The Pulmonary Thromboendarterectomy Increases Gradually All Over the World; Review

Mehmet YANARTAŞ; Rezzan DENİZ ACAR; Bedrettin YILDIZELİ

Journals / Koşuyolu Heart Journal / 2016 / Cilt: 19 - Sayı: 3

The Pulmonary Thromboendarterectomy Increases Gradually All Over the World; Review

Pulmoner Tromboendarterektomi Tüm Dünyada Giderek Yaygınlaşmaktadır; Derleme

Mehmet YANARTAŞ

Rezzan DENİZ ACAR

Bedrettin YILDIZELİ

Journal: Koşuyolu Heart Journal
Issue: 2016 · Cilt: 19 - Sayı: 3
Pages: 184–190
Publication Date: 2016-12-01
DOI: —

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AI Summary & Key Takeaways

AI Insight

⚡ TL;DR(Too Long; Didn't Read)

Nowadays, this operation is offered to those patients who were considered to be inoperable in the past.

📌 3 Key Takeaways

🎯

Objective & Hypothesis: Pulmonary endarterectomy (PTE) is a complex surgical procedure that provides functional and haemodynamic improvement in patients with chronic thromboembolic pulmonary hypertension.

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Key Findings & Data:The use of PTE procedures is increasing all over the world and by getting a high level of surgical expertise; therefore, mortality rates are gradually decreasing day by day.

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Conclusion & Impact:Nowadays, this operation is offered to those patients who were considered to be inoperable in the past.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Pulmoner tromboendarterektomi · kronik tromboembolik pulmoner hipertansiyon · Pulmonary thromboendarterectomy

Abstract

Pulmonary endarterectomy (PTE) is a complex surgical procedure that provides functional and haemodynamic improvement in patients with chronic thromboembolic pulmonary hypertension. The use of PTE procedures is increasing all over the world and by getting a high level of surgical expertise; therefore, mortality rates are gradually decreasing day by day. Initially, operative mortality rates were high with a range of approximately 4%-24%. These rates have substantially decreased all over the world. PTE is a surgical technique that aims to remove unresolved thromboembolic material that obstructs the pulmonary arteries. Significant and persistent decreases in pulmonary artery pressures and pulmonary vascular resistance are observed in patients with chronic thromboembolic pulmonary hypertension after the surgery. Nowadays, this operation is offered to those patients who were considered to be inoperable in the past.

Özet

Pulmoner tromboendarterektomi (PTE) kronik tromboembolik pulmoner hipertansiyonda hemodinamik ve fonksiyonel iyileşmeyi sağlayan karmaşık bir cerrahi işlemdir. PTE işlemi uygulaması tüm dünyada giderek yaygınlaşmakta ve cerrahi deneyim arttıkça ölüm oranları her geçen gün giderek azalmaktadır. Başlangıçta %4 -24 gibi yüksek değerlerde olan cerrahi ölüm oranları tüm dünyada önemli oranda düşmüştür. PTE pulmoner arterleri tıkayan ve erimemiş olan trombotik tıkacı çıkarmayı amaçlayan cerrahi bir tekniktir. Kronik tromboemboliye bağlı pulmoner hipertansiyon olgularında PTE işlemi sonrası pulmoner arter basıncı ve pulmoner vasküler dirençte önemli ve sürekli değişiklikler gözlenmektedir. Son günlerde, daha önceden cerrahi işlem için uygun olmadığı düşünülen bazı olgulara bile artık PTE önerilmektedir.

Keywords

Pulmoner tromboendarterektomi kronik tromboembolik pulmoner hipertansiyon Pulmonary thromboendarterectomy chronic thromboembolic pulmonary hypertension

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Cite This Article

YANARTAŞ, M., ACAR, R. D., YILDIZELİ, B. (2016). The Pulmonary Thromboendarterectomy Increases Gradually All Over the World; Review. Koşuyolu Heart Journal, Cilt: 19 - Sayı: 3, 184–190. https://ajindex.com/articles/101222

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References (13)

Stein PD, Kayali F, Olson RE. Estimated case fatality rate of pulmonary embolism, 1979 to 1998. Am J Cardiol 2004;93:1197-9
Korkmaz A, Ozlu T, Ozsu S, Kazaz Z, Bulbul Y. Long-term outcomes in acute pulmonary thromboembolism: the incidence of chronic thromboembolic pulmonary hypertension and associated risk factors. Clin Appl Thromb Hemost 2012;18:281-8. doi: 10.1177/1076029611431956
Ribeiro A, Lindmarker P, Johnsson H, Juhlin-Dannfelt A, Jorfeldt L. Pulmonary embolism: one-year follow-up with echocardiography doppler and five-year survival analysis. Circulation 1999;99:1325-30
Nijkeuter M, Hovens MM, Davidson BL, Huisman MV. Resolution of thromboemboli in patients with acute pulmonary embolism: a systematic review. Chest 2006;129:192-7
Mo M, Kapelanski DP, Mitruka SN, Auger WR, Fedullo PF, Channick RN, et al. Reoperative pulmonary thromboendarterectomy. Ann Thorac Surg 1999;68:1770-6
Hirsch AM, Moser KM, Auger WR, Channick RN, Fedullo PF. Unilateral pulmonary artery thrombotic occlusion: is distal arteriopathy a consequence? Am J Respir Crit Care Med 1996;154:491-6
Presti B, Berthrong M, Sherwin RM. Chronic thrombosis of major pulmonary arteries. Hum Pathol 1990;21:601-6
Yao W, Firth AL, Sacks RS, Ogawa A, Auger WR, Fedullo PF, et al. Identification of putative endothelial progenitor cells (CD34+CD133+Flk-1+) in endarterectomized tissue of patients with chronic thromboembolic pulmonary hypertension. Am J Physiol Lung Cell Mol Physiol 2009;296:L870-L878
Galie` N, Kim NH. Pulmonary microvascular disease in chronic thromboembolic pulmonary hypertension. Proc Am Thorac Soc 2006;3: 571-6
Thistlethwaite PA, Mo M, Madani MM, Deutsch R, Blanchard D, Kapelanski DP, et al. Operative classification of thromboembolic disease determines outcome after pulmonary endarterectomy. J Thorac Cardiovasc Surg 2002;124:1203-11
Doyle RL, McCrory D, Channick RN, Simonneau G, Conte J; American College of Chest Physicians. Surgical treatments/interventions for pulmonary arterial hypertension: ACCP evidence-based clinical practice guidelines. Chest 2004;126(Suppl 1):S63-S71
Pepke-Zaba J, Delcroix M, Lang I, Mayer E, Jansa P, Ambroz D, et al. Chronic thromboembolic pulmonary hypertension (CTEPH): results from an international prospective registry. Circulation 2011;124:1973-81
Vuylsteke A, Sharples L, Charman G, Kneeshaw J, Tsui S, Dunning J, et al. Circulatory arrest versus cerebral perfusion during pulmonary endarterectomy surger