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Balloon pulmonary angioplasty protocol in a Portuguese pulmonary hypertension expert center

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Summary:Introduction: Balloon pulmonary angioplasty (BPA) has emerged as a promising therapeutic option for patients with chronic thromboembolic pulmonary hypertension (CTEPH) who are not eligible for pulmonary thromboendarterectomy (PEA) or who have recurrent or persistent pulmonary hypertension after surgery. There is no standardized technique for BPA and, its complexity and high risk of severe complications, requires skills and appropriate training and should be reserved for expert CTEPH centers, as a complementary intervention to medical and surgical therapy. Objective: The purpose of this document is to describe the BPA protocol used at a high-volume center nationwide, validated by its results. Methods: The present protocol includes technical details, definition of outcomes and complications, as well as patient full diagnostic work-up and treatment algorithm, before and after BPA. Results: The technical, hemodynamic, and clinical results of the application of this protocol will be subject of a later publication where they will be described in detail. In conclusion, we present a percutaneous intervention protocol in the treatment of pulmonary hypertension in the context of chronic pulmonary thromboembolism, validated by its clinical, hemodynamic, and technical results.
Main Authors:Calé, Rita
Other Authors:Ferreira, Filipa; Pereira, Ana Rita; Saraiva, Carla; Santos, Ana; Alegria, Sofia; Repolho, Débora; Vitorino, Sílvia; Santos, Pedro; Morgado, Gonçalo; Brenot, Philippe; Loureiro, Maria José; Pereira, Helder
Subject:Balloon pulmonary angioplasty Chronic thromboembolic pulmonary hypertension Protocol Technique
Year:2021
Country:Portugal
Document type:article
Access type:open access
Associated institution:Universidade de Lisboa
Language:English
Origin:Repositório da Universidade de Lisboa
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author Calé, Rita
author2 Ferreira, Filipa
Pereira, Ana Rita
Saraiva, Carla
Santos, Ana
Alegria, Sofia
Repolho, Débora
Vitorino, Sílvia
Santos, Pedro
Morgado, Gonçalo
Brenot, Philippe
Loureiro, Maria José
Pereira, Helder
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author_facet Calé, Rita
Ferreira, Filipa
Pereira, Ana Rita
Saraiva, Carla
Santos, Ana
Alegria, Sofia
Repolho, Débora
Vitorino, Sílvia
Santos, Pedro
Morgado, Gonçalo
Brenot, Philippe
Loureiro, Maria José
Pereira, Helder
author_role author
contributor_name_str_mv Repositório Científico de Acesso Aberto da ULisboa
country_str PT
creators_json_txt [{\"Person.name\":\"Calé, Rita\"},{\"Person.name\":\"Ferreira, Filipa\"},{\"Person.name\":\"Pereira, Ana Rita\"},{\"Person.name\":\"Saraiva, Carla\"},{\"Person.name\":\"Santos, Ana\"},{\"Person.name\":\"Alegria, Sofia\"},{\"Person.name\":\"Repolho, Débora\"},{\"Person.name\":\"Vitorino, Sílvia\"},{\"Person.name\":\"Santos, Pedro\"},{\"Person.name\":\"Morgado, Gonçalo\"},{\"Person.name\":\"Brenot, Philippe\"},{\"Person.name\":\"Loureiro, Maria José\"},{\"Person.name\":\"Pereira, Helder\",\"Person.identifier.cienciaID\":\"1D1D-DBAB-FAD4\",\"Person.identifier.orcid\":\"0000-0001-8656-4883\",\"Person.identifier.researcherID\":\"B-6870-2014\"}]
datacite.contributors.contributor.contributorName.fl_str_mv Repositório Científico de Acesso Aberto da ULisboa
datacite.creators.creator.creatorName.fl_str_mv Calé, Rita
Ferreira, Filipa
Pereira, Ana Rita
Saraiva, Carla
Santos, Ana
Alegria, Sofia
Repolho, Débora
Vitorino, Sílvia
Santos, Pedro
Morgado, Gonçalo
Brenot, Philippe
Loureiro, Maria José
Pereira, Helder
datacite.date.Accepted.fl_str_mv 2021-01-01T00:00:00Z
datacite.date.available.fl_str_mv 2021-09-06T15:34:41Z
datacite.date.embargoed.fl_str_mv 2021-09-06T15:34:41Z
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_abf2
