14,801 results match your criteria Pulmonary Artery Catheterization


Echocardiographic Evaluation of Initial Ambrisentan Plus Phosphodiesterase Type 5 Inhibitor on Right Ventricular Pulmonary Artery Coupling in Severe Pulmonary Arterial Hypertension Patients.

Front Cardiovasc Med 2022 3;9:843606. Epub 2022 May 3.

Department of Ultrasound, First Affiliated Hospital of Guangxi Medical University, Nanning, China.

Introduction: ambrisentan and phosphodiesterase type 5 inhibitor (PDE5i) have been approved for treating patients with pulmonary arterial hypertension (PAH). Echocardiographic right ventricular pulmonary artery coupling (RVPAC) has been shown to be a valid non-invasive and alternative measurement method to assess the predicted outcomes in PAH patients. The aim of this study was to study the effect and clinical correlates of initial ambrisentan plus PDE5i combination therapy on RVPAC in patients with severe PAH. Read More

View Article and Full-Text PDF

Non-surgical treatment of Lutembacher syndrome: combined percutaneous transcatheter therapy.

BMJ Case Rep 2022 May 18;15(5). Epub 2022 May 18.

Periodontology, AB Shetty Memorial Institute of Dental Sciences, Mangalore, Karnataka, India.

A woman in her 30s presented with progressive worsening of dyspnoea for 6 months. On evaluation, she was diagnosed with severe rheumatic mitral stenosis (mitral valve area of 0.6 cm) and a large ostium secundum atrial septal defect (21 mm) with a left to right shunt and severe pulmonary artery hypertension. Read More

View Article and Full-Text PDF

Early reduction of pulmonary arterial hypertension in patients using a long-term mechanical ventricular assistance device: a cross-sectional study.

Sao Paulo Med J 2022 May-Jun;140(3):505-508

MD, PhD. Attending Physician, Instituto do Coração, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP), Brazil; and Attending Physician, Hospital Sírio-Libânes (HSL), São Paulo (SP), Brazil.

Background: Severe pulmonary arterial hypertension (PAH) is a contraindication for heart transplantation (HT). It has been correlated with increased early and late mortality, mainly associated with right ventricular failure. Ventricular assistance devices (VADs) can promote reduction of intracardiac pressures and consequent reduction of PAH over the medium and long terms, thus enabling future candidature for HT. Read More

View Article and Full-Text PDF

The accuracy and influencing factors of Doppler echocardiography in estimating pulmonary artery systolic pressure: comparison with right heart catheterization: a retrospective cross-sectional study.

BMC Med Imaging 2022 May 16;22(1):91. Epub 2022 May 16.

Department of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing, 100029, China.

Background: Noninvasive assessment of pulmonary artery systolic pressure by Doppler echocardiography (sPAP) has been widely adopted to screen for pulmonary hypertension (PH), but there is still a high proportion of overestimation or underestimation of sPAP. We therefore aimed to explore the accuracy and influencing factors of sPAP with right heart catheterization (RHC) as a reference.

Methods: A total of 218 highly suspected PH patients who underwent RHC and echocardiography within 7 days were included. Read More

View Article and Full-Text PDF

Hemodynamic effects of balloon pulmonary angioplasty for the treatment of total and subtotal pulmonary artery occlusions in inoperable chronic thromboembolic pulmonary hypertension.

Int J Cardiol 2022 May 13. Epub 2022 May 13.

Pulmonary Circulation Centre, Jagiellonian University Medical College, Department of Cardiac and Vascular Diseases, John Paul II Hospital in Krakow, Poland,. Electronic address:

Background: Balloon pulmonary angioplasty (BPA) has become a therapeutic option for inoperable chronic thromboembolic pulmonary hypertension (CTEPH). Despite significant improvement in the technique, treatment of subtotal (STO) and total (TO) pulmonary artery occlusions with BPA may pose risk, but the efficacy is less known. Aim We aimed to evaluate the safety and efficacy of BPA in STO/TO. Read More

View Article and Full-Text PDF

Tricuspid Annular Plane Systolic Excursion (TAPSE) correlates with mean pulmonary artery pressure especially 10 years after pediatric heart transplantation.

