evrazkarЕвразийский Кардиологический ЖурналEurasian heart journal2225-16852305-0748Евразийская ассоциация кардиологов10.38109/2225-1685-2025-1-30-49evrazkar-6498Research ArticleКОНСЕНСУСCONSENSUSРоссийский консенсус по транслюминальной баллонной ангиопластике лёгочных артерий в лечении хронической тромбоэмболической лёгочной гипертензииRussian consensus: balloon pulmonary angioplasty in treatment of chronic thromboembolic pulmonary hypertensionhttps://orcid.org/0000-0001-9853-9087ДаниловН. М.DanilovN. M.

Данилов Николай Михайлович, д.м.н., ведущий научный сотрудник, отдел гипертонии

ул. Академика Чазова, д. 15 а, г. Москва 121552

Nikolay M. Danilov, Dr. of Sci. (Med.), leading researcher of Hypertension department

15a Academician Chazov street, Moscow 121552

ndanilov1@gmail.comhttps://orcid.org/0000-0002-0200-852XМатчинЮ. Г.MatchinYu. G.

Матчин Юрий Георгиевич, д.м.н., главный научный сотрудник, руководитель лаборатории рентгенэндоваскулярных методов диагностики и лечения в амбулаторных условиях

ул. Академика Чазова, д. 15 а, г. Москва 121552

Yuri G. Matchin, Dr. of Sci. (Med.), Chief Researcher, Head of the Laboratory of endovascular methods of diagnosis and treatment on an outpatient basis

15a Academician Chazov street, Moscow 121552

https://orcid.org/0000-0002-0083-8888ГранкинД. С.GrankinD. S.

Гранкин Денис Сергеевич, к.м.н., врач по рентгенэндоваскулярным диагностике и лечению

Речкуновская ул., 15, г. Новосибирск 630055

Denis S. Grankin, Cand. of Sc. (Med.), endovascular diagnosis and treatment physician

15 Rechkunovskaya street, Novosibirsk 630055

https://orcid.org/0000-0003-0736-6278МарукянГ. В.MarukyanN. V.

Марукян Нарек Вачаганович, младший научный сотрудник, врач по рентгенэндоваскулярным диагностике и лечению, НИЛ интервенционной хирургии

ул. Аккуратова, д. 2, г. Санкт-Петербург 197341

Narek V. Marukyan, junior researcher, Research Institute of Interventional Cardiology

2 Akkuratova street, St. Petersburg 197341

https://orcid.org/0000-0002-1982-3061ЯровойС. Ю.YarovoyS. Y.

Яровой Сергей Юрьевич, к.м.н., научный сотрудник, отдел гипертонии

ул. Академика Чазова, д. 15 а, г. Москва 121552

Sergey Y. Yarovoy, Cand. of Sc. (Med.), researcher, Hypertension Department

15a Academician Chazov street, Moscow 121552

https://orcid.org/0009-0009-1496-3151АндросовН. А.AndrosovN. A.

Андросов Николай Алексеевич, врач по рентгенэндоваскулярным диагностике и лечению, лаборант-исследователь, лаборатория рентгенэндоваскулярных методов диагностики и лечения в амбулаторных условиях

ул. Академика Чазова, д. 15 а, г. Москва 121552

Nikolay A. Androsov, endovascular diagnosis and treatment physician, research laboratory assistant, Laboratory of endovascular methods of diagnosis and treatment on an outpatient basis

15a Academician Chazov street, Moscow 121552

https://orcid.org/0000-0002-3140-5030ЕлфимоваЕ. М.ElfimovaE. M.

Елфимова Евгения Михайловна, к.м.н., старший научный сотрудник, лаборатория апноэ сна

ул. Академика Чазова, д. 15 а, г. Москва 121552

Evgeniya M. Elfimova, Cand. of Sci. (Med.), senior researcher, Laboratory of sleep apnea

15a Academician Chazov street, Moscow 121552

https://orcid.org/0000-0001-9969-5372ДанилушкинЮ. В.DanilushkinYu. V.

Данилушкин Юрий Владимирович, к.м.н., врач отделения рентгенэндоваскулярных методов диагностики и лечения №2

ул. Академика Чазова, д. 15 а, г. Москва 121552

Yuriy V. Danilushkin, Cand. of Sc. (Med.), anesthesiologist, department of endovascular methods of diagnosis and treatment №2

15a Academician Chazov street, Moscow 121552

https://orcid.org/0000-0002-9022-8097МартынюкТ. В.MartynyukT. V.

Мартынюк Тамила Витальевна, д.м.н., руководитель отдела лёгочной гипертензии и заболеваний сердца

ул. Академика Чазова, д. 15 а, г. Москва 121552

Tamila V. Martynyuk, Dr. of Sc. (Med.), Head of Department of pulmonary hypertension and heart diseases

15a Academician Chazov street, Moscow 121552

https://orcid.org/0000-0002-7256-0563МершинК. В.MershinK. V.

