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BackTable / VI / Podcast / Episode #162

Endovascular Management of CTEPH with Balloon Pulmonary Angioplasty (BPA)

with Dr. Behnam Tehrani and Dr. Reha Butros

Interventional Cardiologist Behnam Tehrani and Interventional Radiologist Reha Butros from Inova Health System tell us about their team approach to endovascular treatment of chronic thromboembolic pulmonary hypertension (CTEPH) with Balloon Pulmonary Angioplasty (BPA).

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Endovascular Management of CTEPH with Balloon Pulmonary Angioplasty (BPA) with Dr. Behnam Tehrani and Dr. Reha Butros on the BackTable VI Podcast)
Ep 162 Endovascular Management of CTEPH with Balloon Pulmonary Angioplasty (BPA) with Dr. Behnam Tehrani and Dr. Reha Butros
00:00 / 01:04

BackTable, LLC (Producer). (2021, October 25). Ep. 162 – Endovascular Management of CTEPH with Balloon Pulmonary Angioplasty (BPA) [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. Behnam Tehrani discusses Endovascular Management of CTEPH with Balloon Pulmonary Angioplasty (BPA) on the BackTable 162 Podcast

Dr. Behnam Tehrani

Dr. Behnam Tehrani is a practicing Interventional Cardiologist with Inova Health System in Virginia.

Dr. Reha Butros discusses Endovascular Management of CTEPH with Balloon Pulmonary Angioplasty (BPA) on the BackTable 162 Podcast

Dr. Reha Butros

Dr. Reha Butros is a practicing Interventional Radiologist with Inova Health System in Virginia.

Dr. Michael Barraza discusses Endovascular Management of CTEPH with Balloon Pulmonary Angioplasty (BPA) on the BackTable 162 Podcast

Dr. Michael Barraza

Dr. Michael Barraza is a practicing interventional radiologist (and all around great guy) with Radiology Associates in Baton Rouge, LA.

Synopsis

In this episode, interventional radiologist Dr. Reha Butros, interventional cardiologist Dr. Behnam Tehrani, and our host Dr. Michael Barraza discuss chronic thromboembolic pulmonary hypertension (CTEPH) and medical, endovascular, and surgical treatment options for CTEPH.

CTEPH affects patients of all different ages and medical histories. While it has been associated with prior pulmonary embolism, it can also arise in patients due to blood clotting disorders and infected pacemakers. Both Dr. Butros and Dr. Tehrani stress the importance of collaborating with pulmonary hypertension experts to identify CTEPH patients before right sided heart failure occurs. CTEPH is diagnosed with dual energy CT, which shows perfusion, and right heart catheterization, which measures blood pressure.

The three treatment options discussed are medical management, balloon pulmonary angioplasty (BPA), and pulmonary thromboendarterectomy (PTE). Medical management is discussed as an initial treatment for CTEPH, while PTE can be appropriate for good surgical candidates. Finally, Dr. Butros and Dr. Tehrani present BPA as an appropriate treatment for patients of all ages. BPA over multiple sessions and increasing balloon size has been shown to be effective at promoting pulmonary artery remodeling and dilation. The doctors share their own experiences with learning BPA technique, noting that it has a learning curve, but it is ultimately rewarding when patients’ quality of life is improved.

Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

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Articles

Topics

Balloon Pulmonary Angioplasty (BPA) Procedure Prep
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) Condition Overview
Learn about Interventional Cardiology on BackTable VI
Pulmonary Thromboendarterectomy (PTE) Procedure Prep
Learn about Pulmonology on BackTable VI

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