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
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
Anatomy of pulmonary arteryAnatomy of pulmonary artery
Segmentation of PA
PAP during occlusion of basal trunk
PAP during occlusion of interlobar
Design of ablation levels
Devices of ablation
Change of PAP during occlusion of interlobar after PADN
Sympathetical labeling
Study flowchart
March 2012~ January 2013
PADN-1 PADN-2
Consecutive Randomized23 PAH 25 CHF pts
21 PAH with 3-m F/U
Table 1. Baseline characteristics in all patients
Table 2. Echocardiographic measurements in two groups
Table 3. Hemodynamic measurements by right heart catheterization
Table 4. Assessment of functional capacity
Tips and pitfalls of PADN
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
Thanks for your attention!