Balloon pulmonary angioplasty for inoperable patients with chronic thromboembolic pulmonary hypertension. Preliminary experience in Spain in a series of 7 patients.

نویسندگان

  • Maite Velázquez Martín
  • Agustín Albarrán González-Trevilla
  • Sergio Alonso Charterina
  • Julio García Tejada
  • José M Cortina Romero
  • Pilar Escribano Subías
چکیده

a Unidad de Hemodinámica y Cardiología Intervencionista, Unidad Multidisciplinar de Hipertensión Pulmonar, Servicio de Cardiología, Hospital Universitario 12 de Octubre, Universidad Complutense de Madrid, Madrid, Spain b Servicio de Radiología, Unidad Multidisciplinar de Hipertensión Pulmonar, Hospital Universitario 12 de Octubre, Universidad Complutense de Madrid, Madrid, Spain c Servicio de Cirugía Cardiaca, Hospital Universitario 12 de Octubre, Universidad Complutense de Madrid, Madrid, Spain d Servicio de Cardiología, Unidad Multidisciplinar de Hipertensión Pulmonar, Hospital Universitario 12 de Octubre, Universidad Complutense de Madrid, Madrid, Spain

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Balloon Pulmonary Angioplasty: A Treatment Option for Inoperable Patients with Chronic Thromboembolic Pulmonary Hypertension

In chronic thromboembolic pulmonary hypertension (CTEPH), stenoses or obstructions of the pulmonary arteries due to organized thrombi can cause an elevation in pulmonary artery resistance, which in turn can result in pulmonary hypertension. CTEPH can be cured surgically by pulmonary endarterectomy (PEA); however, patients deemed unsuitable for PEA due to lesion, advanced age, or comorbidities h...

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Balloon pulmonary angioplasty for inoperable patients with chronic thromboembolic disease

Symptomatic patients with residual pulmonary perfusion defects or vascular lesions but no pulmonary hypertension at rest are diagnosed with chronic thromboembolic disease (CTED). Balloon pulmonary angioplasty (BPA) is an emerging treatment for patients with inoperable chronic thromboembolic pulmonary hypertension (CTEPH), but data regarding the safety and efficacy of BPA in patients with CTED a...

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Refined balloon pulmonary angioplasty for inoperable patients with chronic thromboembolic pulmonary hypertension.

BACKGROUND Although balloon pulmonary angioplasty (BPA) for inoperable patients with chronic thromboembolic pulmonary hypertension was first reported over a decade ago, its clinical application has been restricted because of limited efficacy and complications. We have refined the procedure of BPA to maximize its clinical efficacy. METHODS AND RESULTS Sixty-eight consecutive patients with inop...

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Balloon pulmonary angioplasty for inoperable chronic thromboembolic pulmonary hypertension.

PURPOSE OF REVIEW Chronic thromboembolic pulmonary hypertension (CTEPH), especially when severe in patients unsuited for pulmonary endarterectomy, has a poor prognosis. Balloon pulmonary angioplasty (BPA) is a new catheter-based alternative treatment option for patients with inoperable CTEPH. BPA has not been widely accepted, however, primarily because of possible fatal complications, although ...

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Drug Therapy in Patients with Chronic Thromboembolic Pulmonary Hypertension

Background: Chronic Thromboembolic Pulmonary Hypertension (CTEPH) results from the obstruction of predominantly major pulmonary vessels by organized blood clots and is one of the causes of pulmonary hypertension. The disease is still underdiagnosed and the true prevalence is not clear. The objective of this study was to determine the clinical characteristics and current management of patients w...

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عنوان ژورنال:
  • Revista espanola de cardiologia

دوره 68 6  شماره 

صفحات  -

تاریخ انتشار 2015