The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Interventions for hypertension and stroke

Balloon pulmonary angioplasty for the treatment of chronic thromboembolic pulmonary hypertension

EuroIntervention 2019;15:e814-e815. DOI: 10.4244/EIJ-D-18-01212

1. Department of Cardiology, Bern University Hospital, University of Bern, Bern, Switzerland; 2. Department of Internal Medicine II, Division of Cardiology, Vienna General Hospital, Medical University of Vienna, Vienna, Austria




Figure 1. Imaging of left A10 before and after balloon angioplasty. Panels A-C illustrate angiograms. Panels D and E show OCT images in the planes highlighted in panels A and C. 

A 65-year-old dyspnoeic male was diagnosed with chronic thromboembolic pulmonary hypertension (CTEPH) and a mean pulmonary arterial pressure of 45 mmHg, cardiac index of 2.4 L/min/m2, and pulmonary vascular resistance of 560 dyn·s·cm–5. The interdisciplinary PH board classified the patient’s CTEPH as technically operable with a poor risk-benefit ratio. An alternative mechanical treatment is balloon pulmonary angioplasty (BPA), a recently ...

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