Published in:
01-12-2023
Novel Diagnostics for Pediatric Heart Transplant Rejection
Authors:
Manu R. Varma, Ana L. Vasquez Choy, Rakesh Donthula, Brian Feingold
Published in:
Current Pediatrics Reports
|
Issue 4/2023
Login to get access
Abstract
Purpose of Review
Diagnosis of pediatric heart transplant rejection has historically relied on endomyocardial biopsy and clinical assessment. This review will describe novel techniques that may aid and refine diagnosis of rejection.
Recent Findings
Donor-derived cell-free DNA and gene expression profiling assays provide diagnostics of rejection that are less invasive than surveillance endomyocardial biopsy. Imaging with echocardiography, cardiac magnetic resonance, and cardiac computed tomography are common for pediatric cardiology patients, and their role in detecting and monitoring rejection of heart transplants continues to be modified and expanded.
Summary
Novel diagnostic tools have the potential to lead to less invasive and more precise diagnosis of transplant rejection, ideally improving the long-term care of pediatric heart transplant recipients.