Clin Transplant 2022 May 16:e14710. Epub 2022 May 16.

Department of Pediatric Cardiology and intensive care medicine, Ludwig- Maximilians-University of Munich, Germany.

Tricuspid annular plane systolic excursion (TAPSE) is important in the noninvasive echocardiographic assessment of right heart function. This retrospective observational study shows correlations of TAPSE with invasive right heart catheterization parameters after pediatric heart transplantation (HTx). The study included patients after pediatric HTx with cardiac catheterizations in 2018/2019 and measurement of TAPSE (n = 52 patients with 57 examinations; 50. Read More

View Article and Full-Text PDF

Endovascular Repair of an Iatrogenic Pulmonary Artery Pseudoaneurysm.

JACC Case Rep 2022 May 4;4(9):564-566. Epub 2022 May 4.

Inova Health Systems Heart and Vascular Institute, Fairfax Hospital, Fairfax, Virginia, USA.

Pulmonary pseudoaneurysms have various causes and typically arise from the main pulmonary artery. Surgical and endovascular options may be considered for treatment. We report the case of a man with a pseudoaneurysm arising from the right pulmonary artery, treated with a septal occlusion device and percutaneous thrombin injection. Read More

View Article and Full-Text PDF

Anesthetic management of heart and lung transplantation: analysis of 14 cases in a single center.

J Thorac Dis 2022 Apr;14(4):1099-1105

Department of Cardiac Surgery, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.

Background: Aggressive management of heart and lung transplant (HLTx) requires a team of specialists with dedicated expert to improve long-term outcomes. This study aimed to summarize practical experiences of anesthetic management in HLTx operations.

Methods: This study retrospectively analyzed the anesthesia-related clinical records of 14 cases of HLTx performed from September 2015 to October 2019. Read More

View Article and Full-Text PDF

Phenotyping exercise limitation of patients with Interstitial Fibrosing Lung Disease: the importance of exercise hemodynamics.

Pulmonology 2022 May 11. Epub 2022 May 11.

University Department of Respiratory Medicine, General Hospital of Thessaloniki "G. Papanikolaou", Aristotle University of Thessaloniki, Thessaloniki, Greece.

Introduction And Objective: Left-heart dysfunction and pulmonary vasculopathy are increasingly recognized as contributing factors of exercise capacity limitation in interstitial fibrosing lung disease (IFLD). Moreover, the clinical significance of exercise pulmonary hypertension (ePH) in pulmonary and cardiac diseases has been documented, representing a risk factor for decreased exercise capacity and survival, progression to resting pulmonary hypertension (PH) and overall clinical worsening. We conducted a prospective study aiming at: (a) assessing the prevalence of PH and ePH in a cohort of 40 functionally limited patients with IFLD, (b) determining the post-capillary (postC) or pre-capillary (preC) etiology of either PH or ePH in this cohort, and (c) examining the correlations between invasively and non-invasively measured exercise variables among hemodynamic groups. Read More

View Article and Full-Text PDF

Usefulness of transpedal intervention for inferior epigastric artery bleeding following catheter ablation: a case report.

Eur Heart J Case Rep 2022 May 26;6(5):ytac181. Epub 2022 Apr 26.

Department of Cardiology, Higashi Takarazuka Satoh Hospital, Takarazuka, Japan.

Background: Cardiovascular interventions may result in access-site complication, including inferior epigastric artery (IEA) bleeding. The IEA injury is generally treated through surgery and transcatheter embolization; however, additional complications should be avoided in the bailout procedure. Here, we present a case of catheter ablation complicated by IEA haemorrhage that we managed by transcatheter embolization using a transpedal intervention (TPI). Read More

View Article and Full-Text PDF

Systemic arterial pulsatility index (SAPi) predicts adverse outcomes in advanced heart failure patients.

