Pulmonary vascular disease & thromboembolism
Angiographic Classification of Total Occlusion and Its Implication on Balloon Pulmonary Angioplasty
Corrected 23 Oct 2026: Measure wording clarified; no values changed.
Authors' conclusion
Occlusion morphology has a significant impact on BPA success and complication rates.
Study context
- Population
- Patients with chronic thromboembolic pulmonary hypertension (CTEPH) undergoing balloon pulmonary angioplasty (BPA) with total occlusion, Fuwai Hospital, Beijing, May 2018–May 202238 occluded lesions in 33 patients
- Participants
- 204 patients
- Exposure
- Pointed-head vs round-head vs orifice total occlusion in BPA
- Outcome
- BPA success by occlusion morphology
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
BPA success rate
Each group vs pointed-headOdds ratio (95% CI)P value
Round-head
24.500 (2.498–240.318), event not clearly stated
P = 0.006Orifice
42.000 (3.034–581.434), event not clearly stated
P = 0.005Observational data: associations, not effects.
Safety
- Complication rate — Orifice
- 50%
- Complication rate — Orifice occlusion had the highest complication rate
- 50%
Original publication
Angiographic Classification of Total Occlusion and Its Implication on Balloon Pulmonary Angioplasty. ESC Heart Fail. Published 21 December 2023. doi:10. 1002/ ehf2. 14609
Composed by AI from the published abstract and checked against it. How Briefs are made →