Pulmonary Vascular Remodeling and Prognosis in Patients Evaluated for Heart Transplantation: Insights from the OCTOPUS-CHF Study
Por:
Martinez-Solano, J, Gutierrez-Ibanes, E, Ortiz-Bautista, C, Garcia-Cosio, MD, Sarnago-Cebada, F, Diaz-Molina, B, Pascual, I, Oteo-Dominguez, JF, Gomez-Bueno, M, Calvino-Santos, R, Crespo-Leiro, MG, Gomez-Hospital, JA, Diez-Lopez, C, Garcia-Lara, J, Garrido-Bravo, IP, de la Fuente-Galan, L, Lopez-Diaz, J, Mirabet-Perez, S, Martinez-Selles, M
Publicada:
1 dic 2022
Resumen:
Objective: In patients with advanced heart failure, the intravascular optical coherence tomography (OCT) of subsegmental pulmonary artery measurements is correlated with right heart catheterization parameters. Our aim was to study the prognostic value of pulmonary OCT, right heart catheterization data, and the echocardiographic estimation of pulmonary pressure in patients studied for elective heart transplants. Methods: This research is an observational, prospective, multicenter study involving 90 adults with a one-year follow-up. Results: A total of 10 patients (11.1%) died due to worsening heart failure before heart transplantation, 50 underwent a heart transplant (55.6%), and 9 died in the first year after the transplant. The patients with and without events (mortality or heart failure-induced hospitalization) had similar data regarding echocardiography, right heart catheterization, and pulmonary OCT (with a median estimated pulmonary artery systolic pressure of 42.0 mmHg, interquartile range (IQR) of 30.3-50.0 vs. 47.0 mmHg, IQR 34.6-59.5 and p = 0.79, median pulmonary vascular resistance of 2.2 Wood units, IQR 1.3-3.7 vs. 2.0 Wood units, IQR 1.4-3.2 and p = 0.99, and a median pulmonary artery wall thickness of 0.2 +/- 0.5 mm vs. 0.2 +/- 0.6 mm and p = 0.87). Conclusion: Pulmonary vascular remodeling (evaluated with echocardiography, right heart catheterization, and pulmonary OCT) was not associated with prognosis in a selected sample of adults evaluated for elective heart transplants. Pulmonary OCT is safe and feasible for the evaluation of these patients.
Filiaciones:
Martinez-Solano, J:
Hosp Gen Univ Gregorio Maranon, Inst Invest Sanitaria Gregorio Maranon IISGM, Serv Cardiol, Madrid 28007, Spain
Inst Salud Carlos III, Ctr Invest Red Enfermedades Cardiovasculares CIBE, Madrid 28026, Spain
Gutierrez-Ibanes, E:
Hosp Gen Univ Gregorio Maranon, Inst Invest Sanitaria Gregorio Maranon IISGM, Serv Cardiol, Madrid 28007, Spain
Inst Salud Carlos III, Ctr Invest Red Enfermedades Cardiovasculares CIBE, Madrid 28026, Spain
Ortiz-Bautista, C:
Hosp Gen Univ Gregorio Maranon, Inst Invest Sanitaria Gregorio Maranon IISGM, Serv Cardiol, Madrid 28007, Spain
Inst Salud Carlos III, Ctr Invest Red Enfermedades Cardiovasculares CIBE, Madrid 28026, Spain
Garcia-Cosio, MD:
Inst Salud Carlos III, Ctr Invest Red Enfermedades Cardiovasculares CIBE, Madrid 28026, Spain
