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Balloon pulmonary angioplasty in chronic thromboembolic pulmonary hypertension

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Abstract

Chronic thromboembolic pulmonary hypertension (CTEPH) is caused by chronic stenosis or obstruction of the pulmonary arteries due to thromboembolism. Although previous studies have shown untreated CTEPH has a poor prognosis, the establishment of gold-standard therapies including pulmonary endarterectomy, balloon pulmonary angioplasty (BPA), and medical therapy has improved hemodynamics and right ventricular function, leading to good long-term survival. BPA is an important therapy for patients with inoperable CTEPH, although the procedure is currently limited to specific institutions and operators. This review discusses the development of the rapidly evolving field of CTEPH that includes improvements in imaging modalities and advances in surgical and interventional techniques.

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Authors and Affiliations

  1. Department of Cardiovascular Medicine, Faculty of Life Science, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto, 860-8556, Japan

    Kyoko Hirakawa, Eiichiro Yamamoto, Seiji Takashio, Shinsuke Hanatani, Satoshi Araki, Satoru Suzuki, Koichi Kaikita, Kenichi Matsushita & Kenichi Tsujita

  2. Division of Pulmonary Circulation, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Centre, Osaka, Japan

    Takeshi Ogo

  3. Center for Metabolic Regulation of Healthy Aging (CMHA), Kumamoto University, Kumamoto, Japan

    Kenichi Tsujita

Authors
  1. Kyoko Hirakawa
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  2. Eiichiro Yamamoto
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  3. Seiji Takashio
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  4. Shinsuke Hanatani
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  5. Satoshi Araki
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  6. Satoru Suzuki
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  7. Koichi Kaikita
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  8. Kenichi Matsushita
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  9. Takeshi Ogo
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  10. Kenichi Tsujita
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Correspondence to Kyoko Hirakawa.

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Hirakawa, K., Yamamoto, E., Takashio, S. et al. Balloon pulmonary angioplasty in chronic thromboembolic pulmonary hypertension. Cardiovasc Interv and Ther 37, 60–65 (2022). https://doi.org/10.1007/s12928-021-00775-6

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  • DOI: https://doi.org/10.1007/s12928-021-00775-6

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