Imaging of chronic thromboembolic pulmonary hypertension before, during and after balloon pulmonary angioplasty

Balloon pulmonary angioplasty (BPA) has recently been elevated as a class I recommendation for the treatment of inoperable or residual chronic thromboembolic pulmonary hypertension (CTEPH). Proper patient selection, procedural safety, and post-procedural evaluation are crucial in the management of t...

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Detalles Bibliográficos
Autores: Páez Carpio, Alfredo, Vollmer, Ivan, Zarco Contreras, Federico Xavier, Matute González, Mario, Domenech Ximenos, Blanca, Serrano, Elena, Barberà i Mir, Joan Albert, Blanco Vich, Isabel, Gómez, Fernando M.
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/214207
Acceso en línea:https://hdl.handle.net/2445/214207
Access Level:acceso abierto
Palabra clave:Hipertensió pulmonar
Complicacions quirúrgiques
Pulmonary hypertension
Complications of surgery
Descripción
Sumario:Balloon pulmonary angioplasty (BPA) has recently been elevated as a class I recommendation for the treatment of inoperable or residual chronic thromboembolic pulmonary hypertension (CTEPH). Proper patient selection, procedural safety, and post-procedural evaluation are crucial in the management of these patients, with imaging work-up playing a pivotal role. Understanding the diagnostic and therapeutic imaging algorithms of CTEPH, the imaging features of patients amenable to BPA, all imaging findings observed during and immediately after the procedure and the changes observed during the follow-up is crucial for all interventional radiologists involved in the care of patients with CTEPH. This article illustrates the imaging workup of patients with CTEPH amenable to BPA, the imaging findings observed before, during and after BPA, and provides a detailed description of all imaging modalities available for CTEPH evaluation. (c) 2024 The Author(s). Published by Elsevier Masson SAS on behalf of Soci & eacute;t & eacute; fran & ccedil;aise de radiologie.