Evidence map›Paper›PMID 39286890›Full record

ArticleCirculation2024

Worldwide CTEPH Registry: Long-Term Outcomes With Pulmonary Endarterectomy, Balloon Pulmonary Angioplasty, and Medical Therapy.

Marion Delcroix, Joanna Pepke-Zaba, Andrea M D'Armini, Elie Fadel, Stefan Guth, Stephen P Hoole, David P Jenkins, David G Kiely, Nick H Kim, Michael M Madani and 11 more

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in Circulation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02656238 (New International CTEPH Database), which is not on this map. Cited by 54 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02656238 completednot on this map

New International CTEPH Database

Typeobservational_patient_registrySponsorInternational CTEPH AssociationRan2015 to 2020Enrolled1,019ConditionsChronic Thromboembolic Pulmonary Hypertension, CTEPH
3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. Review
  6. Retrograde Balloon Pulmonary Angioplasty for Otherwise Uncrossable Lesions in Chronic Thromboembolic Pulmonary Hypertension.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Marion DelcroixClinical Department of Respiratory Diseases, University Hospitals of Leuven, Belgium (M.D., R.Q.).ORCID 0000-0001-8394-9809
Joanna Pepke-ZabaRoyal Papworth Hospital, Cambridge, UK (J.P-Z., S.P.H., D.P.J.).
Andrea M D'ArminiDivision of Cardiac Surgery II and Chronic Thromboembolic Pulmonary Hypertension Center, Cardio-Thoracic and Vascular Department, Foundation IRCCS Policlinico San Matteo, Pavia, Italy (A.M.D.).ORCID 0000-0002-7824-5249
Elie FadelDepartment of Thoracic and Vascular Surgery and Heart-Lung Transplantation, Marie Lannelongue Hospital, Paris-Saclay University, Le Plessis Robinson, France (E.F.).ORCID 0000-0002-9290-4589
Stefan GuthDepartment of Thoracic Surgery, Kerckhoff Heart and Lung Center, Bad Nauheim, Germany (S.G., C.B.W., E.M.).ORCID 0000-0003-2238-9574
Stephen P HooleRoyal Papworth Hospital, Cambridge, UK (J.P-Z., S.P.H., D.P.J.).ORCID 0000-0002-3530-3808
David P JenkinsRoyal Papworth Hospital, Cambridge, UK (J.P-Z., S.P.H., D.P.J.).
David G KielyNIHR Biomedical Research Centre Sheffield and Sheffield Pulmonary Vascular Disease Unit, Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, UK (D.G.K.).ORCID 0000-0003-0184-6502
Nick H KimDivision of Pulmonary and Critical Care Medicine (N.H.K.), University of California, San Diego, La Jolla.ORCID 0000-0003-4702-650X
Michael M MadaniCardiovascular and Thoracic Surgery (M.M.M.), University of California, San Diego, La Jolla.
Hiromi MatsubaraNational Hospital Organization Okayama Medical Center, Japan (H.M., A.O.).
Kazuhiko NakayamaDivision of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan (K.N.).
Aiko OgawaNational Hospital Organization Okayama Medical Center, Japan (H.M., A.O.).
Jaquelina S Ota-ArakakiPulmonary Circulation Group and Pulmonary Function and Exercise Physiology Unit, Division of Respiratory Diseases, Hospital São Paulo, University Hospital of Escola Paulista de Medicina-Universidade Federal de São Paulo, Brazil (J.S.O-A.).ORCID 0000-0002-5350-7679
Rozenn QuarckClinical Department of Respiratory Diseases, University Hospitals of Leuven, Belgium (M.D., R.Q.).ORCID 0000-0002-8293-6261
Roela Sadushi-KoliciDepartment of Internal Medicine II, Division of Cardiology, Medical University of Vienna, Austria (R.S.-K., I.M.L.).
Gérald SimonneauAssistance Publique-Hôpitaux de Paris, Service de Pneumologie, Hôpital Bicêtre, Université Paris-Sud, Laboratoire d'Excellence en Recherche sur le Médicament et Innovation Thérapeutique, and Institut National de la Santé et de la Recherche Médicale Unité 999, Le Kremlin-Bicêtre, France (G.S.).
Christoph B WiedenrothDepartment of Thoracic Surgery, Kerckhoff Heart and Lung Center, Bad Nauheim, Germany (S.G., C.B.W., E.M.).ORCID 0000-0003-0065-3426
Bedrettin YildizeliDepartment of Thoracic Surgery, Marmara University School of Medicine, Istanbul, Turkey (B.Y.).ORCID 0000-0002-1316-4552
Eckhard MayerDepartment of Thoracic Surgery, Kerckhoff Heart and Lung Center, Bad Nauheim, Germany (S.G., C.B.W., E.M.).
Irene M LangDepartment of Internal Medicine II, Division of Cardiology, Medical University of Vienna, Austria (R.S.-K., I.M.L.).ORCID 0000-0003-0485-2692

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe European Chronic Thromboembolic Pulmonary Hypertension (CTEPH) registry, conducted between 2007 and 2012, reported the major impact of pulmonary endarterectomy (PEA) on the long-term survival of patients with CTEPH. Since then, 2 additional treatments for inoperable CTEPH have become available: balloon pulmonary angioplasty (BPA), and an approved oral drug therapy with the guanylate cyclase stimulator riociguat. The current registry aimed to evaluate the effect of these new therapeutic approaches in a worldwide context.

methodsParticipation in this international global registry included 34 centers in 20 countries. Between February 2015 and September 2016, 1009 newly diagnosed, consecutive patients were included and followed until September 2019.

resultsOverall, 605 patients (60%) underwent PEA and 185 (18%) underwent BPA; 76% of the 219 remaining patients not receiving mechanical intervention (ie, neither PEA nor BPA) were treated with pulmonary hypertension drugs. Of patients undergoing PEA and BPA, 38% and 78% also received drugs for pulmonary hypertension, respectively. Median age at diagnosis was higher in the BPA and No PEA/BPA groups than in the PEA group: 66 and 69, respectively, versus 60 years. Pulmonary vascular resistance (PVR) was similar in all groups, with an average of 643 dynes.s.cm

conclusionsThis second international CTEPH registry reveals important improvement in patient survival since the introduction of BPA and an approved drug for pulmonary hypertension. The type of anticoagulation regimen did not influence survival. REGISTRATION: URL: https://www.clinicaltrials.gov; Unique identifier: NCT02656238.

Indexed as

Angioplasty, BalloonEndarterectomyHypertension, PulmonaryPulmonary EmbolismRegistriesAgedChronic DiseaseFemaleHumansMaleMiddle AgedPulmonary ArteryTime FactorsTreatment Outcomeangioplasty, balloonendarterectomyhypertension, pulmonaryregistriesvenous thromboembolism

Identifiers

PMID39286890
PMCPMC11562489

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.