Selective Segmental Pulmonary Angiography: Anatomical, Technical and Safety Aspects of a Must-Learn Technique in Times of Balloon Pulmonary Angioplasty for Chronic Thromboembolic Pulmonary Hypertension

With the advent of balloon pulmonary angioplasty (BPA) for non-surgical chronic thromboembolic pulmonary hypertension (CTEPH) patients, there is renewed interest in the pulmonary angiography technique. This technique is still the standard imaging modality to confirm CTEPH, which, in addition, helps...

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Autores: Velázquez, Maite, Maneiro, Nicolás, Lareo, Ana, Albarrán, Agustín, Huertas, Sergio, Olazábal, Allende P., Delgado, Juan F., Alonso Charterina, Sergio, Sarnago, Fernando, García Tejada, Julio, Arribas Ynsaurriaga, Fernando, Escribano Subías, María Pilar
Tipo de recurso: artículo
Fecha de publicación:2021
País:España
Institución:Universidad Complutense de Madrid (UCM)
Repositorio:Docta Complutense
Idioma:inglés
OAI Identifier:oai:docta.ucm.es:20.500.14352/4788
Acceso en línea:https://hdl.handle.net/20.500.14352/4788
Access Level:acceso abierto
Palabra clave:Selective pulmonary angiography
Chronic thromboembolic pulmonary hypertension
Balloon pulmonary angioplasty
Pulmonary arteries’ anatomy
Neumología
3205.08 Enfermedades Pulmonares
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spelling Selective Segmental Pulmonary Angiography: Anatomical, Technical and Safety Aspects of a Must-Learn Technique in Times of Balloon Pulmonary Angioplasty for Chronic Thromboembolic Pulmonary HypertensionVelázquez, MaiteManeiro, NicolásLareo, AnaAlbarrán, AgustínHuertas, SergioOlazábal, Allende P.Delgado, Juan F.Alonso Charterina, SergioSarnago, FernandoGarcía Tejada, JulioArribas Ynsaurriaga, FernandoEscribano Subías, María PilarSelective pulmonary angiographyChronic thromboembolic pulmonary hypertensionBalloon pulmonary angioplastyPulmonary arteries’ anatomyNeumología3205.08 Enfermedades PulmonaresWith the advent of balloon pulmonary angioplasty (BPA) for non-surgical chronic thromboembolic pulmonary hypertension (CTEPH) patients, there is renewed interest in the pulmonary angiography technique. This technique is still the standard imaging modality to confirm CTEPH, which, in addition, helps to determine the most appropriate treatment. Furthermore, learning this technique fulfills two main purposes: to identify BPA candidates and to provide the operator with the catheter handling needed to perform BPA. Operators interested in performing BPA must learn not only the pulmonary arteries’ anatomy, but also which are the best angiographic projections and the most suitable catheters to canalize and display each segmental branch. Unfortunately, this information is scarce in the literature. With this goal, learning the diagnostic pulmonary angiography technique can be a first step on the way to perform BPA. Although there are descriptions on how to perform a pulmonary angiography with balloon-tipped catheters and the digital subtraction technique, this technique does not provide operators with the catheter knowledge and manual skill needed to cannulate each segmental branch. In contrast, learning the conventional selective segmental pulmonary angiography (SSPA) technique provides the operator with this knowledge and skills. In this review, based on the experience of the authors, we describe the pulmonary arteries’ anatomy and detail the practical aspects of the SSPA procedure, with the aim of providing operators with the anatomical and technical knowledge needed to perform BPA. We also summarize the contemporary complications of SSPA in CTEPH patients at a reference center.MPDIUniversidad Complutense de Madrid20212021-07-2920212021-07-29journal articlehttp://purl.org/coar/resource_type/c_6501info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/20.500.14352/4788reponame:Docta Complutenseinstname:Universidad Complutense de Madrid (UCM)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Atribución 3.0 Españahttps://creativecommons.org/licenses/by/3.0/es/info:eu-repo/semantics/openAccessoai:docta.ucm.es:20.500.14352/47882026-06-02T12:44:21Z
dc.title.none.fl_str_mv Selective Segmental Pulmonary Angiography: Anatomical, Technical and Safety Aspects of a Must-Learn Technique in Times of Balloon Pulmonary Angioplasty for Chronic Thromboembolic Pulmonary Hypertension
title Selective Segmental Pulmonary Angiography: Anatomical, Technical and Safety Aspects of a Must-Learn Technique in Times of Balloon Pulmonary Angioplasty for Chronic Thromboembolic Pulmonary Hypertension
spellingShingle Selective Segmental Pulmonary Angiography: Anatomical, Technical and Safety Aspects of a Must-Learn Technique in Times of Balloon Pulmonary Angioplasty for Chronic Thromboembolic Pulmonary Hypertension
Velázquez, Maite
Selective pulmonary angiography
Chronic thromboembolic pulmonary hypertension
Balloon pulmonary angioplasty
Pulmonary arteries’ anatomy
Neumología
3205.08 Enfermedades Pulmonares
title_short Selective Segmental Pulmonary Angiography: Anatomical, Technical and Safety Aspects of a Must-Learn Technique in Times of Balloon Pulmonary Angioplasty for Chronic Thromboembolic Pulmonary Hypertension
title_full Selective Segmental Pulmonary Angiography: Anatomical, Technical and Safety Aspects of a Must-Learn Technique in Times of Balloon Pulmonary Angioplasty for Chronic Thromboembolic Pulmonary Hypertension
title_fullStr Selective Segmental Pulmonary Angiography: Anatomical, Technical and Safety Aspects of a Must-Learn Technique in Times of Balloon Pulmonary Angioplasty for Chronic Thromboembolic Pulmonary Hypertension
title_full_unstemmed Selective Segmental Pulmonary Angiography: Anatomical, Technical and Safety Aspects of a Must-Learn Technique in Times of Balloon Pulmonary Angioplasty for Chronic Thromboembolic Pulmonary Hypertension
title_sort Selective Segmental Pulmonary Angiography: Anatomical, Technical and Safety Aspects of a Must-Learn Technique in Times of Balloon Pulmonary Angioplasty for Chronic Thromboembolic Pulmonary Hypertension
dc.creator.none.fl_str_mv Velázquez, Maite
Maneiro, Nicolás
Lareo, Ana
Albarrán, Agustín
Huertas, Sergio
Olazábal, Allende P.