Мершин Кирилл Вячеславович, к.м.н., врач сердечно-сосудистый хирург, отдел сердечно-сосудистой хирургии

ул. Академика Чазова, д. 15 а, г. Москва 121552

Kirill V. Mershin, Cand. of Sci. (Med.), surgeon, Department of cardiovascular surgery

15a Academician Chazov street, Moscow 121552

https://orcid.org/0000-0002-2175-1749ЕдемскийА. Г.EdemskiyA. G.

Едемский Александр Геннадьевич, к.м.н., врач сердечно-сосудистый хирург, научный сотрудник, научно-исследовательский отдел хирургии аорты, коронарных и периферических артерий

Речкуновская ул., 15, г. Новосибирск 630055

Alexander G. Edemskiy, Cand. of Sc. (Med.), Cardiovascular surgeon, researcher, Research department of aortic, coronary and peripheral artery surgery

15 Rechkunovskaya street, Novosibirsk 630055

https://orcid.org/0000-0001-9818-8678ЧернявскийА. М.ChernyavskiyA. M.

Чернявский Александр Михайлович, член-корр. РАН, д.м.н., профессор, генеральный директор

Речкуновская ул., 15, г. Новосибирск 630055

Alexander M. Chernyavskiy, Corresponding Member of RAS, Dr. of Sc. (Med.), Professor

15 Rechkunovskaya street, Novosibirsk 630055

https://orcid.org/0000-0001-5918-9969ЛитвинА. Ю.LitvinA. Yu.

Литвин Александр Юрьевич, д.м.н., главный научный сотрудник, руководитель лаборатории апноэ сна

ул. Академика Чазова, д. 15 а, г. Москва 121552

Alexandr Yu. Litvin, Dr. Sci. (Med.), Chief Researcher, Head of the Laboratory of sleep apnea

15a Academician Chazov street, Moscow 121552

https://orcid.org/0000-0002-9822-4357ЧазоваИ. Е.ChazovaI. E.

Чазова Ирина Евгеньевна, академик РАН, д.м.н., профессор, заместитель генерального директора по научно-экспертной работе, руководитель отдела гипертонии

ул. Академика Чазова, д. 15 а, г. Москва 121552

Irina E. Chazova, Academician of the Russian Academy of Science, Dr. of Sci. (Med.), Professor, Deputy General Director for research and expert work, head of Hypertension department

15a Academician Chazov street, Moscow 121552

ФГБУ «Национальный медицинский исследовательский центр кардиологии имени академика Е.И. Чазова» Минздрава РоссииРоссияE.I. Chazov National Medical Research Center Of CardiologyRussian FederationФГБУ «Национальный медицинский исследовательский центр имени академика Е.Н. Мешалкина» Минздрава РоссииРоссияE.N. Meshalkin National Medical Research CenterRussian FederationФГБУ «Национальный медицинский исследовательский центр имени В.А. Алмазова» Минздрава РоссииРоссияAlmazov National Medical Research CentreRussian Federation202504032025013049Copyright © Данилов Н.М., Матчин Ю.Г., Гранкин Д.С., Марукян Г.В., Яровой С.Ю., Андросов Н.А., Елфимова Е.М., Данилушкин Ю.В., Мартынюк Т.В., Мершин К.В., Едемский А.Г., Чернявский А.М., Литвин А.Ю., Чазова И.Е., 20252025Данилов Н.М., Матчин Ю.Г., Гранкин Д.С., Марукян Г.В., Яровой С.Ю., Андросов Н.А., Елфимова Е.М., Данилушкин Ю.В., Мартынюк Т.В., Мершин К.В., Едемский А.Г., Чернявский А.М., Литвин А.Ю., Чазова И.Е.Danilov N.M., Matchin Y.G., Grankin D.S., Marukyan N.V., Yarovoy S.Y., Androsov N.A., Elfimova E.M., Danilushkin Y.V., Martynyuk T.V., Mershin K.V., Edemskiy A.G., Chernyavskiy A.M., Litvin A.Y., Chazova I.E.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.heartj.asia/jour/article/view/6498

