1. Looking into the Future: Optical Coherence Tomography for the Assessment of Cardiac Allograft Vasculopathy

    Looking into the Future: Optical Coherence Tomography for the Assessment of Cardiac Allograft Vasculopathy

    ntroduction Current guidelines recommend coronary angiography with intravascular ultrasound (IVUS) as a screening and surveillance tool for the assessment of cardiac allograft vasculopathy (CAV). The role of optical coherence tomography (OCT) has not been thoroughly evaluated for patients with CAV. Case Description A 59 M with history of ICM with subsequent OHT in 2016 with evidence of an eccentric LAD plaque and CAV with IMT of 0.66 mm on IVUS being treated with Rosuvastatin and Sirolimus presented for second annual follow up angiogram. On coronary angiography all of his vessels appeared angiographically “pristine” without evidence of vasculopathy (Figure 1 ...

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