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Chronic thromboembolic pulmonary hypertension (CTEPH): Updated Recommendations from the Cologne Consensus Conference 2018

Authors :
Wilkens, Heinrike
Konstantinides, Stavros
Lang, Irene M.
Bunck, Alexander C.
Gerges, Mario
Gerhardt, Felix
Grgic, Aleksandar
Grohe, Christian
Guth, Stefan
Held, Matthias
Hinrichs, Jan B.
Hoeper, Marius M.
Klepetko, Walter
Kramm, Thorsten
Krueger, Ulrich
Lankeit, Mareike
Meyer, Bernhard C.
Olsson, Karen M.
Schaefers, Hans-Joachim
Schmidt, Matthias
Seyfarth, Hans-J
Ulrich, Silvia
Wiedenroth, Christoph B.
Mayer, Eckhard
Wilkens, Heinrike
Konstantinides, Stavros
Lang, Irene M.
Bunck, Alexander C.
Gerges, Mario
Gerhardt, Felix
Grgic, Aleksandar
Grohe, Christian
Guth, Stefan
Held, Matthias
Hinrichs, Jan B.
Hoeper, Marius M.
Klepetko, Walter
Kramm, Thorsten
Krueger, Ulrich
Lankeit, Mareike
Meyer, Bernhard C.
Olsson, Karen M.
Schaefers, Hans-Joachim
Schmidt, Matthias
Seyfarth, Hans-J
Ulrich, Silvia
Wiedenroth, Christoph B.
Mayer, Eckhard
Publication Year :
2018

Abstract

Chronic thromboembolic pulmonary hypertension (CTEPH) is a subgroup of pulmonary hypertension that differs fromall other forms of PHin terms of its pathophysiology, patient characteristics and treatment. For implementation of the European Guidelines on Diagnosis and Treatment of Pulmonary Hypertension in Germany, the Cologne Consensus Conference 2016 was held and last updated in spring of 2018. One of the working groups was dedicated to CTEPH, practical and controversial issues were commented and updated. In every patient with suspected PH, CTEPH or chronic thromboembolic disease (CTED, i.e. symptomatic residual vasculopathy without pulmonary hypertension) should be excluded. Primary treatment is surgical pulmonary endarterectomy (PEA) in a multidisciplinary CTEPH centre. Inoperable patients or patients with persistent or recurrent CTEPH after PEA are candidates for targeted drug therapy. There is increasing experience with balloon pulmonary angioplasty (BPA) for inoperable patients; this option, like PEA, is reserved for specialised centres with expertise in this treatment method. (c) 2018 Published by Elsevier B.V.

Details

Database :
OAIster
Notes :
English
Publication Type :
Electronic Resource
Accession number :
edsoai.on1201316279
Document Type :
Electronic Resource