Delgado, Juan F.
Alonso Charterina, Sergio
Sarnago, Fernando
García Tejada, Julio
Arribas Ynsaurriaga, Fernando
Escribano Subías, María Pilar
author Velázquez, Maite
author_facet Velázquez, Maite
Maneiro, Nicolás
Lareo, Ana
Albarrán, Agustín
Huertas, Sergio
Olazábal, Allende P.
Delgado, Juan F.
Alonso Charterina, Sergio
Sarnago, Fernando
García Tejada, Julio
Arribas Ynsaurriaga, Fernando
Escribano Subías, María Pilar
author_role author
author2 Maneiro, Nicolás
Lareo, Ana
Albarrán, Agustín
Huertas, Sergio
Olazábal, Allende P.
Delgado, Juan F.
Alonso Charterina, Sergio
Sarnago, Fernando
García Tejada, Julio
Arribas Ynsaurriaga, Fernando
Escribano Subías, María Pilar
author2_role author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidad Complutense de Madrid
dc.subject.none.fl_str_mv Selective pulmonary angiography
Chronic thromboembolic pulmonary hypertension
Balloon pulmonary angioplasty
Pulmonary arteries’ anatomy
Neumología
3205.08 Enfermedades Pulmonares
topic Selective pulmonary angiography
Chronic thromboembolic pulmonary hypertension
Balloon pulmonary angioplasty
Pulmonary arteries’ anatomy
Neumología
3205.08 Enfermedades Pulmonares
description With the advent of balloon pulmonary angioplasty (BPA) for non-surgical chronic thromboembolic pulmonary hypertension (CTEPH) patients, there is renewed interest in the pulmonary angiography technique. This technique is still the standard imaging modality to confirm CTEPH, which, in addition, helps to determine the most appropriate treatment. Furthermore, learning this technique fulfills two main purposes: to identify BPA candidates and to provide the operator with the catheter handling needed to perform BPA. Operators interested in performing BPA must learn not only the pulmonary arteries’ anatomy, but also which are the best angiographic projections and the most suitable catheters to canalize and display each segmental branch. Unfortunately, this information is scarce in the literature. With this goal, learning the diagnostic pulmonary angiography technique can be a first step on the way to perform BPA. Although there are descriptions on how to perform a pulmonary angiography with balloon-tipped catheters and the digital subtraction technique, this technique does not provide operators with the catheter knowledge and manual skill needed to cannulate each segmental branch. In contrast, learning the conventional selective segmental pulmonary angiography (SSPA) technique provides the operator with this knowledge and skills. In this review, based on the experience of the authors, we describe the pulmonary arteries’ anatomy and detail the practical aspects of the SSPA procedure, with the aim of providing operators with the anatomical and technical knowledge needed to perform BPA. We also summarize the contemporary complications of SSPA in CTEPH patients at a reference center.
publishDate 2021
dc.date.none.fl_str_mv 2021
2021-07-29
2021
2021-07-29
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.14352/4788
url https://hdl.handle.net/20.500.14352/4788
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución 3.0 España
https://creativecommons.org/licenses/by/3.0/es/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución 3.0 España
https://creativecommons.org/licenses/by/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MPDI
publisher.none.fl_str_mv MPDI
dc.source.none.fl_str_mv reponame:Docta Complutense
instname:Universidad Complutense de Madrid (UCM)
instname_str Universidad Complutense de Madrid (UCM)
reponame_str Docta Complutense
collection Docta Complutense
repository.name.fl_str_mv
repository.mail.fl_str_mv
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