ArticleJTCVS techniques2025
Pulmonary artery pressure via endobronchial ultrasound: A feasibility and safety study.
Article in JTCVS techniques, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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11 authors.
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Abstract
Objectives: Pulmonary hypertension significantly influences perioperative outcomes in thoracic surgery. Right heart catheterization, the standard method to assess pulmonary artery pressure, is invasive and time-consuming. We aimed to assess the feasibility and safety of direct pulmonary artery pressure measurement through endobronchial ultrasound-guided puncture of the right pulmonary artery. Methods: Twenty patients underwent ultrasound-guided puncture of the right pulmonary artery using a 22-gauge needle under real-time ultrasound guidance. Systolic, diastolic, and mean pulmonary pressures were recorded via a pressure transducer. Procedural success and complications were assessed. Results: Pulmonary artery puncture was successfully completed in all 20 patients (100%). Mean systolic pulmonary pressure was 26.5 ± 7.6 mm Hg, mean diastolic pulmonary pressure was 16.4 ± 6.3 mm Hg, and mean pulmonary pressure was 20.7 ± 6.6 mm Hg. No complications, including bleeding, vessel injury, pneumothorax, or infection occurred. Conclusions: Endobronchial ultrasound guided puncture of the right pulmonary artery appears to be a safe and effective method for direct pulmonary artery pressure measurement, potentially improving preoperative risk assessment without additional procedural risks.
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