Treprostinil for severe inoperable chronic thromboembolic pulmonary hypertension

Treprostinil for severe inoperable chronic thromboembolic pulmonary hypertension
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DOI:
10.1111/j.1538-7836.2007.02394.x
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发表时间:
2007-03-01
影响因子:
10.4
通讯作者:
Lang, I. M.
Lang, I. M.
中科院分区:
医学2区
文献类型:
--
作者:
Skoro-Sajer, N.;Bonderman, D.;Lang, I. M.

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背景:慢性血栓栓塞性肺动脉高压(CTEPH)是由血浆抗凝治疗无效的肺血栓栓塞引起的。由于继发性肺动脉病变伴大血管阻塞,这种疾病可能是血管扩张剂治疗的目标。目的:在一项开放标签非对照研究中,我们研究了前列环素类似物treprostiil在严重不能手术的CTEPH患者中的应用。方法:1999年9月~ 2005年9月,25例世界卫生组织(WHO)功能分级为III或IV级,6分钟步行距离(6-MWD)为
Background: Chronic thromboembolic pulmonary hypertension (CTEPH) results from non-resolving pulmonary thromboemboli that are resistant to plasmatic anticoagulation. Because of a secondary pulmonary arteriopathy accompanying major vessel obstruction, the disorder may be a target for vasodilator therapy. Objectives: In an open-label uncontrolled study, we investigated the prostacyclin analog treprostinil given s.c. in patients with severe inoperable CTEPH. Methods: Between September 1999 and September 2005, 25 patients were included if their World Health Organization (WHO) functional class was III or IV, if their six-minute walking distance (6-MWD)