Heart Vessels 2022 May 10. Epub 2022 May 10.

Division of Cardiovascular Medicine, University of Virginia Health System, 1215 Lee St., PO Box 800158, Charlottesville, VA, 22908-0158, USA.

Ventriculo-arterial (VA) coupling has been shown to have physiologic importance in heart failure (HF). We hypothesized that the systemic arterial pulsatility index (SAPi), a measure that integrates pulse pressure and a proxy for left ventricular end-diastolic pressure, would be associated with adverse outcomes in advanced HF. We evaluated the SAPi ([systemic systolic blood pressure-systemic diastolic blood pressure]/pulmonary artery wedge pressure) obtained from the final hemodynamic measurement in patients randomized to therapy guided by a pulmonary arterial catheter (PAC) and with complete data in the Evaluation Study of Congestive Heart Failure and Pulmonary Artery Catheterization Effectiveness (ESCAPE) trial. Read More

View Article and Full-Text PDF

Percutaneous treatment of anomalous systemic artery to pulmonary venous fistulas in children: Description of three cases and review of the literature.

Ann Pediatr Cardiol 2021 Oct-Dec;14(4):536-540. Epub 2022 Mar 25.

Division of Pediatric Cardiology, City of Health and Science Hospital, Turin, Italy.

In the normal lung, the only communications between the systemic and pulmonary arterial systems are the connections between the bronchial and pulmonary arteries that occur at the respiratory bronchioles, where pulmonary and bronchial capillaries freely anastomose. Rarely, anomalous connections can occur between normal or aberrant systemic arteries and pulmonary vessels. We performed a comprehensive literature review of all available manuscripts on PubMed and Google Scholar that included a case report or case series with diagnosis of systemic artery to pulmonary venous fistulas who underwent percutaneous treatment. Read More

View Article and Full-Text PDF

Unusual case of isolated major aortopulmonary collateral artery perfusing entire functional left lower lobe of the lung.

Ann Pediatr Cardiol 2021 Oct-Dec;14(4):547-549. Epub 2022 Mar 25.

Department of Pediatric Cardiothoracic Surgery, Cohen Children's Medical Center, Zucker School of Medicine, Hofstra University, New York City, New York.

Pulmonary sequestrations are nonfunctioning pulmonary parenchyma supplied by a systemic artery. We describe an 18-month-old baby girl with no significant past medical history who was found to have a large isolated collateral from the aorta entirely perfusing the functional left lower lobe. Cardiac catheterization confirmed the major aortopulmonary collateral artery supplying the left lower lobe with normal drainage into the left atrium. Read More

View Article and Full-Text PDF

Response to acute vasodilator challenge and haemodynamic modifications after MitraClip in patients with functional mitral regurgitation and pulmonary hypertension.

Eur Heart J Acute Cardiovasc Care 2022 May 7. Epub 2022 May 7.

Division of Cardiology, Fondazione IRCCS Policlinico San Matteo, Piazzale Golgi 1, 27100 Pavia, Italy.

The effectiveness of transcatheter edge-to-edge repair (TEER) in patients with functional mitral regurgitation (FMR) and pulmonary hypertension (PH) is still debated and pre-procedural predictors of haemodynamic improvement after TEER in this setting are currently unknown. We investigated whether normalization of pulmonary artery wedge pressure (PAWP) in response to sodium nitroprusside (SNP) during baseline right heart catheterization might be predictive of a favourable haemodynamic response to MitraClip in patients with FMR and PH. Among 22 patients enrolled, 13 had a positive response to SNP (responders), nine were non-responders. Read More

View Article and Full-Text PDF

Inhaled iloprost induces long-term beneficial hemodynamic changes in patients with pulmonary arterial hypertension receiving combination therapy.

Pulm Circ 2022 Apr 14;12(2):e12074. Epub 2022 Apr 14.

