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Advanced Noninvasive Imaging to Guide Balloon Pulmonary Angioplasty

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Balloon pulmonary angioplasty in patients with CTEPH

Abstract

Balloon pulmonary angioplasty (BPA) has been reported to be effective and safe to an acceptable level in patients with chronic thromboembolic pulmonary hypertension (CTEPH) who are not candidates for pulmonary endarterectomy. However, we need to further improve the outcome, efficiency, and safety of BPA. In this context, it is important to sufficiently use noninvasive imaging such as computed tomography and cardiovascular magnetic resonance to guide BPA in the selection of appropriate targeted vessels or lesions, selection of guide wire or guiding catheter, and evaluation of the efficacy of BPA. In this chapter, we would like to introduce current practice on how to use noninvasive imaging before and during a BPA procedure, as performed in our CTEPH team, by referring to previously published methods and technique.

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Acknowledgements

We are very grateful to Mitsuru Nakada for his technical assistance for BPA procedures in our CTEPH team.

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Authors and Affiliations

  1. Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan

    Shigefumi Fukui, Koichiro Sugimura, Nobuhiro Yaoita, Tatsuo Aoki, Hiroaki Shimokawa & Satoshi Yasuda

  2. Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Centre, Suita, Japan

    Shigefumi Fukui, Tatsuo Aoki, Takeshi Ogo & Satoshi Yasuda

  3. Department of Cardiovascular Medicine, Tohoku Medical and Pharmaceutical University, Sendai, Japan

    Shigefumi Fukui

  4. Department of Cardiology, International University of Health and Welfare, Narita, Japan

    Koichiro Sugimura

  5. Department of Diagnostic Radiology, Tohoku University Graduate School of Medicine, Sendai, Japan

    Hideki Ota, Satoshi Higuchi, Yoshiaki Morita & Kei Takase

  6. Department of Radiology, National Cerebral and Cardiovascular Centre, Suita, Japan

    Satoshi Higuchi, Yoshiaki Morita & Tetsuya Fukuda

  7. International University of Health and Welfare, Narita, Japan

    Hiroaki Shimokawa

Authors
  1. Shigefumi Fukui
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  2. Koichiro Sugimura
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  3. Hideki Ota
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  4. Satoshi Higuchi
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  5. Nobuhiro Yaoita
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  6. Tatsuo Aoki
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  7. Yoshiaki Morita
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  8. Takeshi Ogo
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  9. Tetsuya Fukuda
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  10. Kei Takase
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  11. Hiroaki Shimokawa
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  12. Satoshi Yasuda
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Corresponding author

Correspondence to Shigefumi Fukui .

Editor information

Editors and Affiliations

  1. Cardiology Unit, Cardio-Thoracic-Vascular Department, IRCCS University Hospital of Bologna Policlinico S.Orsola, Bologna, Italy

    Francesco Saia

  2. Cardiology Unit, Cardio-Thoracic-Vascular Department, IRCCS University Hospital of Bologna Policlinico S.Orsola, Bologna, Italy

    Nazzareno Galiè

  3. Department of Cardiology, National Hospital Organization Okayama Medical Center, Okayama, Japan

    Hiromi Matsubara

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Fukui, S. et al. (2022). Advanced Noninvasive Imaging to Guide Balloon Pulmonary Angioplasty. In: Saia, F., Galiè, N., Matsubara, H. (eds) Balloon pulmonary angioplasty in patients with CTEPH. Springer, Cham. https://doi.org/10.1007/978-3-030-95997-5_8

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  • DOI: https://doi.org/10.1007/978-3-030-95997-5_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-95996-8

  • Online ISBN: 978-3-030-95997-5

  • eBook Packages: MedicineMedicine (R0)

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