Preoperative CT scanning in chronic thromboembolic pulmonary hypertension
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Chronic thromboembolic pulmonary hypertension (CTEPH) occurs in around 4% of patients with pulmonary embolism and carries a poor prognosis. The problem is commonly treated with pulmonary thromboendarterectomy (PTE), which usually provides a permanent cure. Approximately 10% of patients die following this procedure, however, and at least as many show persistent pulmonary hypertension. Careful preoperative evaluation of CTEPH is essential, therefore, and pulmonary angiography is considered the most appropriate method of selecting patients for surgery. In an effort to find a less-invasive means of assessing these patients, a team from Germany have asked whether CT-scan findings can predict operability and surgical success.
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