Chronic thromboembolic pulmonary hypertension
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients diagnosed as inoperable chronic thromboembolic pulmonary hypertension 1-1 Pulmonary hypertension is confirmed with right heart catheterization (mean pulmonary arterial pressure is equal to or higher than 25 mmHg and pulmonary artery wedge pressure is equal to or less than 15 mmHg at rest). 1-2 Peripheral thrombus is confirmed in pulmonary artery in contrast CT or pulmonary angiography. 1-3 Segmental blood perfusion defect is comfirmed by ventilation-perfusion scintigraphy. 1-4 Inoperable judgement is performed by a surgeon with experience for pulmonary endarterectomy. 2. Patients with WHO functional class 2, 3 and 4 3. Patients who understand study details with written consents.
Exclusion criteria
Exclusion criteria: 1. Pregnancy 2. History of allergic reaction to contrast medium 3. Cardiogenic shock 4. Severe liver dysfunction (Child-Pugh score C) 5. Renal dysfunction (serum creatinine levels is greater than or equal to 2.0 mg/dL) 6. Patients whose disadvantage in cardiopulmonary exercise test (CPX) is greater than benefits among one with relative conraindications for CPX 7. Contraindications for CPX 8. Patients who cannot keep supine position 9. Left heart failure 10. Patients who have received balloon pulmonary angioplasty (BPA) at the point of entry
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Exercise capacity by cardiopulmonary exercise test | — |
Secondary
| Measure | Time frame |
|---|---|
| vascular endothelial function, sympton, hemodynamics by right heart catheterization, biomarkers by laboratory test | — |
Countries
Japan
Contacts
Nagoya University Graduate School of Medicine Advanced Medicine in Cardiopulmonary disease