Science and Research

Pulmonary endarterectomy for the treatment of chronic thromboembolic pulmonary hypertension

Pulmonary endarterectomy is a curative treatment option for patients with chronic thromboembolic pulmonary hypertension (CTEPH). There is a growing body of evidence suggesting that not only patients with CTEPH but also patients with pulmonary arterial obstructions and mean pulmonary artery pressures < 25 mmHg should be offered surgery. In this review, the recent literature regarding pathophysiology, diagnostic methods, decision making by an expert CTEPH team, and surgical techniques will be summarized. Novel alternative treatment options for inoperable CTEPH patients will be discussed, i.e. targeted medical therapy and balloon pulmonary angioplasty. For the future the major task will be to define a clear selection process for the optimal treatment of the individual CTEPH patient.
  • Guth, S.; Wiedenroth, C. B.; Kramm, T.; Mayer, E.

Keywords

  • Angioplasty, Balloon
  • Chronic Disease
  • *Endarterectomy
  • Humans
  • Hypertension, Pulmonary/etiology/physiopathology/*surgery
  • Pulmonary Artery/physiopathology
  • Pulmonary Embolism/diagnosis/*surgery
  • Bpa
  • Cteph
  • Pea
  • Pulmonary endarterectomy
  • balloon pulmonary angioplasty
  • chronic thromboembolic pulmonary hypertension
  • pulmonary embolism
  • pulmonary hypertension
Publication details
DOI: 10.1080/17476348.2016.1176915
Journal: Expert review of respiratory medicine
Pages: 673-84 
Number: 6
Work Type: Review
Location: UGMLC
Disease Area: PH
Partner / Member: JLU
Access-Number: 27070482
See publication on PubMed

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