Reperfusion Pulmonary Oedema as a Complication of Balloon Angioplasty of the Pulmonary Artery in Patients with Chronic Thromboembolic Pulmonary Hypertension

Marukyan N.V.; Simakova M.A.; Karpova D.V.; Zverev D.A.; Cherniavskiĭ M.A.; Privorotsky V.V.; Glebovskaya T.D.; Moiseeva O.M.

doi:https://doi.org/10.17116/flebo2017114243-248

Marukyan N.V.

V.A. Almazov National Medical Research Centre, Ministry of Health of the Russia, Sankt-Petersburg, Russia

Simakova M.A.

V.A. Almazov National Medical Research Centre, Ministry of Health of the Russia, Sankt-Petersburg, Russia

Karpova D.V.

V.A. Almazov National Medical Research Centre, Ministry of Health of the Russia, Sankt-Petersburg, Russia

Zverev D.A.

V.A. Almazov National Medical Research Centre, Ministry of Health of the Russia, Sankt-Petersburg, Russia

Cherniavskiĭ M.A.

Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina;
Rossiĭskiĭ kardiologicheskiĭ nauchno-proizvodstvennyĭ kompleks Minzdravsotsrazvitiia Rossii, Moskva

Privorotsky V.V.

V.A. Almazov National Medical Research Centre, Ministry of Health of the Russia, Sankt-Petersburg, Russia

Glebovskaya T.D.

V.A. Almazov National Medical Research Centre, Ministry of Health of the Russia, Sankt-Petersburg, Russia

Moiseeva O.M.

V.A. Almazov National Medical Research Centre, Ministry of Health of the Russia, Sankt-Petersburg, Russia

Reperfusion Pulmonary Oedema as a Complication of Balloon Angioplasty of the Pulmonary Artery in Patients with Chronic Thromboembolic Pulmonary Hypertension

Authors:

Marukyan N.V., Simakova M.A., Karpova D.V., Zverev D.A., Cherniavskiĭ M.A., Privorotsky V.V., Glebovskaya T.D., Moiseeva O.M.

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Journal: Journal of Venous Disorders. 2017;11(4): 243‑248

DOI: 10.17116/flebo2017114243-248

Read: 4722 times

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To cite this article:

Marukyan NV, Simakova MA, Karpova DV, et al. . Reperfusion Pulmonary Oedema as a Complication of Balloon Angioplasty of the Pulmonary Artery in Patients with Chronic Thromboembolic Pulmonary Hypertension. Journal of Venous Disorders. 2017;11(4):243‑248. (In Russ.)
https://doi.org/10.17116/flebo2017114243-248

Подписка 2026 Флебология (Journal of Venous Disorders)

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Abstract:

Chronic thromboembolic pulmonary hypertension (CTEPH) is one of the variants of pulmonary hypertension developing as a result of incomplete resolution of emboly in pulmonary artery (PA). It is characterized by an extremely pessimistic prognosis for the patient. The standard treatment of the patients presenting with this condition is pulmonary thrombendarterectomy under artificial circulation and circulatory arrest if possible. Recently trans-catheter balloon angioplasty of the PA has been considered as an alternative to pharmacological treatment in inoperable patients. This relatively new endovascular method implies the stage by stage intervention and makes it possible to significantly reduce mean blood pressure in the pulmonary artery down to its completely normal level resulting in lowering of the functional class of pulmonary hypertension. The most dangerous complications associated with the application of this method include hemorrhages in the case of perforation of PA branches and reperfusion pulmonary oedema. The present article contains a concise overview of the currently available approaches to the certification of reperfusion pulmonary oedema and the treatment of this condition including details of the patients’ care as exemplified by a clinical situation we faced in our practice.

Keywords:

pulmonary hypertension

pulmonary embolism

chronic thromboembolic pulmonary hypertension

balloon angioplasty

reperfusion oedema

Authors:

Marukyan N.V.

V.A. Almazov National Medical Research Centre, Ministry of Health of the Russia, Sankt-Petersburg, Russia

Simakova M.A.

V.A. Almazov National Medical Research Centre, Ministry of Health of the Russia, Sankt-Petersburg, Russia

Karpova D.V.

V.A. Almazov National Medical Research Centre, Ministry of Health of the Russia, Sankt-Petersburg, Russia

Zverev D.A.

V.A. Almazov National Medical Research Centre, Ministry of Health of the Russia, Sankt-Petersburg, Russia

Cherniavskiĭ M.A.

Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina;
Rossiĭskiĭ kardiologicheskiĭ nauchno-proizvodstvennyĭ kompleks Minzdravsotsrazvitiia Rossii, Moskva

Privorotsky V.V.

V.A. Almazov National Medical Research Centre, Ministry of Health of the Russia, Sankt-Petersburg, Russia

Glebovskaya T.D.

V.A. Almazov National Medical Research Centre, Ministry of Health of the Russia, Sankt-Petersburg, Russia

Moiseeva O.M.

V.A. Almazov National Medical Research Centre, Ministry of Health of the Russia, Sankt-Petersburg, Russia

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References:

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