Долгое время единственным методом реваскуляризации у пациентов с хронической тромбоэмболической лёгочной гипертензией (ХТЭЛГ) оставалась тромбэндартерэк­томия (ТЭЭ) из ветвей лёгочной артерии. Транслюминальная баллонная ангиопластика лёгочных артерий (ТЛА), как альтернативный вариант лечения при неопера­бельной и резидуальной ХТЭЛГ, появилась сравнительно недавно, но уже прочно заняла своё место в алгоритме лечения ХТЭЛГ и позволила значительно улучшить прогноз у таких больных. Активное применение ТЛА в повседневной практике по­служило причиной создания настоящего консенсуса с целью обобщения и систе­матизации современных данных по отбору пациентов, технике проведения и целям эндоваскулярного лечения, профилактике и лечению осложнений. В документе дополнительно освещены вопросы визуализации лёгочных артерий, сложных вариантов поражения, описан алгоритм профилактики и лечения повреждения лёгких после ТЛА. Приведенные в консенсусе рекомендации основаны на результатах от­ечественных и зарубежных исследований, опыте экспертов и предназначены для специалистов, входящих в состав мультидисциплинарной команды по ведению пациентов с ХТЭЛГ (кардиологов, рентгенэндоваскулярных и сердечно-сосудистых хирургов), а также пульмонологов, врачей лучевой диагностики и терапевтов.

For a long time, the only method of revascularization in patients with chronic thromboembolic pulmonary hypertension (CTEPH) was pulmonary thromboendarterectomy from the branches of pulmonary artery. Transluminal balloon pulmonary angioplasty (BPA), as an alternative treatment option for inoperable and residual CTEPH, appeared recently, but has already firmly taken its place in the treatment algorithm of CTEPH, and has significantly improved the prognosis in such patients. Active use of BPA in everyday practice served as the reason for the creation of this consensus in order to summarize and systematize modern data on patient selection, technique and goals of endovascular treatment, prevention and treatment of complications. The document additionally covers the issues of visualization of the pulmonary arteries, complex variants of damage and describes an algorithm for the prevention and treatment of pulmonary injury after BPA. The recommendations provided in the consensus are based on the results of national and foreign studies, the experience of experts and are intended for specialists who are part of a multidisciplinary team for the management of patients with CTEPH (cardiologists, endovascular and cardiovascular surgeons), as well as pulmonologists, radiation diagnosticians and physicians.

