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Updated: Apr 6, 2026

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Published on: August 26, 2025
Advances in the management of chronic thromboembolic pulmonary hypertension
Demosthenes G Papamatheakis1, Nick H Kim
1Division of Pulmonary and Critical Care Medicine, University of California San Diego, 9300 Campus Point Dr. MC 7381, La Jolla, CA, 92037, USA.
Insights
Recent advances offer new hope for chronic thromboembolic pulmonary hypertension (CTEPH). New treatments and diagnostic tools are improving outcomes for both operable and inoperable cases of this curable lung disease.
Area of Science:
- Cardiology
- Pulmonary Medicine
- Medical Imaging
Background:
- Chronic thromboembolic pulmonary hypertension (CTEPH) is a significant cause of pulmonary hypertension.
- Pulmonary thromboendarterectomy offers a potential cure for CTEPH.
- Advances in diagnosis and treatment are crucial for managing CTEPH.
Purpose of the Study:
- To summarize recent medical advances in the diagnosis and treatment of CTEPH.
- To review the current literature on novel therapeutic options for CTEPH.
- To highlight new developments for both operable and inoperable CTEPH cases.
Main Methods:
- Review of recent literature on CTEPH.
- Analysis of new imaging modalities for CTEPH diagnosis.
- Evaluation of emerging treatment options for CTEPH.
Main Results:
- New imaging techniques improve CTEPH recognition and diagnosis.
- Novel medical therapy approved for inoperable or persistent/recurrent CTEPH.
- Percutaneous balloon angioplasty offers a new interventional option for pulmonary arteries.
Conclusions:
- Significant progress has been made in managing CTEPH.
- Expanded treatment options improve care for a wider range of CTEPH patients.
- Continued research is vital for further optimizing CTEPH management.
Abstract:
Chronic thromboembolic pulmonary hypertension (CTEPH), a potentially curable form of pulmonary hypertension with pulmonary thromboendarterectomy surgery, has been the focus of significant medical advances. In addition to new imaging modalities that are now used to help recognize and diagnose CTEPH, additional treatment options have emerged for inoperable cases. These include a newly approved medical therapy for inoperable disease or persistent/recurrent CTEPH as well as percutaneous balloon angioplasty of the pulmonary arteries. In this article, we summarize these recent advances in the field and review the related literature.
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