A Novel Technique of Balloon Pulmonary Angioplasty for the Treatment of Total Occlusion Lesions

Balloon pulmonary angioplasty (BPA) has been recognized as an alternative therapeutic approach for patients with inoperative chronic thromboembolic pulmonary hypertension and those with residual pulmonary hypertension after pulmonary endarterectomy. However, the safe and successful treatment rate fo...

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Detalles Bibliográficos
Autores principales: Minatsuki, Shun, Kiyosue, Arihiro, Shimizu, Yu, Tanikawa, Izumi, Murasawa, Takahide, Hirose, Kazutoshi, Saito, Akihito, Yagi, Hiroki, Takeda, Norifumi, Hatano, Masaru, Ando, Jiro, Komuro, Issei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8712586/
https://www.ncbi.nlm.nih.gov/pubmed/34993464
http://dx.doi.org/10.1016/j.cjco.2021.07.009
Descripción
Sumario:Balloon pulmonary angioplasty (BPA) has been recognized as an alternative therapeutic approach for patients with inoperative chronic thromboembolic pulmonary hypertension and those with residual pulmonary hypertension after pulmonary endarterectomy. However, the safe and successful treatment rate for a total occlusion lesion (TOL) using BPA is low, mainly because vessels distal to the occlusion are invisible by angiogram. Here, we present the case of a 53-year-old woman with chronic thromboembolic pulmonary hypertension with successfully recanalization of a TOL by use of BPA with the aid of intracardiac echocardiography. The intracardiac echocardiography–assisted wire passage technique may be a promising method for safe and reliable TOL treatment using BPA.

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