Hosp Univ 12 Octubre, Inst Invest Sanitaria Hosp 12 Octubre IMAS12, Serv Cardiol, Madrid 28041, Spain
Sarnago-Cebada, F:
Inst Salud Carlos III, Ctr Invest Red Enfermedades Cardiovasculares CIBE, Madrid 28026, Spain
Hosp Univ 12 Octubre, Inst Invest Sanitaria Hosp 12 Octubre IMAS12, Serv Cardiol, Madrid 28041, Spain
Diaz-Molina, B:
Inst Salud Carlos III, Ctr Invest Red Enfermedades Cardiovasculares CIBE, Madrid 28026, Spain
Hosp Univ Cent Asturias, Serv Cardiol, Oviedo 33011, Spain
Pascual, I:
Inst Salud Carlos III, Ctr Invest Red Enfermedades Cardiovasculares CIBE, Madrid 28026, Spain
Hosp Univ Cent Asturias, Serv Cardiol, Oviedo 33011, Spain
Oteo-Dominguez, JF:
Inst Salud Carlos III, Ctr Invest Red Enfermedades Cardiovasculares CIBE, Madrid 28026, Spain
Hosp Univ Puerta Hierro Majadahonda, Serv Cardiol, Madrid 28222, Spain
Gomez-Bueno, M:
Inst Salud Carlos III, Ctr Invest Red Enfermedades Cardiovasculares CIBE, Madrid 28026, Spain
Hosp Univ Puerta Hierro Majadahonda, Serv Cardiol, Madrid 28222, Spain
Calvino-Santos, R:
Inst Salud Carlos III, Ctr Invest Red Enfermedades Cardiovasculares CIBE, Madrid 28026, Spain
Complexo Hosp Univ ACoruna, Serv Cardioloxia, La Coruna 15006, Spain
Crespo-Leiro, MG:
Inst Salud Carlos III, Ctr Invest Red Enfermedades Cardiovasculares CIBE, Madrid 28026, Spain
Complexo Hosp Univ ACoruna, Serv Cardioloxia, La Coruna 15006, Spain
Gomez-Hospital, JA:
Inst Salud Carlos III, Ctr Invest Red Enfermedades Cardiovasculares CIBE, Madrid 28026, Spain
Hosp Univ Bellvitge, Serv Cardiol, Barcelona 08907, Spain
Diez-Lopez, C:
Inst Salud Carlos III, Ctr Invest Red Enfermedades Cardiovasculares CIBE, Madrid 28026, Spain
Hosp Univ Bellvitge, Serv Cardiol, Barcelona 08907, Spain
Garcia-Lara, J:
Inst Salud Carlos III, Ctr Invest Red Enfermedades Cardiovasculares CIBE, Madrid 28026, Spain
Hosp Clin Univ Virgen Arrixaca, Serv Cardiol, Murcia 30120, Spain
Garrido-Bravo, IP:
Inst Salud Carlos III, Ctr Invest Red Enfermedades Cardiovasculares CIBE, Madrid 28026, Spain
Hosp Clin Univ Virgen Arrixaca, Serv Cardiol, Murcia 30120, Spain
de la Fuente-Galan, L:
Inst Salud Carlos III, Ctr Invest Red Enfermedades Cardiovasculares CIBE, Madrid 28026, Spain
Hosp Clin Univ Valladolid, Serv Cardiol, Valladolid 47003, Spain
Lopez-Diaz, J:
Inst Salud Carlos III, Ctr Invest Red Enfermedades Cardiovasculares CIBE, Madrid 28026, Spain
Hosp Clin Univ Valladolid, Serv Cardiol, Valladolid 47003, Spain
Mirabet-Perez, S:
Inst Salud Carlos III, Ctr Invest Red Enfermedades Cardiovasculares CIBE, Madrid 28026, Spain
Hosp Univ Santa Creu & St Pau, Serv Cardiol, Barcelona 08025, Spain
Martinez-Selles, M:
Hosp Gen Univ Gregorio Maranon, Inst Invest Sanitaria Gregorio Maranon IISGM, Serv Cardiol, Madrid 28007, Spain
Inst Salud Carlos III, Ctr Invest Red Enfermedades Cardiovasculares CIBE, Madrid 28026, Spain
Univ Europea, Fac Ciencias Biomed & Salud, Madrid 28670, Spain
Green Accepted, gold, Green Published, All Open Access, Gold, Green
|