datacite.subjects.subject.fl_str_mv Balloon pulmonary angioplasty
Chronic thromboembolic pulmonary hypertension
Protocol
Technique
datacite.titles.title.fl_str_mv Balloon pulmonary angioplasty protocol in a Portuguese pulmonary hypertension expert center
Protocolo de angioplastia pulmonar de balão num centro de referência nacional em hipertensão pulmonar
dc.contributor.none.fl_str_mv Repositório Científico de Acesso Aberto da ULisboa
dc.creator.none.fl_str_mv Calé, Rita
Ferreira, Filipa
Pereira, Ana Rita
Saraiva, Carla
Santos, Ana
Alegria, Sofia
Repolho, Débora
Vitorino, Sílvia
Santos, Pedro
Morgado, Gonçalo
Brenot, Philippe
Loureiro, Maria José
Pereira, Helder
dc.date.Accepted.fl_str_mv 2021-01-01T00:00:00Z
dc.date.available.fl_str_mv 2021-09-06T15:34:41Z
dc.date.embargoed.fl_str_mv 2021-09-06T15:34:41Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv http://hdl.handle.net/10451/49427
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv Elsevier
dc.rights.cclincense.fl_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.subject.none.fl_str_mv Balloon pulmonary angioplasty
Chronic thromboembolic pulmonary hypertension
Protocol
Technique
dc.title.fl_str_mv Balloon pulmonary angioplasty protocol in a Portuguese pulmonary hypertension expert center
Protocolo de angioplastia pulmonar de balão num centro de referência nacional em hipertensão pulmonar
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description Introduction: Balloon pulmonary angioplasty (BPA) has emerged as a promising therapeutic option for patients with chronic thromboembolic pulmonary hypertension (CTEPH) who are not eligible for pulmonary thromboendarterectomy (PEA) or who have recurrent or persistent pulmonary hypertension after surgery. There is no standardized technique for BPA and, its complexity and high risk of severe complications, requires skills and appropriate training and should be reserved for expert CTEPH centers, as a complementary intervention to medical and surgical therapy. Objective: The purpose of this document is to describe the BPA protocol used at a high-volume center nationwide, validated by its results. Methods: The present protocol includes technical details, definition of outcomes and complications, as well as patient full diagnostic work-up and treatment algorithm, before and after BPA. Results: The technical, hemodynamic, and clinical results of the application of this protocol will be subject of a later publication where they will be described in detail. In conclusion, we present a percutaneous intervention protocol in the treatment of pulmonary hypertension in the context of chronic pulmonary thromboembolism, validated by its clinical, hemodynamic, and technical results.
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eu_rights_str_mv openAccess
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inst_facet_str urn:organizationAcronym:ul{{{_:::_}}}Universidade de Lisboa
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instname_str Universidade de Lisboa
language eng
network_acronym_str ul
network_name_str Repositório da Universidade de Lisboa
oai_identifier_str oai:repositorio.ulisboa.pt:10451/49427
organization_str_mv urn:organizationAcronym:ul
person_str_mv Calé, Rita
Ferreira, Filipa
Pereira, Ana Rita
Saraiva, Carla
Santos, Ana
Alegria, Sofia
Repolho, Débora
Vitorino, Sílvia
Santos, Pedro
Morgado, Gonçalo
Brenot, Philippe
Loureiro, Maria José
Pereira, Helder
Pereira, Helder
https://www.ciencia-id.pt/1D1D-DBAB-FAD4
1D1D-DBAB-FAD4
http://orcid.org/0000-0001-8656-4883
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publishDate 2021
publisher.none.fl_str_mv Elsevier
repo_facet_str urn:repositoryAcronym:ul{{{_:::_}}}Repositório da Universidade de Lisboa
reponame_str Repositório da Universidade de Lisboa
repository_id_str urn:repositoryAcronym:ul
service_str_mv urn:repositoryAcronym:ul
