Surgical treatments/interventions for pulmonary arterial hypertension - ACCP evidence-based clinical practice guidelines

Surgical treatments/interventions for pulmonary arterial hypertension - ACCP evidence-based clinical practice guidelines
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DOI:
10.1378/chest.126.1_suppl.63s
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发表时间:
2004-07-01
期刊:
影响因子:
9.6
通讯作者:
Conte, J
Conte, J
中科院分区:
医学1区
文献类型:
--
作者:
Doyle, RL;McCrory, D;Conte, J

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尽管过去十年在肺动脉高压(PAH)的药物治疗方面取得了相当大的进步,但手术和介入方法对于那些无法获得药物治疗或药物治疗不成功的患者仍然发挥着重要作用。这些技术包括治疗慢性血栓栓塞性肺动脉高压的肺血栓内膜切除术、胸廓移植和房间隔造口术。本章将为参与治疗这些复杂患者的医生提供有关 PAH 手术和介入治疗的选择和时机的循证建议。
While considerable advances have been achieved in the medical treatment of pulmonary arterial hypertension (PAH) over the past decade, surgical and interventional approaches continue to have important roles in those patients for whom medical therapy is unavailable or has been unsuccessful. These techniques include pulmonary thromboendarterectomy for chronic thromboembolic pulmonary hypertension, thoracic transplantation, and atrial septostomy. This chapter will provide evidence-based recommendations for the selection and timing of surgical and interventional treatments of PAH for physicians involved in the care of these complex patients.