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Updates in the diagnosis and management of chronic thromboembolic disease

Alisha Kabadi1, Kim Kerr, Timothy M Fernandes

  • 1Division of Pulmonary, Critical Care and Sleep Medicine, University of California, San Diego, California, USA.

Current Opinion in Pulmonary Medicine
|July 18, 2023
PubMed

Insights

Chronic thromboembolic disease (CTED) management is individualized. Early referral to specialized centers is recommended to determine the best treatment, whether watchful waiting, balloon pulmonary angioplasty (BPA), or pulmonary thromboendarterectomy.

Area of Science:

  • Pulmonary Medicine
  • Cardiology
  • Vascular Surgery

Background:

  • Chronic thromboembolic disease (CTED) is distinct from chronic thromboembolic pulmonary hypertension (CTEPH).
  • CTED is characterized by exertional dyspnea post-pulmonary embolism with residual perfusion defects but no resting pulmonary hypertension.

Conclusions:

  • CTED management is individualized, based on patient symptoms and exercise capacity.
  • Early referral to specialized CTEPH centers is crucial for optimal CTED management.
  • Further research is needed to establish long-term outcomes and compare treatment modalities for CTED.
Abstract

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