Cardiac Allograft Vasculopathy
Conditions
Keywords
Donor-derived Cell Free DNA, Heart Transplant
Brief summary
Cross-sectional study. We will prospectively obtain ddcf-DNA levels in all patients who undergo routine coronary angiography \> 1 year after HT. Our main goal is to evaluate the performance of Donor-derived Cell Free DNA (ddcf-DNA) as a biomarker of CAV.
Interventions
We will compare ddcfDNA with coronary angiogram determined CAV grading, according to ISHTL2010 classification
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients over 18 and under 80 years old, HT \> 1 year ago
Exclusion criteria
* Patients under 18 or over 80 years old * Multiorgan transplant * History of acute cellular rejection ≥ 1R or antibody mediated rejection in the previous 6 months * Concomitant infection by CMV
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Correlation between ddcf-DNA and CAV | 2 years | Correlation between ddcf-DNA levels and the presence of any degree of CAV (CAV0 vs CAV1, 2, or 3) |
| Performance of the biomarker for the diagnosis of CAV | 2 years | Determine the performance of this biomarker in this situation using receiver-operator characteristics analysis. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Correlation of ddcf-DNA with the different degrees of CAV (0, 1, 2 and 3) | 2 years | Correlation of ddcf-DNA with the different degrees of CAV (0, 1, 2 and 3) |
| Correlation of ddcf-DNA with other biomarkers (NTproBNP and troponin I) | 2 years | Correlation of ddcf-DNA with other biomarkers (NTproBNP and troponin I) |
Countries
Spain