scholarly journals Optical coherence tomography of inoperable chronic thromboembolic pulmonary hypertension treated with refined balloon pulmonary angioplasty

2014 ◽  
Vol 124 (12) ◽  
pp. 742-743 ◽  
Author(s):  
Marek Roik ◽  
Dominik Wretowski ◽  
Andrzej Łabyk ◽  
Maciej Kostrubiec ◽  
Olgierd Rowiński ◽  
...  
Keyword(s):  
Optical Coherence Tomography ◽  
Pulmonary Hypertension ◽  
Chronic Thromboembolic Pulmonary Hypertension ◽  
Optical Coherence ◽  
Balloon Pulmonary Angioplasty ◽  
Thromboembolic Pulmonary Hypertension

scholarly journals Soluble ST2 as a Biomarker for Early Complications in Patients with Chronic Thromboembolic Pulmonary Hypertension Treated with Balloon Pulmonary Angioplasty

Diagnostics ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. 133
Author(s):  
Marta Banaszkiewicz ◽  
Arkadiusz Pietrasik ◽  
Michał Florczyk ◽  
Piotr Kędzierski ◽  
Michał Piłka ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Troponin T ◽  
Chronic Thromboembolic Pulmonary Hypertension ◽  
Early Complications ◽  
Dynamic Changes ◽  
Soluble St2 ◽  
Time Points ◽  
Balloon Pulmonary Angioplasty ◽  
Thromboembolic Pulmonary Hypertension ◽  
Discharge From Hospital

Background: The aim of the study was to assess soluble ST2 (sST2) concentration and its dynamic changes in the periprocedural period in patients with chronic thromboembolic pulmonary hypertension (CTEPH) treated with balloon pulmonary angioplasty (BPA). Methods: We prospectively analyzed 57 procedures of BPA performed in 37 patients with CTEPH. Biomarkers, such as N-terminal pro B-type natriuretic peptide (NT-proBNP), troponin T (TnT), and sST2 were assessed at four time points: Before the BPA procedure, 24 h and 48 h after the procedure, and at the discharge from hospital. Each postprocedural period was assessed for complications. Results: Before the BPA procedure, median sST2 concentration was 26.56 ng/mL (IQR: 16.66–40.83 ng/mL). sST2 concentration was significantly higher 24 h and 48 h after the BPA compared to the baseline measurements (33.31 ng/mL (IQR: 20.81–62.56), p = 0.000 and 27.45 ng/mL (IQR: 17.66–54.45), p = 0.028, respectively). sST2 level 24 h after the BPA procedure was significantly higher in the group with complications compared to the group without complications in the postprocedural period (97.66 ng/mL (IQR: 53.07–126.18) vs. 26.86 ng/mL (IQR: 19.10–40.12), p = 0.000). Conclusions: sST2 concentration in patients with CTEPH treated with BPA changes significantly in the postprocedural period and is significantly higher in the group with complications in postprocedural period.

Abstract 19170: Lesion Morphological Classification by Optical Coherence Tomography to Predict Therapeutic Efficacy After Balloon Pulmonary Angioplasty

Circulation ◽  
2015 ◽  
Vol 132 (suppl_3) ◽  
Author(s):  
Taku Inohara ◽  
Takashi Kawakami ◽  
Masaharu Kataoka ◽  
Keiichi Fukuda
Keyword(s):  
Optical Coherence Tomography ◽  
Therapeutic Efficacy ◽  
Pressure Ratio ◽  
Chronic Thromboembolic Pulmonary Hypertension ◽  
Thick Wall ◽  
Thin Wall ◽  
Optical Coherence ◽  
Pressure Wire ◽  
Balloon Pulmonary Angioplasty ◽  
Lesion Morphology

Introduction: Conventionally, angiographic classification has been used for chronic thromboembolic pulmonary hypertension (CTEPH). However, a classification based on lesion morphology is needed in the era of balloon pulmonary angioplasty (BPA). We sought to propose a classification of CTEPH based on lesion morphology detected by optical coherence tomography (OCT) and to evaluate its association with physiological stenosis assessed with a pressure wire and therapeutic efficacy in BPA. Methods: We analyzed 43 lesions in 17 patients who were treated with BPA under OCT and pressure-wire guidance from November 2012 to March 2015. OCT findings were classified into the following 4 categories: 1) mono-hole, 2) septum, 3) multi-hole with thin wall, and 4) multi-hole with thick wall. Results: Angiographic findings did not match the specific morphologic classification based on OCT findings. At the pre-BPA assessment, the pressure ratio of the septum type was significantly higher than that of the mono-hole and multi-hole with thick wall types (p = 0.026 and 0.047, respectively). Under the OCT-based classification, more than 50% of the septum and multi-hole with thin wall types could accomplish >0.8 of the mean pressure ratio assessed by a pressure wire, and these proportions were significantly higher than those of the other 2 types: mono-hole and multi-hole with thick wall (p = 0.044). Based on angiographic classification, accomplishment of this criterion was not significantly different among angiographic types. Conclusions: OCT-based morphologic lesion classifications in CTEPH were useful to predict whether the lesion stenosis could improve to the acceptable level mediated by BPA.

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