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never approved by IRB
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| Name | Class |
|---|---|
| University of Arkansas | OTHER |
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Transplant coronary artery disease (TCAD) is a significant cause of morbidity and mortality in pediatric heart transplantation (PHT). Understanding the pathophysiology and early detection along with attempted medical management are crucial in preventing advancement of the disease and retransplantation or mortality. Coronary angiogram, although routinely used is insensitive to detect early TCAD. Measurement of fractional flow reserve (FFR), coronary flow reserve (CFR) and index of microvascular resistance (IMR) using a doppler pressure and flow intracoronary wire may be more sensitive in evaluating the integrity of coronary vasculature and thus detect pre clinical TCAD. To the best of the investigators knowledge, measurement of these parameters has not been previously reported in PHT.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| pediatric heart transplant recipients |
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| Measure | Description | Time Frame |
|---|---|---|
| Clinical coronary artery disease | 1 year |
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Inclusion Criteria:
Exclusion Criteria:
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Pediatric heart transplant recipients
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Arkansas Children's hospital | Little Rock | Arkansas | 72223 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 16818118 | Background | Fearon WF, Hirohata A, Nakamura M, Luikart H, Lee DP, Vagelos RH, Hunt SA, Valantine HA, Fitzgerald PJ, Yock PG, Yeung AC. Discordant changes in epicardial and microvascular coronary physiology after cardiac transplantation: Physiologic Investigation for Transplant Arteriopathy II (PITA II) study. J Heart Lung Transplant. 2006 Jul;25(7):765-71. doi: 10.1016/j.healun.2006.03.003. Epub 2006 May 24. |
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