Chronic thromboembolic pulmonary hypertension anno 2021

被引：9

作者：

Nossent, Esther J. ^{[1
,2
]}

Meijboom, Lilian J. ^{[2
,3
]}

Bogaard, Harm J. ^{[1
,2
]}

Klok, Frederikus A. ^{[4
]}

机构：

[1] Free Univ, Amsterdam UMC, Dept Pulm Med, Leiden, Netherlands

[2] Amsterdam UMC, Amsterdam Cardiovasc Sci Res Inst, Leiden, Netherlands

[3] Free Univ Amsterdam, Amsterdam UMC, Dept Radiol & Nucl Med, Leiden, Netherlands

[4] Leiden Univ, Med Ctr, Dept Med Thrombosis & Hemostasis, Albinusdreef 2, NL-2300RC Leiden, Netherlands

来源：

CURRENT OPINION IN CARDIOLOGY | 2021年 / 36卷 / 06期

关键词：

balloon pulmonary angioplasty; chronic thromboembolic pulmonary hypertension; chronic thromboembolic pulmonary vascular disease; pulmonary embolism; pulmonary endarterectomy; LONG-TERM OUTCOMES; QUALITY-OF-LIFE; FOLLOW-UP; EMBOLISM; ANGIOPLASTY; ENDARTERECTOMY; LIMITATIONS; PREDICTORS; PERSISTENT; PROGNOSIS;

D O I：

10.1097/HCO.0000000000000907

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Purpose of review In the past decades, the diagnostic and therapeutic management of chronic thromboembolic pulmonary hypertension (CTEPH) has been revolutionized. Recent findings Advances in epidemiological knowledge and follow-up studies of pulmonary embolism patients have provided more insight in the incidence and prevalence. Improved diagnostic imaging techniques allow accurate assessment of the location and extend of the thromboembolic burden in the pulmonary artery tree, which is important for the determination of the optimal treatment strategy. Next to the pulmonary endarterectomy, the newly introduced technique percutaneous pulmonary balloon angioplasty and/or P(A)H-targeted medical therapy has been shown to be beneficial in selected patients with CTEPH and might also be of importance in patients with chronic thromboembolic pulmonary vascular disease. In this era of a comprehensive approach to CTEPH with different treatment modalities, a multidisciplinary approach guides management decisions leading to optimal treatment and follow-up of patients with CTEPH.

引用

页码：711 / 719

页数：9

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