pulmonary arterial denervation in patients with pah
DESCRIPTION
Pulmonary arterial denervation in patients with PAH. Shao-Liang Chen, MD, FACC, FSCAI Nanjing First Hospital, Nanjing Medical University, China. Anatomy of pulmonary artery. Segmentation of PA. PAP during occlusion of basal trunk. PAP during occlusion of interlobar. - PowerPoint PPT PresentationTRANSCRIPT
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Pulmonary arterial denervation Pulmonary arterial denervation in in patients with PAHpatients with PAH
Shao-Liang Chen, MD, FACC, FSCAIShao-Liang Chen, MD, FACC, FSCAI
Nanjing First Hospital, Nanjing Medical Nanjing First Hospital, Nanjing Medical University, ChinaUniversity, China
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Anatomy of pulmonary arteryAnatomy of pulmonary artery
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Segmentation of PA
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PAP during occlusion of basal trunk
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PAP during occlusion of interlobar
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Design of ablation levels
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Devices of ablation
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Change of PAP during occlusion of interlobar after PADN
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Sympathetical labeling
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Study flowchart
March 2012~ January 2013
PADN-1 PADN-2
Consecutive Randomized23 PAH 25 CHF pts
21 PAH with 3-m F/U
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Table 1. Baseline characteristics in all patients
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Table 2. Echocardiographic measurements in two groups
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Table 3. Hemodynamic measurements by right heart catheterization
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Table 4. Assessment of functional capacity
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Tips and pitfalls of PADN
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In conclusion
• PADN around the bifurcation level of main pulmonary artery is safe and effective for PAH
• Significant improvement of hemodynamics and functional capacity was monitored after PADN procedure
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Thanks for your attention!