Advances in balloon pulmonary angioplasty for chronic thromboembolic pulmonary hypertension
| العنوان: | Advances in balloon pulmonary angioplasty for chronic thromboembolic pulmonary hypertension |
|---|---|
| المؤلفون: | Lawrence Ang, Ehtisham Mahmud, Mitul Patel, David Poch |
| المصدر: | Pulmonary Circulation Pulmonary Circulation, Vol 11 (2021) Pulmonary circulation, vol 11, iss 2 |
| بيانات النشر: | SAGE Publications, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Pulmonary and Respiratory Medicine, medicine.medical_specialty, endocrine system, Percutaneous, medicine.medical_treatment, Hemodynamics, Review Article, Cardiorespiratory Medicine and Haematology, Revascularization, Balloon, Cardiovascular, chronic thromboembolic pulmonary hypertension, Diseases of the respiratory system, Angioplasty, Internal medicine, medicine.artery, pulmonary hypertension, medicine, Diseases of the circulatory (Cardiovascular) system, Lung, RC705-779, business.industry, urogenital system, Pulmonary edema, medicine.disease, Pulmonary hypertension, RC666-701, Pulmonary artery, Cardiology, business, balloon pulmonary angioplasty, hormones, hormone substitutes, and hormone antagonists |
| الوصف: | Balloon pulmonary angioplasty (BPA) is an emerging treatment option for patients with chronic thromboembolic pulmonary hypertension (CTEPH) who have inoperable, segmental/subsegmental disease, or residual disease after pulmonary endarterectomy. In the past decade, advances in the techniques for BPA have led to better clinical outcomes with improvements in hemodynamics, pulmonary perfusion, exercise tolerance, functional capacity, and quality of life. We present the experience with BPA at our university, the largest CTEPH center in the world, followed by reviewing the published data regarding the efficacy and safety of BPA in patients with CTEPH. There is increasing evidence to support that the initial hemodynamic improvement is sustained for ≥3 years after the procedure. Although infrequent, complications observed with BPA are associated with pulmonary vascular injury or rarely reperfusion pulmonary edema. As the technique for percutaneous pulmonary artery revascularization has improved, the procedural risk and complications have continued to decrease. This promising technique continues to develop, and future research is required to demonstrate the long-term benefits of BPA, standardize the technique, and define a uniform institutional infrastructure for providing BPA as a part of the treatment of CTEPH. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 2045-8940 2045-8932 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::985b0a7f6ec28a06914950ccc804d0dbTest http://europepmc.org/articles/PMC8150503Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....985b0a7f6ec28a06914950ccc804d0db |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20458940 20458932 |
|---|