Evaluation and management of patients with chronic thromboembolic pulmonary hypertension - consensus statement from the ISHLT

JOURNAL OF HEART AND LUNG TRANSPLANTATION

卷:40

Article

de Perrot, Marc¹  Gopalan, Deepa²  Jenkins, David³  Lang, Irene M.⁴  Fadel, Elie⁵  Delcroix, Marion^6,7  Benza, Raymond⁸  Heresi, Gustavo A.⁹  Kanwar, Manreet¹⁰  Granton, John T.¹¹  McInnis, Micheal¹²  Klok, Frederikus A.¹³  Kerr, Kim M.¹⁴  Pepke-Zaba, Joanna¹⁵  Toshner, Mark^15,16  Bykova, Anastasia¹  D' Armini, Andrea M.¹⁷  Robbins, Ivan M.¹⁸  Madani, Michael¹⁹  McGiffin, David^20,21  Wiedenroth, Christoph B.²²  Mafeld, Sebastian²³  Opitz, Isabelle²⁴  Mercier, Olaf⁵  Uber, Patricia A.²⁵  Frantz, Robert P.²⁶  Auger, William R.²⁷ 

[1] Toronto Gen Hosp, Div Thorac Surg, Toronto, ON, Canada

[2] Imperial Coll Healthcare NHS Trust, London & Cambridge Univ Hosp, Dept Radiol, Cambridge, England

[3] Papworth Hosp, Dept Cardiothorac Surg, Natl Pulm Endarterect Serv, Cambridge, England

[4] Med Univ Vienna, Dept Cardiol, Pulm Hypertens Unit, Vienna, Austria

[5] Paris Saclay Univ, Marie Lannelongue Hosp, Dept Thorac & Vasc Surg & Heart Lung Transplantat, Le Plessis Robinson, France

[6] UZ Leuven, Clin Dept Resp Dis, Pulm Hypertens Ctr, Leuven, Belgium

[7] Dept Chron Dis & Metab CHROMETA, Lab Resp Dis & Thorac Surg BREATHE, Leuven, Belgium

[8] Ohio State Univ, Div Cardiovasc Med, Columbus, OH USA

[9] Cleveland Clin, Dept Pulm & Crit Care Med, Resp Inst, Cleveland, OH USA

[10] Allegheny Hlth Network, Cardiovasc Inst, Pittsburgh, PA USA

[11] Univ Hlth Network, Div Respirol, Toronto, ON, Canada

[12] Univ Hlth Network, Joint Dept Med Imaging, Toronto, ON, Canada

[13] Leiden Univ, Dept Med Thrombosis & Hemostasis, Med Ctr, Leiden, Netherlands

[14] Univ Calif San Diego, Med Hlth, Div Pulm Crit Care & Sleep Med, San Diego, CA 92103 USA

[15] Royal Papworth Hosp NHS Fdn Trust, Pulm Vasc Dis Unit, Cambridge, Cambs, England

[16] Univ Cambridge, Heart Lung Res Inst, Cambridge, England

[17] Univ Pavia, Fdn IRCCS Policlin San Matteo, Unit Cardiac Surg Intrathorac Trasplantat & Pulm, Pavia, Italy

[18] Vanderbilt Univ, Med Ctr, Div Allergy Pulm & Crit Care Med, Nashville, TN USA

[19] Univ Calif San Diego, Dept Cardiovasc & Thorac Surg, La Jolla, CA USA

[20] Alfred Hosp, Dept Cardiothorac Surg, Melbourne, Vic, Australia

[21] Monash Univ, Melbourne, Vic, Australia

[22] Univ Giessen, Dept Thorac Surg, Kerckhoff Heart & Thorax Ctr, Campus Kerckhoff, Bad Nauheim, Germany

[23] Univ Hlth Network, Joint Dept Med Imaging, Div Vasc & Intervent Radiol, Toronto, ON, Canada

[24] Univ Hosp Zurich, Dept Thorac Surg, Zurich, Switzerland

[25] Virginia Commonwealth Univ Hlth Syst, Pauley Heart Ctr, Richmond, VA USA

[26] Mayo Clin, Dept Cardiovasc Dis, Coll Med, Rochester, MN USA

[27] Temple Univ, Lewis Katz Sch Med, Temple Heart & Vasc Inst, Pulm Hypertens & CTEPH Res Program, Philadelphia, PA 19122 USA

关键词: pulmonary emboli;    CTEPH;    pulmonary thromboendarterectomy;    balloon pulmonary angioplasty;    pulmonary hypertension;    guidelines;   

DOI  :  10.1016/j.healun.2021.07.020

来源: Elsevier

【 摘 要 】

ISHLT members have recognized the importance of a consensus statement on the evaluation and management of patients with chronic thromboembolic pulmonary hypertension. The creation of this document required multiple steps, including the engagement of the ISHLT councils, approval by the Standards and Guidelines Committee, identification and selection of experts in the field, and the development of 6 working groups. Each working group provided a separate section based on an extensive literature search. These sections were then coalesced into a single document that was circulated to all members of the working groups. Key points were summarized at the end of each section. Due to the limited number of comparative trials in this field, the document was written as a literature review with expert opinion rather than based on level of evidence. (C) 2021 International Society for Heart and Lung Transplantation. All rights reserved.

【 授权许可】

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