Возможности мультиспиральной компьютерной томографии в диагностике поражения коронарных артерий трансплантированного сердца: обзор литературы

Одной из ведущих причин потери трансплантата сердца является патология коронарного русла. Из-за денервации пересаженного сердца ишемия сердечного трансплантата обычно клинически не проявляется, что требует ежегодного скринингового обследования реципиентов для исключения васкулопатии трансплнтата или оценки уже ранее верифицированной коронарной патологии пересаженного сердца, для определения динамики коронарных стенозов и рестенозов в ранее имплантированных стентах. Необходимость ежегодного выполнения инвазивной коронароангиографии и наличие потенциально опасных для жизни осложнений требует поиска альтернативных безопасных, но не менее эффективных неинвазивных методов диагностики коронарной патологии трансплантата сердца. Мультиспиральная компьютерная томография-коронарография (МСКТ–КАГ) уже много лет успешно используется для диагностики ишемической болезни сердца (ИБС) и давно уже стала альтернативой инвазивной коронарографии, что делает актуальным исследование возможности применения данного метода у реципиентов сердца.

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