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一名前列腺癌合并慢性血栓栓塞性肺动脉高压患者的球囊肺动脉血管成形术

Balloon pulmonary angioplasty in a patient with prostate cancer and chronic thromboembolic pulmonary hypertension.

作者信息

Bryce Yolanda, Santos Ernesto

机构信息

Memorial Sloan Kettering Cancer Center, Interventional Radiology Service, 1275 York Ave., New York, NY 10065, United States.

出版信息

Clin Imaging. 2018 Jul-Aug;50:185-187. doi: 10.1016/j.clinimag.2018.04.004. Epub 2018 Apr 6.

Abstract

Chronic thromboembolic pulmonary hypertension (CTEPH) is a subtype of pulmonary hypertension characterized by a mean pulmonary artery pressure ≥25 mm Hg due to obstructive fibrotic thromboembolic material in the pulmonary arteries. Malignancy is a significant risk for developing CTEPH. The option for inoperable CTEPH is largely medical with variable outcomes. Balloon pulmonary angioplasty (BPA) is a promising option for inoperable patients given distal-type CTEPH, co-morbidities, or residual pulmonary hypertension after surgery. We present a case of a patient with prostate cancer and CTEPH successfully treated with balloon pulmonary angioplasty.

摘要

慢性血栓栓塞性肺动脉高压(CTEPH)是肺动脉高压的一种亚型,其特征是由于肺动脉中存在阻塞性纤维性血栓栓塞物质,导致平均肺动脉压≥25 mmHg。恶性肿瘤是发生CTEPH的一个重要风险因素。对于无法手术的CTEPH患者,主要治疗手段是药物治疗,但其效果各异。对于因远端型CTEPH、合并症或术后残留肺动脉高压而无法手术的患者,球囊肺动脉血管成形术(BPA)是一种有前景的治疗选择。我们报告一例前列腺癌合并CTEPH患者成功接受球囊肺动脉血管成形术治疗的病例。

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Risk factors for chronic thromboembolic pulmonary hypertension.慢性血栓栓塞性肺动脉高压的危险因素。
Eur Respir J. 2009 Feb;33(2):325-31. doi: 10.1183/09031936.00087608. Epub 2008 Sep 17.

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