Multimodality Imaging in Advanced Heart Failure. A Clinical Consensus Statement of the Heart Failure Association of the ESC. Part 2: Mechanical Circulatory Support and Heart Transplantation

This clinical consensus statement outlines the vital role of multimodality imaging in managing patients with advanced heart failure (HF), particularly those receiving mechanical circulatory support (MCS) and heart transplantation (HT). For both temporary and durable MCS, multimodality imaging, primarily echocardiography, is crucial for selecting candidates, ensuring proper device placement, and monitoring in the post-implantation period. Preoperatively, it helps to identify HF phenotypes, assess ventricular functions, detect intracardiac thrombi, and evaluate valvular conditions. Key measurements include ventricular size, ejection fraction, and cardiac output. Intraoperative imaging ensures optimal device placement and complication detection. Post-implantation echocardiography gives an impression of the interplay between heart and MCS, detects early complications, and evaluates ventricular unloading and right ventricular function. Serial imaging evaluations are essential for the management of the patient and the device and for diagnosing and treatment of complications. In temporary MCS, imaging is vital in the weaning process. Imaging is crucial across various post-transplant phases, from early postoperative monitoring to long-term follow-up. Echocardiography is the first-line technique. Cardiovascular magnetic resonance provides detailed evaluation of cardiac structure and function, offering insights into fibrosis, oedema, and myocardial perfusion. Coronary computed tomography angiography and positron emission tomography are possible alternatives for assessing coronary allograft vasculopathy. Overall, multimodality imaging is pivotal for comprehensive management of patients potentially eligible to or undergoing MCS or HT, enhancing diagnostic accuracy and guiding therapeutic decisions.

Authors

Institutions

Publication Details

Journal
European Journal of Heart Failure
Published
2025-10-14
DOI
https://doi.org/10.1002/ejhf.70018
Citations
1
Primary Topic
Transplantation: Methods and Outcomes
Type
article
Field-Weighted Citation Impact
2.01
Controls
|||
ALL TIME
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
article

Multimodality Imaging in Advanced Heart Failure. A Clinical Consensus Statement of the Heart Failure Association of the ESC. Part 2: Mechanical Circulatory Support and Heart Transplantation

Marco Masetti, Finn Gustafsson, Julien Dreyfus, Shahrukh Hashmani et al.
1 citations
European Journal of Heart Failure
Transplantation: Methods and Outcomes
2.01
article

Multimodality Imaging in Advanced Heart Failure. A Clinical Consensus Statement of the Heart Failure Association of the ESC. Part 2: Mechanical Circulatory Support and Heart Transplantation

Marco Masetti, Finn Gustafsson, Julien Dreyfus, Shahrukh Hashmani, Stamatis Adamopoulos, Ahmet Çelik, Linda W. van Laake, Michael Bonios, Ify Mordi, Kevin Damman, Marco Metra, Ovidiu Chioncel, Maja Čikeš, Laurens F. Tops, Concetta Di Nora, Alberto Aimo, Tuvia Ben Gal, Ralph Stephan von Bardeleben, Brenda Moura, Sanem Nalbantgil, Maria G. Crespo‐Leiro
article en
1 citations

Abstract

This clinical consensus statement outlines the vital role of multimodality imaging in managing patients with advanced heart failure (HF), particularly those receiving mechanical circulatory support (MCS) and heart transplantation (HT). For both temporary and durable MCS, multimodality imaging, primarily echocardiography, is crucial for selecting candidates, ensuring proper device placement, and monitoring in the post-implantation period. Preoperatively, it helps to identify HF phenotypes, assess ventricular functions, detect intracardiac thrombi, and evaluate valvular conditions. Key measurements include ventricular size, ejection fraction, and cardiac output. Intraoperative imaging ensures optimal device placement and complication detection. Post-implantation echocardiography gives an impression of the interplay between heart and MCS, detects early complications, and evaluates ventricular unloading and right ventricular function. Serial imaging evaluations are essential for the management of the patient and the device and for diagnosing and treatment of complications. In temporary MCS, imaging is vital in the weaning process. Imaging is crucial across various post-transplant phases, from early postoperative monitoring to long-term follow-up. Echocardiography is the first-line technique. Cardiovascular magnetic resonance provides detailed evaluation of cardiac structure and function, offering insights into fibrosis, oedema, and myocardial perfusion. Coronary computed tomography angiography and positron emission tomography are possible alternatives for assessing coronary allograft vasculopathy. Overall, multimodality imaging is pivotal for comprehensive management of patients potentially eligible to or undergoing MCS or HT, enhancing diagnostic accuracy and guiding therapeutic decisions.

European Journal of Heart FailureVol. 27(11)
Valve (United States) (US), University Medical Center Groningen (NL), University Hospital Centre Zagreb (HR), Vita-Salute San Raffaele University (IT), Carol Davila University of Medicine and Pharmacy (RO), Scuola Superiore Sant'Anna (IT), Tel Aviv University (IL), University of Groningen (NL), University of Dundee (GB), University of Zagreb (HR), Universidade do Porto (PT), Utrecht University (NL), Leiden University Medical Center (NL), Rabin Medical Center (IL), Copenhagen University Hospital (DK), Rigshospitalet (DK), University Medical Center Utrecht (NL), Ege University (TR), Institutul de Urgenţă pentru Boli Cardiovasculare "Prof.Dr. C.C. Iliescu" (RO), Royal Brompton Hospital (GB), CUF Porto Hospital (PT), Armed Forces Hospital (SA), Onassis Cardiac Surgery Center (GR), Azienda USL di Bologna (IT), Ospedale Santa Maria della Misericordia di Udine (IT), Complexo Hospitalario Universitario A Coruña (ES), Centre Cardiologique du Nord (FR), Fondazione Toscana Gabriele Monasterio (IT), Instituto de Investigación Biomédica de A Coruña (ES), Azienda Sanitaria Universitaria Integrata di Trieste (IT), Mersin Üniversitesi (TR)
Openalex Percentile: Top 11%
Transplantation: Methods and Outcomes
2.01
DOIOpen Access PDFOpenAlex
AI Navigator

Ask Laika to Summarize, Analyze, and Connect papers live on the map.

Summarize Papers & Methodologies

Extract key findings, datasets, and comparative methods across publications.

Benchmark Rankings & Visual Analytics

Rank top research institutions, authors, funders, topics, and journals by Field-Weighted Citation Impact (FWCI) and paper volume with instant charts.

Connect Distant Disciplines

Bridge topological clusters on the map to find hidden collaborative intersections.