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- Title
Balloon Pulmonary Angioplasty for Takayasu Arteritis and Peripheral Pulmonary Artery Stenosis Mimicking Chronic Thromboembolic Pulmonary Hypertension.
- Authors
Fukui, Shigefumi; Shirota, Yuko; Nakano, Takao; Sato, Tsukasa; Hasegawa, Kaoru; Kikuta, Hisashi; Kameyama, Takeyoshi; Kumagai, Koji; Komaru, Tatsuya
- Abstract
Thus, we can now expect good outcomes for patients with CTEPH owing to "thrombus" among group 4 PH in the latest ESC/ERS PH guidelines by appropriately applying PEA, BPA, and PH-specific therapies, compared with any other group of PH [[9]]. In 2016, Yanagisawa et al. reported that there were 7 patients with PPS and 4 patients with TA-PH among 145 patients who underwent PTPA (BPA) in their institution [[13]]. PH associated with pulmonary artery involvement in Takayasu arteritis (TA) and peripheral pulmonary artery stenosis (PPS) in adult patients, both of which mimic CTEPH in terms of pathophysiology and mismatch in lung ventilation-perfusion scintigraphy, are also categorized to group 4 PH in the latest PH guidelines [[9]]. Therefore, efficacy of evidenced treatment options and strategy including medical therapy of antithrombotic therapy and PH-specific therapies, which have been customized for CTEPH, are not established in patients with significant PH and right heart failure associated with TA and PPS.
- Subjects
PULMONARY artery; TRANSLUMINAL angioplasty; PULMONARY circulation; PULMONARY stenosis; TAKAYASU arteritis; ARTERIAL stenosis; PULMONARY hypertension
- Publication
Life (2075-1729), 2022, Vol 12, Issue 11, p1797
- ISSN
2075-1729
- Publication type
Article
- DOI
10.3390/life12111797