Review Article

Coronary Computed Tomography Angiography in Combination with Coronary Artery Calcium Scoring for the Preoperative Cardiac Evaluation of Liver Transplant Recipients

Table 1

Clinical applications of CCTA in combination with the CACS in LT candidates.

StudyPatients
()
Positive criteria;
positive patients, (%)
Clinical outcomes

Jodocy et al. [24]54CACS > 300 or > 50% stenosis on CCTA;
24 (44%)
CCTA and CACS are useful tools for perioperative cardiovascular risk assessments.
Cassagneau et al. [10]52> 50% stenosis on CCTA;
6 (12%)
The prognostic value of CCTA is comparable to dobutamine stress echocardiography.
Chae et al. [11]247Mild to moderate involvement on CCTA;
27 (11%)
CCTA should be included in routine pretransplant cardiac workups.
Kemmer et al. [25]85CACS > 100;
30 (35%)
CACS is a valid alternative tool for risk stratification of LT candidates.
Kong et al. [20]443CACS > 400;
11 (3%)
CACS > 400 is a predictor of cardiovascular complications following LT.
Poulin et al. [26]100≥ 70% stenosis on CCTA and/or CAG;
20 (20%)
Using CCTA in the evaluation of LT candidates is challenging but is feasible and safe.

CACS, coronary artery calcium score; CAD, coronary artery disease; CAG, coronary angiography; CCTA, coronary computed tomography angiography; LT, liver transplantation.