The evolving role of interventional cardiology in the treatment of pulmonary hypertension

Research output: Contribution to journalArticlepeer-review

Abstract

Pulmonary hypertension (PH) is a heterogeneous group of diseases defined by a mean pulmonary arterial pressure greater than 20 mmHg. Clinically, PH is classified into five groups and the group of PH generally defines the cause of PH and the therapeutic options. Currently, medical therapies that target the prostacyclin, endothelin, and nitric oxide pathways are used in pulmonary arterial hypertension and chronic thromboembolic PH (CTEPH) patients. Moreover, surgery can improve outcomes in PH as pulmonary thromboendarterectomy can be curative for CTEPH and lung transplantation is used for end-stage PH. Despite these diverse treatment options, PH patients continue to have high symptom burden and poor long-term outcomes. However, advances in percutaneous technology are opening new avenues for the management of PH. In this review, we discuss the available data supporting the use of four interventional procedures: balloon atrial septostomy, transcatheter Potts shunt, balloon pulmonary angioplasty, and pulmonary artery denervation for the treatment of PH. These procedures provide hemodynamic and functional improvements in PH patients, but they come with their own unique risk profiles. Hopefully, these procedures will continue to be refined and thereby provide a venue for interventional cardiology to safely and effectively improve outcomes for PH moving forward.

Original languageEnglish (US)
Pages (from-to)E446-E453
JournalCatheterization and Cardiovascular Interventions
Volume97
Issue number4
DOIs
StatePublished - Mar 2021

Bibliographical note

Funding Information:
K. W. P. is funded by NIH K08 HL140100, the Cardiovascular Medical Research and Education Fund, a Lillehei Heart Institution Cardiovascular Seed Grant, and the Jenesis Award from United Therapeutics Corporation.

Publisher Copyright:
© 2020 Wiley Periodicals LLC

Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.

Keywords

  • balloon angioplasty
  • pulmonary hypertension
  • sympathetic denervation

PubMed: MeSH publication types

  • Journal Article

Fingerprint Dive into the research topics of 'The evolving role of interventional cardiology in the treatment of pulmonary hypertension'. Together they form a unique fingerprint.

Cite this