Improvements in Hemodynamics and Right Heart Remodeling Following Balloon Pulmonary Angioplasty Treatment in Patients With Chronic Thromboembolic Pulmonary Hypertension: A Retrospective Study

Abstract Background and Aims This study aimed to evaluate the hemodynamic alterations and right heart remodeling dynamics in patients with inoperable chronic thromboembolic pulmonary hypertension (CTEPH) undergoing treatment with balloon pulmonary angioplasty (BPA). Methods This retrospective cohort study involved a cohort of 31 patients with a confirmed diagnosis of CTEPH. Comprehensive clinical evaluations were systematically performed before BPA, and at 3 and 6 months following the procedure. Results Significant clinical progress was evidenced by the uplift in the percentage of patients achieving WHO‐FC II, escalating from 19.35% at baseline to 51.61% at 6 months after BPA (p = 0.003). NT‐proBNP levels significantly dropped from a median of 614.6 to 69.9 pg/mL (p