RT Journal Article
T1 Selective Segmental Pulmonary Angiography: Anatomical, Technical and Safety Aspects of a Must-Learn Technique in Times of Balloon Pulmonary Angioplasty for Chronic Thromboembolic Pulmonary Hypertension
A1 Velázquez, Maite
A1 Maneiro, Nicolás
A1 Lareo, Ana
A1 Albarrán, Agustín
A1 Huertas, Sergio
A1 Olazábal, Allende P.
A1 Delgado, Juan F.
A1 Alonso Charterina, Sergio
A1 Sarnago, Fernando
A1 García Tejada, Julio
A1 Arribas Ynsaurriaga, Fernando
A1 Escribano Subías, María Pilar
AB With the advent of balloon pulmonary angioplasty (BPA) for non-surgical chronic thromboembolic pulmonary hypertension (CTEPH) patients, there is renewed interest in the pulmonary angiography technique. This technique is still the standard imaging modality to confirm CTEPH, which, in addition, helps to determine the most appropriate treatment. Furthermore, learning this technique fulfills two main purposes: to identify BPA candidates and to provide the operator with the catheter handling needed to perform BPA. Operators interested in performing BPA must learn not only the pulmonary arteries’ anatomy, but also which are the best angiographic projections and the most suitable catheters to canalize and display each segmental branch. Unfortunately, this information is scarce in the literature. With this goal, learning the diagnostic pulmonary angiography technique can be a first step on the way to perform BPA. Although there are descriptions on how to perform a pulmonary angiography with balloon-tipped catheters and the digital subtraction technique, this technique does not provide operators with the catheter knowledge and manual skill needed to cannulate each segmental branch. In contrast, learning the conventional selective segmental pulmonary angiography (SSPA) technique provides the operator with this knowledge and skills. In this review, based on the experience of the authors, we describe the pulmonary arteries’ anatomy and detail the practical aspects of the SSPA procedure, with the aim of providing operators with the anatomical and technical knowledge needed to perform BPA. We also summarize the contemporary complications of SSPA in CTEPH patients at a reference center.
PB MPDI
SN 2077-0383
YR 2021
FD 2021-07-29
LK https://hdl.handle.net/20.500.14352/4788
UL https://hdl.handle.net/20.500.14352/4788
LA eng
NO Velázquez, M., Maneiro, N., Lareo, A. et al. «Selective Segmental Pulmonary Angiography: Anatomical, Technical and Safety Aspects of a Must-Learn Technique in Times of Balloon Pulmonary Angioplasty for Chronic Thromboembolic Pulmonary Hypertension». Journal of Clinical Medicine, vol. 10, n.o 15, julio de 2021, p. 3358. DOI.org (Crossref), https://doi.org/10.3390/jcm10153358.
NO Ministerio de Economía, Comercio y Empresa (España)/Instituto de Salud Carlos III/Fondo Europeo de Desarrollo Regional
DS Docta Complutense
RD 11 abr 2025