Abstract 10276: Combined Stress Cardiac Magnetic Resonance and Liver Imaging for Liver Transplant Candidates; a Proof of Concept Approach

Background Preoperative imaging of liver transplant (LvTx) candidates can be cumbersome, time-consuming and expensive, due to need to perform separate echocardiogram, stress test, and liver/vascular imaging. In addition, cardiovascular (CV) risk stratification using traditional modalities has proven challenging in these patients. Over the last decade cardiovascular MRI (CMR) has emerged as the 'gold standard' for many important CV metrics used to define CV risk due to its unparalleled spatial resolution, lack of ionizing radiation, 3D capabilities, and tissue characterization. Hypothesis We demonstrate the feasibility of performing a comprehensive preoperative cardio-hepatic evaluation in LvTx candidates as a ‘one-stop shop’ in a dedicated CMR suite. Methods In this pilot study, pts underwent LV/RV function assessment (SSFP), stress CMR, and thoracoabdominal MRI/MRA. Pharmacologic stress CMR was done via regadenoson, adenosine, or dobutamine. Viability was assessed by LGE. Cardiologists managed pts during...