Chronic Thromboembolic Pulmonary Hypertension: A Comprehensive Review and Multidisciplinary Approach to Surgical Treatment.
Chronic Thromboembolic Pulmonary Hypertension: A Comprehensive Review and Multidisciplinary Approach to Surgical Treatment.
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DOI：
10.14797/iqtu6714
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发表时间：
2021
影响因子：
--
通讯作者：
Ramchandani MK
中科院分区：
文献类型：
--
作者：
Al Abri Q;Lu AJ;Ramchandani MK
慢性血栓栓塞性肺动脉高压（CTEPH）是一种未被诊断和治疗的急性肺栓塞后遗症。在这篇全面的综述中，我们提供了CTEPH的介绍性概述，重点介绍了其诊断成像的最新进展，并描述了肺血栓动脉内膜切除术（PTE）的手术技术，这是CTEPH唯一确定的治愈治疗方法。我们还讨论了球囊肺血管成形术的新兴作用，无论是单独的还是联合PTE的，对于PTE后不能手术、残留或难治性肺动脉高压的患者。最后，我们强调了一个专业的多学科团队方法对CTEPH患者护理的重要性，并分享了我们优化这些患者护理的方法。
Chronic thromboembolic pulmonary hypertension (CTEPH) is an underdiagnosed and undertreated sequelae of acute pulmonary embolism. In this comprehensive review, we provide an introductory overview of CTEPH, highlight recent advances in its diagnostic imaging, and describe the surgical technique for pulmonary thromboendarterectomy (PTE), the only established curative treatment for CTEPH. We also discuss the emerging role of balloon pulmonary angioplasty, both independently and combined with PTE, for patients with inoperable, residual, or refractory pulmonary hypertension post PTE. Finally, we stress the importance of a specialized multidisciplinary team approach to CTEPH patient care and share our approach to optimizing care for these patients.