Balloon Pulmonary Angioplasty for the Treatment of Chronic Thromboembolic Pulmonary Hypertension
Chronic thromboembolic pulmonary hypertension is a rare form of pulmonary hypertension in patients who have evidence of chronic thromboembolic occlusion of the pulmonary vasculature. Historically, surgical pulmonary thromboendarterectomy has been the treatment of choice. However, with up to 40% of p...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Houston Methodist DeBakey Heart & Vascular Center
2024-05-01
|
| Series: | Methodist DeBakey Cardiovascular Journal |
| Subjects: | |
| Online Access: | https://account.journal.houstonmethodist.org/index.php/up-j-mdbcj/article/view/1347 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850163352676859904 |
|---|---|
| author | Lauren N. Carlozzi C. Huie Lin Zachary L. Steinberg |
| author_facet | Lauren N. Carlozzi C. Huie Lin Zachary L. Steinberg |
| author_sort | Lauren N. Carlozzi |
| collection | DOAJ |
| description | Chronic thromboembolic pulmonary hypertension is a rare form of pulmonary hypertension in patients who have evidence of chronic thromboembolic occlusion of the pulmonary vasculature. Historically, surgical pulmonary thromboendarterectomy has been the treatment of choice. However, with up to 40% of patients deemed inoperable, balloon pulmonary angioplasty has emerged as an additional treatment strategy. Balloon pulmonary angioplasty is a complementary strategy alongside surgical pulmonary thromboendarterectomy and offers the opportunity for pulmonary revascularization in patients who have more distal disease, higher comorbidities, or residual obstruction following operative intervention. This review examines the history of balloon pulmonary angioplasty, highlights its effectiveness, discusses important complications and risk reduction strategies, and emphasizes the importance of centers forming a multidisciplinary team of providers to manage the complexity of patients with chronic thromboembolic pulmonary hypertension. |
| format | Article |
| id | doaj-art-c5ab0c97deec42d688efe182f98ece71 |
| institution | OA Journals |
| issn | 1947-6108 |
| language | English |
| publishDate | 2024-05-01 |
| publisher | Houston Methodist DeBakey Heart & Vascular Center |
| record_format | Article |
| series | Methodist DeBakey Cardiovascular Journal |
| spelling | doaj-art-c5ab0c97deec42d688efe182f98ece712025-08-20T02:22:17ZengHouston Methodist DeBakey Heart & Vascular CenterMethodist DeBakey Cardiovascular Journal1947-61082024-05-01203576410.14797/mdcvj.13471324Balloon Pulmonary Angioplasty for the Treatment of Chronic Thromboembolic Pulmonary HypertensionLauren N. Carlozzi0https://orcid.org/0000-0002-9301-2996C. Huie Lin1https://orcid.org/0000-0001-8280-6179Zachary L. Steinberg2https://orcid.org/0000-0003-0008-6484Seattle Children’s Hospital, Seattle, WashingtonHouston Methodist DeBakey Heart & Vascular Center, Houston Methodist Hospital, Houston, TexasUniversity of Washington, Seattle, WashingtonChronic thromboembolic pulmonary hypertension is a rare form of pulmonary hypertension in patients who have evidence of chronic thromboembolic occlusion of the pulmonary vasculature. Historically, surgical pulmonary thromboendarterectomy has been the treatment of choice. However, with up to 40% of patients deemed inoperable, balloon pulmonary angioplasty has emerged as an additional treatment strategy. Balloon pulmonary angioplasty is a complementary strategy alongside surgical pulmonary thromboendarterectomy and offers the opportunity for pulmonary revascularization in patients who have more distal disease, higher comorbidities, or residual obstruction following operative intervention. This review examines the history of balloon pulmonary angioplasty, highlights its effectiveness, discusses important complications and risk reduction strategies, and emphasizes the importance of centers forming a multidisciplinary team of providers to manage the complexity of patients with chronic thromboembolic pulmonary hypertension.https://account.journal.houstonmethodist.org/index.php/up-j-mdbcj/article/view/1347balloon pulmonary angioplastychronic thromboembolic pulmonary hypertensionpulmonary hypertensionpulmonary thromboendarterectomy |
| spellingShingle | Lauren N. Carlozzi C. Huie Lin Zachary L. Steinberg Balloon Pulmonary Angioplasty for the Treatment of Chronic Thromboembolic Pulmonary Hypertension Methodist DeBakey Cardiovascular Journal balloon pulmonary angioplasty chronic thromboembolic pulmonary hypertension pulmonary hypertension pulmonary thromboendarterectomy |
| title | Balloon Pulmonary Angioplasty for the Treatment of Chronic Thromboembolic Pulmonary Hypertension |
| title_full | Balloon Pulmonary Angioplasty for the Treatment of Chronic Thromboembolic Pulmonary Hypertension |
| title_fullStr | Balloon Pulmonary Angioplasty for the Treatment of Chronic Thromboembolic Pulmonary Hypertension |
| title_full_unstemmed | Balloon Pulmonary Angioplasty for the Treatment of Chronic Thromboembolic Pulmonary Hypertension |
| title_short | Balloon Pulmonary Angioplasty for the Treatment of Chronic Thromboembolic Pulmonary Hypertension |
| title_sort | balloon pulmonary angioplasty for the treatment of chronic thromboembolic pulmonary hypertension |
| topic | balloon pulmonary angioplasty chronic thromboembolic pulmonary hypertension pulmonary hypertension pulmonary thromboendarterectomy |
| url | https://account.journal.houstonmethodist.org/index.php/up-j-mdbcj/article/view/1347 |
| work_keys_str_mv | AT laurenncarlozzi balloonpulmonaryangioplastyforthetreatmentofchronicthromboembolicpulmonaryhypertension AT chuielin balloonpulmonaryangioplastyforthetreatmentofchronicthromboembolicpulmonaryhypertension AT zacharylsteinberg balloonpulmonaryangioplastyforthetreatmentofchronicthromboembolicpulmonaryhypertension |