often have non-gated computed tomography (CT) performed chest and abdomen. This study evaluated ability calcification (CAC) assessment on consecutively available scans, to identify a selection low-risk patients, whom further imaging can be safely withheld.