spelling engElsevierpt_PTIntroduction: Balloon pulmonary angioplasty (BPA) has emerged as a promising therapeutic option for patients with chronic thromboembolic pulmonary hypertension (CTEPH) who are not eligible for pulmonary thromboendarterectomy (PEA) or who have recurrent or persistent pulmonary hypertension after surgery. There is no standardized technique for BPA and, its complexity and high risk of severe complications, requires skills and appropriate training and should be reserved for expert CTEPH centers, as a complementary intervention to medical and surgical therapy. Objective: The purpose of this document is to describe the BPA protocol used at a high-volume center nationwide, validated by its results. Methods: The present protocol includes technical details, definition of outcomes and complications, as well as patient full diagnostic work-up and treatment algorithm, before and after BPA. Results: The technical, hemodynamic, and clinical results of the application of this protocol will be subject of a later publication where they will be described in detail. In conclusion, we present a percutaneous intervention protocol in the treatment of pulmonary hypertension in the context of chronic pulmonary thromboembolism, validated by its clinical, hemodynamic, and technical results.application/pdfpt_PTBalloon pulmonary angioplasty protocol in a Portuguese pulmonary hypertension expert centerAlternativeTitlept_PTProtocolo de angioplastia pulmonar de balão num centro de referência nacional em hipertensão pulmonarCalé, RitaFerreira, FilipaPereira, Ana RitaSaraiva, CarlaSantos, AnaAlegria, SofiaRepolho, DéboraVitorino, SílviaSantos, PedroMorgado, GonçaloBrenot, PhilippeLoureiro, Maria JoséPersonalPereira, HelderDSpacehttp://dspace.org/items/f61e1990-9af4-4cdc-a0d4-c4f17fd69f15DSpacehttp://dspace.org/items/f61e1990-9af4-4cdc-a0d4-c4f17fd69f15PereiraHelderCiência IDhttps://www.ciencia-id.pt1D1D-DBAB-FAD4ORCIDhttp://orcid.org0000-0001-8656-4883Researcher IDhttps://www.researcherid.comB-6870-2014HostingInstitutionOrganizationalRepositório Científico de Acesso Aberto da ULisboae-mailmailto:repositorio@ulisboa.ptrepositorio@ulisboa.ptISSNIsPartOf0870-2551DOIIsPartOf10.1016/j.repc.2020.11.0142021-09-06T15:34:41Z20212021-01-01T00:00:00ZHandlehttp://hdl.handle.net/10451/49427http://purl.org/coar/access_right/c_abf2open accessBalloon pulmonary angioplastyChronic thromboembolic pulmonary hypertensionProtocolTechnique4198839 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal article2021http://creativecommons.org/licenses/by-nc-nd/4.0/http://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://repositorio.ulisboa.pt/bitstreams/32f26fb2-5127-4111-bfe7-21845ad8abb4/downloadRevista Portuguesa de Cardiologia409653665
spellingShingle Balloon pulmonary angioplasty protocol in a Portuguese pulmonary hypertension expert center
Calé, Rita
Balloon pulmonary angioplasty
Chronic thromboembolic pulmonary hypertension
Protocol
Technique
status SINGLETON
subject.fl_str_mv Balloon pulmonary angioplasty
Chronic thromboembolic pulmonary hypertension
Protocol
Technique
title Balloon pulmonary angioplasty protocol in a Portuguese pulmonary hypertension expert center
title_full Balloon pulmonary angioplasty protocol in a Portuguese pulmonary hypertension expert center
title_fullStr Balloon pulmonary angioplasty protocol in a Portuguese pulmonary hypertension expert center
title_full_unstemmed Balloon pulmonary angioplasty protocol in a Portuguese pulmonary hypertension expert center
title_short Balloon pulmonary angioplasty protocol in a Portuguese pulmonary hypertension expert center
title_sort Balloon pulmonary angioplasty protocol in a Portuguese pulmonary hypertension expert center
topic Balloon pulmonary angioplasty
Chronic thromboembolic pulmonary hypertension
Protocol
Technique
topic_facet Balloon pulmonary angioplasty
Chronic thromboembolic pulmonary hypertension
Protocol
Technique
url http://hdl.handle.net/10451/49427
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