Management and Treatment of Pulmonary Embolism: Alpha to Omega-BPA: Where Are We?

Video Transcription

Video Summary

In this video, the speaker discusses the topic of balloon pulmonary angioplasty (BPA) and its role in the treatment of chronic thromboembolic pulmonary hypertension (CTEPH). BPA involves wire-guided dilation of pulmonary arteries using balloons to improve blood flow. The speaker highlights the different types and levels of CTEPH and when BPA is most suitable, especially for patients with segmental and subsegmental artery disease. The technique and challenges of BPA are also discussed, including the use of soft wires, vessel tortuosity, and selective pulmonary angiography. The speaker emphasizes the importance of hemodynamic-guided BPA and the durable improvements seen in pulmonary pressures and functional status. The speaker also shares the Temple University Hospital's experience with BPA, noting improvements in PVR and six-minute walk distance.

Asset Subtitle

Vladimir Lakhter, DO

Keywords

balloon pulmonary angioplasty

chronic thromboembolic pulmonary hypertension

CTEPH

blood flow improvement

segmental and subsegmental artery disease