CTEPH Treatment & Surgery Options
The treatment of choice for chronic thromboembolic (CTEPH) patients is pulmonary thromboendarterectomy, or PTE surgery, a highly specialized surgical procedure that removes chronic blood clots from the arteries in the lung. Because pulmonary thromboendarterectomy1 (PTE) is potentially curative, it is the primary treatment for patients with CTEPH. Every patient diagnosed with CTEPH should be evaluated by an expert CTEPH team, including CTEPH physicians and PTE surgeons, to assess their candidacy for PTE surgery. Learn more about PTE surgery
Some patients with CTEPH are not candidates for PTE for various reasons, however inoperability must be determined by a center with experience and expertise in CTEPH and PTE. Medical therapy should not be used in lieu of a careful evaluation for PTE by an expert center, and is only indicated for patients deemed not to be good candidates for PTE or for patients with residual pulmonary hypertension after PTE. For such patients, medical therapies are indicated. Learn more
If you fall into one of these categories, your PH team will work with you to choose a medication based on your disease severity, side effects and other relevant personal factors. Watch Living Your Best Life with CTEPH: Life After Diagnosis
All CTEPH patients will need to be on a blood thinner, typically warfarin, for the rest of their lives. For patients who have prominent abdominal swelling and swollen legs, diuretics may be beneficial.
Dr. Nicholas Smedira, a cardiothoracic surgeon at Cleveland Clinic’s Department of Thoracic and Cardio-Vascular Surgery spoke with the Caring Voice Coalition in early 2014 about PTE as a treatment for CTEPH. Read what he had to share