Department of Cardiology Nagoya University Graduate School of Medicine Nagoya Japan.

Inhaled iloprost is an established treatment for pulmonary arterial hypertension (PAH). However, the long-term hemodynamic changes that inhaled iloprost induces are unclear. Here, we retrospectively enrolled 18 patients with PAH who received inhaled iloprost as add-on to oral combination therapy from December 2016 to January 2021 at our institute in Japan. Read More

View Article and Full-Text PDF

Coronary Artery Compression in Percutaneous Pulmonary Valve Implantation: Go the Distance.

JACC Cardiovasc Interv 2022 May;15(9):989-991

Department of Cardiology, Heart Center Leipzig at University of Leipzig and Leipzig Heart Institute, Leipzig, Germany.

View Article and Full-Text PDF

Cardiac Magnetic Resonance to Predict Coronary Artery Compression in Transcatheter Pulmonary Valve Implantation Into Conduits.

JACC Cardiovasc Interv 2022 May;15(9):979-988

Division of Cardiology, Department of Pediatrics, C.S. Mott Children's Hospital and University of Michigan Congenital Heart Center, Ann Arbor, Michigan, USA.

Objectives: The aim of this study was to evaluate the accuracy of cardiac magnetic resonance (CMR) in predicting coronary artery (CA) compression during transcatheter pulmonary valve implantation (TPVi).

Background: TPVi is a widely available option to treat dysfunctional right ventricle (RV)-to-pulmonary artery (PA) conduits, but CA compression is an absolute contraindication. CMR can evaluate coronary anatomy, but its utility in predicting CA compression is not well established. Read More

View Article and Full-Text PDF

Comparison of non-invasive assessment for pulmonary vascular indices by two-dimensional echocardiography and cardiac computed tomography angiography with conventional catheter angiocardiography in unrepaired Tetralogy of Fallot physiology patients weighing more than 10 kg: a retrospective analysis.

Eur Heart J Cardiovasc Imaging 2022 May 3. Epub 2022 May 3.

Department of Cardiology, Sanjay Gandhi postgraduate institute of medical sciences (SGPGIMS), Lucknow, Uttar Pradesh, India.

Aims: Assessment of pulmonary vascular dimensions (PVDs) in Tetralogy of Fallot (TOF) is an integral part of planning transcatheter and surgical interventions. We sought to examine the reliability and correlation of echocardiography (ECHO) and computed tomography angiography (CTA) measurements with those obtained by cardiac catheterization and angiography (CCA).

Methods And Results: Tetralogy of Fallot physiology patients undergoing ECHO, CTA, and CCA within a month prior to surgical correction during 2018-2020 were retrospectively enrolled. Read More

View Article and Full-Text PDF

Clinical insights into pulmonary hypertension in chronic obstructive pulmonary disease.

Pulm Circ 2022 Jan 3;12(1):e12006. Epub 2022 Jan 3.

Department of Internal Medicine Vanderbilt University Medical Center Nashville Tennessee USA.

Pulmonary hypertension (PH) is a common complication of chronic obstructive pulmonary disease (COPD). Little is known about the prevalence and clinical profiles of patients with COPD-PH. We report the clinical characteristics, hemodynamic profiles, and prognosis in a large population of patients with COPD referred for right heart catheterization (RHC). Read More

View Article and Full-Text PDF
January 2022

Simultaneous Real-Time Intravascular Ultrasound-Guided Transcatheter Pulmonary Embolectomy Improves Procedural Accuracy, Efficacy, and Safety.

JACC Case Rep 2022 Mar 16;4(6):348-353. Epub 2022 Mar 16.

Division of Cardiothoracic Surgery, Westchester Medical Center and New York Medical College, Valhalla, New York, USA.

