BPA may be considered in people with symptomatic CTEPH who are not suitable for surgery. PTE is an established treatment for CTEPH but is only performed at a few specialist centres, requires surgical competence and intermittent total circulatory arrest under deep hypothermia. However, co-existing illnesses and inaccessible clots may contraindicate performing the operation. Up to 40% of those diagnosed with CTEPH are considered ineligible for surgery. Selection criteria may vary between centres.
Balloon pulmonary angioplasty
Pulmonary tractotomy
Percutaneous pulmonary valve implantation
Bronchial artery embolization
Pulmonary artery banding
Targeted lung denervation
Pulmonary thromboendarterectomy
Arteriotomy