Percutaneous catheter-directed interventions for pulmonary embolism is a rapidly evolving field. We present the first case report of simultaneous intravascular ultrasound (IVUS) use during transcatheter pulmonary embolectomy. Real-time IVUS guidance offers the advantage of better clot visualization and precise suction catheter localization while minimizing contrast medium exposure and wire exchanges. Read More

View Article and Full-Text PDF

Left Brachiocephalic Perforation During Right Heart Catheterization.

JACC Case Rep 2022 Apr 20;4(8):497-500. Epub 2022 Apr 20.

Division of Pulmonary, Critical Care and Sleep Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.

Right heart catheterization is overall considered a safe procedure, although complications can arise from venous access injuries, arrhythmias, vasovagal episodes, and pulmonary artery rupture. We present a case of left brachiocephalic vein perforation during a diagnostic right heart catheterization, which was managed conservatively. (). Read More

View Article and Full-Text PDF

Perioperative Use of Pituitrin after Cardiac Defect Repair in Adult Patients with Severe Pulmonary Hypertension.

Heart Surg Forum 2022 Apr 21;25(2):E277-E283. Epub 2022 Apr 21.

Adult Cardiac Surgery Center, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Background: Vasopressin can constrict peripheral arteries without constricting the pulmonary artery. Theoretically, vasopressin is suitable for the perioperative treatment of pulmonary hypertension. Few studies have investigated the use of pituitrin (a substitute for vasopressin) after cardiac defect repair surgery. Read More

View Article and Full-Text PDF

Neonatal Myocardial Infarction: A Proposed Algorithm for Coronary Arterial Thrombus Management.

Circ Cardiovasc Interv 2022 May 29;15(5):e011664. Epub 2022 Apr 29.

Division of Pediatric Cardiology (H. El-Sabrout, P.G., K.R., G.V., J.P., S.H., H. El-Said), Rady Children's Hospital/University of California, San Diego.

Background: Neonatal myocardial infarction is rare and is associated with a high mortality of 40% to 50%. We report our experience with neonatal myocardial infarction, including presentation, management, outcomes, and our current patient management algorithm.

Methods: We reviewed all infants admitted with a diagnosis of coronary artery thrombosis, coronary ischemia, or myocardial infarction between January 2015 and May 2021. Read More

View Article and Full-Text PDF

The diagnostic performance of CT pulmonary angiography in the detection of chronic thromboembolic pulmonary hypertension-systematic review and meta-analysis.

Eur Radiol 2022 Apr 28. Epub 2022 Apr 28.

Department of Radiology, First Faculty of Medicine, Charles University and General University Hospital in Prague, U Nemocnice 2, 128 08, Prague 2, Czech Republic.

Objectives: To examine the diagnostic performance of CT of the pulmonary artery (CTPA) as a potential first-choice imaging modality in patients with pulmonary arterial hypertension and suspected chronic thromboembolic pulmonary hypertension (CTEPH).

Methods: A systematic review and meta-analysis were conducted in accordance with the PRISMA reporting checklist. Six scientific databases and registers (PubMed, EMBASE, Scopus, Web of Science, Cochrane, ClinicalTrials. Read More

View Article and Full-Text PDF

Heterogeneity of Lung Density in Patients With Chronic Thromboembolic Pulmonary Hypertension (CTEPH).

Acad Radiol 2022 Apr 21. Epub 2022 Apr 21.

Department of Radiology (A.N.), Chiba University Hospital, Chiba, Japan; Department of Respirology (N.K., A.S., T.S., K.T., T.S.), Chiba University Graduate School of Medicine, Chiba, Japan; Department of Diagnostic Radiology and Radiation Oncology (H.Y., T.U.), Chiba University Graduate School of Medicine, Chiba, Japan; Department of Frontier Surgery (K.H.), Chiba University Graduate School of Medicine, Chiba, Japan; Department of Radiology (S.M.), St. Marianna University School of Medicine, Kanagawa, Japan; Department of Respirology (N.T.), Chibaken Saiseikai Narashino Hospital, Chiba, Japan; Department of Cardiovascular Surgery (K.I.), Chiba University Graduate School of Medicine, Chiba, Japan; Department of Cardiovascular Surgery (K.I.), Eastern Chiba Medical Center, Togane, Japan.

Rationale And Objectives: Pulmonary endarterectomy (PEA) is one of the most effective treatments for chronic thromboembolic pulmonary hypertension (CTEPH). Right heart catheterization (RHC) is the gold standard assessment for pulmonary circulatory dynamics. However, computed tomography (CT) is less invasive than RHC and can elucidate some of the morphological changes caused by thromboembolism. Read More

View Article and Full-Text PDF

Severe Aortic Valve Stenosis and Pulmonary Hypertension: A Systematic Review of Non-Invasive Ways of Risk Stratification, Especially in Patients Undergoing Transcatheter Aortic Valve Replacement.

J Pers Med 2022 Apr 8;12(4). Epub 2022 Apr 8.

Department of Internal Medicine II, Division of Cardiology, Paracelsus Medical University of Salzburg, 5020 Salzburg, Austria.

Patients with severe aortic valve stenosis and concomitant pulmonary hypertension show a significantly reduced survival prognosis. Right heart catheterization as a preoperative diagnostic tool to determine pulmonary hypertension has been largely abandoned in recent years in favor of echocardiographic criteria. Clinically, determination of echocardiographically estimated systolic pulmonary artery pressure falls far short of invasive right heart catheterization data in terms of accuracy. Read More

View Article and Full-Text PDF

Accuracy of echocardiographic estimations of right heart pressures in adult heart transplant recipients.

Clin Cardiol 2022 Apr 22. Epub 2022 Apr 22.

Cardiovascular Imaging and Hemodynamic Laboratory, Tufts Medical Center, Boston, Massachusetts, USA.

Background: Accurate assessment of right atrial pressure (RAP) and pulmonary artery systolic pressure (PASP) is critical in the management of heart transplant recipients. The accuracy of echocardiography in estimating these pressures has been debated.

Objective: To assess the correlation and agreement between echocardiographic estimations of right heart pressures with those of respective invasive hemodynamic measurements by right heart catheterization (RHC) in adult heart transplant recipients. Read More

View Article and Full-Text PDF

Routine Coronary Angiography is Still the Key Test for Patients Eligible for Lung Transplantation Also for Those With No Symptoms and With High Risk of Coronary Artery Disease.

Transplant Proc 2022 Apr 18. Epub 2022 Apr 18.

Department of Cardiac Surgery and Vascular Surgery, Medical University of Gdansk, Gdańsk, Poland; Department of Histology, Institute of Medical Sciences, University of Opole, Opole, Poland. Electronic address:

Background: Coronary artery disease (CAD) has a considerable morbidity and mortality effect on the outcomes of a lung transplant. Currently, coronary angiography is performed as part of the pretransplant evaluation process. Unfortunately, there are no clear guidelines about performing cardiac angiography in lung transplant candidates. Read More

View Article and Full-Text PDF

Ramping Up the Pressure on the Right Ventricle.

Circ Heart Fail 2022 Apr 21:101161CIRCHEARTFAILURE122009671. Epub 2022 Apr 21.

Division of Cardiology, Mount Sinai Hospital, Toronto, ON, Canada (S.L.S., S.M.).

View Article and Full-Text PDF

Prognostic implication of pulmonary artery pulsatility index before transcatheter aortic valve replacement.

Cardiovasc Diagn Ther 2022 Apr;12(2):188-195

The Second Department of Internal Medicine, University of Toyama, Toyama, Japan.

Background: Pulmonary artery pulsatility index (PAPI) is a recently proposed hemodynamic index that is associated with right ventricular function independently on volume status. However, its clinical implication in patients receiving transcatheter aortic valve replacement (TAVR) remains uninvestigated. Baseline PAPI might be a promising index that stratify patients' clinical outcomes following TAVR. Read More

View Article and Full-Text PDF