транслюминальная баллонная ангиопластика лёгочных артерий (ТЛА)хроническая тромбоэмболическая легочная гипертензия (ХТЭЛГ)лёгочные артерии (ЛА)легочная гипертензия (ЛГ)терапия постоянным положительным давлением в дыхательных путях (СРАР-терапия)повреждение лёгкихреперфузионный отёк лёгкихtransluminal balloon pulmonary angioplasty (BPA)chronic thromboembolic pulmonary hypertension (CTEPH)pulmonary arteries (PA)pulmonary hypertension (PH)continuous positive airway pressure (CPAP)pulmonary injuryreperfusion pulmonary edemaReferencesЧазова И.Е., Мартынюк Т.В., Шмальц А.А. и соавт. Евразийские рекомендации по диагностике и лечению лёгочной гипертензии (2023). Евразийский Кардиологический Журнал.2024;(1):6-85. https://doi.org/10.38109/2225-1685-2024-1-6-85Chazova I.E., Martynyuk T.V., Shmalts A.A. et al. Eurasian guidelines for the diagnosis and treatment of pulmonary hypertension (2023). Eurasian heart journal. 2024;(1):6-85. (In Russ.). https://doi.org/10.38109/2225-1685-2024-1-6-85]Humbert M., Kovacs G., Hoeper M.M. et al. ESC/ERS Scientific Document Group. 2022 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension. Eur Respir J. 2023 Jan 6;61(1):2200879. https://doi.org/10.1183/13993003.00879-2022Humbert M., Kovacs G., Hoeper M.M. et al. ESC/ERS Scientific Document Group. 2022 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension. Eur Respir J. 2023 Jan 6;61(1):2200879. https://doi.org/10.1183/13993003.00879-2022Авдеев С.Н., Барбараш О.Л., Валиева З.С. и соавт. Легочная гипертензия, в том числе хроническая тромбоэмболическая легочная гипертензия. Клинические рекомендации 2024. Рос­сийский кардиологический журнал. 2024;29(11):6161. https://doi.org/10.15829/1560-4071-2024-6161Avdeev S.N., Barbarash O.L., Valieva Z.S. et al. 2024 Clinical practice guidelines for Pulmonary hypertension, including chronic thromboembolic pulmonary hypertension. Russian Journal of Cardiology. 2024;29(11):6161. (In Russ.). https://doi.org/10.15829/1560-4071-2024-6161Simonneau G., Montani D., Celermajer D.S. et al. Haemodynamic definitions and updated clinical classification of pulmonary hypertension. Eur Respir J. 2019 Jan 24;53(1):1801913. https://doi.org/10.1183/13993003.01913-2018Simonneau G., Montani D., Celermajer D.S. et al. Haemodynamic definitions and updated clinical classification of pulmonary hypertension. Eur Respir J. 2019 Jan 24;53(1):1801913. https://doi.org/10.1183/13993003.01913-2018Klok F.A., Surie S., Kempf T., et al. A simple non-invasive diagnostic algorithm for ruling out chronic thromboembolic pulmonary hypertension in patients after acute pulmonary embolism. Thromb Res 2011;128:21-26. https://doi.org/10.1016/j.thromres.2011.03.004Klok F.A., Surie S., Kempf T., et al. A simple non-invasive diagnostic algorithm for ruling out chronic thromboembolic pulmonary hypertension in patients after acute pulmonary embolism. Thromb Res 2011;128:21-26. https://doi.org/10.1016/j.thromres.2011.03.004Guerin L., Couturaud F., Parent F., et al. Prevalence of chronic thromboembolic pulmonary hypertension after acute pulmonary embolism. Prevalence of CTEPH after pulmonary embolism. Thromb Haemost 2014;112:598-605. https://doi.org/10.1160/th13- 07-0538Guerin L., Couturaud F., Parent F., et al. Prevalence of chronic thromboembolic pulmonary hypertension after acute pulmonary embolism. Prevalence of CTEPH after pulmonary embolism. Thromb Haemost 2014;112:598-605. https://doi.org/10.1160/th13-07-0538Valerio L. Mavromanoli A.C., Barco S. et al. Chronic thromboembolic pulmonary hypertension and impairment after pulmonary embolism: the FOCUS study. Eur Heart J. 2022 Sep 21;43(36):3387-3398. https://doi.org/10.1093/eurheartj/ehac206Valerio L. Mavromanoli A.C., Barco S. et al. Chronic thromboembolic pulmonary hypertension and impairment after pulmonary embolism: the FOCUS study. Eur Heart J. 2022 Sep 21;43(36):3387-3398. https://doi.org/10.1093/eurheartj/ehac206Авдеев С.Н., Барбараш О.Л., Баутин А.Е. и соавт. Легочная ги­пертензия, в том числе хроническая тромбоэмболическая ле­гочная гипертензия. Клинические рекомендации 2020. Россий­ский кардиологический журнал. 2021;26(12):4683. https://doi.org/10.15829/1560-4071-2021-4683Avdeev S.N., Barbarash O.L., Bautin A.E., et al. 2020 Clinical practice guidelines for Pulmonary hypertension, including chronic thromboembolic pulmonary hypertension. Russian Journal of Cardiology. 2021;26(12):4683. (In Russ.). https://doi.org/10.15829/1560-4071-2021-4683Lang I.M., Dorfmüller P, Vonk Noordegraaf A. The Pathobiology of Chronic Thromboembolic Pulmonary Hypertension. Ann Am Thorac Soc. 2016 Jul;13 Suppl 3:S215-21. https://doi.org/10.1513/annalsats.201509-620asLang I.M., Dorfmüller P, Vonk Noordegraaf A. The Pathobiology of Chronic Thromboembolic Pulmonary Hypertension. Ann Am Thorac Soc. 2016 Jul;13 Suppl 3:S215-21. https://doi.org/10.1513/annalsats.201509-620asKim N.H. Group 4 Pulmonary Hypertension: Chronic Thromboembolic Pulmonary Hypertension: Epidemiology, Pathophysiology, and Treatment. Cardiol Clin. 2016 Aug;34(3):435- 41. https://doi.org/10.1016/j.ccl.2016.04.011Kim N.H. Group 4 Pulmonary Hypertension: Chronic Thromboembolic Pulmonary Hypertension: Epidemiology, Pathophysiology, and Treatment. Cardiol Clin. 2016 Aug;34(3):435- 41. https://doi.org/10.1016/j.ccl.2016.04.011Lang I.M., Pesavento R., Bonderman D., Yuan J.X. Risk factors and basic mechanisms of chronic thromboembolic pulmonary hypertension: a current understanding. Eur Respir J. 2013 Feb;41(2):462-8. https://doi.org/10.1183/09031936.00049312Lang I.M., Pesavento R., Bonderman D., Yuan J.X. Risk factors and basic mechanisms of chronic thromboembolic pulmonary hypertension: a current understanding. Eur Respir J. 2013 Feb;41(2):462-8. https://doi.org/10.1183/09031936.00049312Moser K.M., Bloor C.M. Pulmonary vascular lesions occurring in patients with chronic major vessel thromboembolic pulmonary hypertension. Chest. 1993 Mar;103(3):685-92. https://doi.org/10.1378/chest.103.3.685Moser K.M., Bloor C.M. Pulmonary vascular lesions occurring in patients with chronic major vessel thromboembolic pulmonary hypertension. Chest. 1993 Mar;103(3):685-92. https://doi.org/10.1378/chest.103.3.685Dorfmüller P., Günther S., Ghigna M.R. et al. Microvascular disease in chronic thromboembolic pulmonary hypertension: a role for pulmonary veins and systemic vasculature. Eur Respir J. 2014 Nov;44(5):1275-88. https://doi.org/10.1183/09031936.00169113Dorfmüller P., Günther S., Ghigna M.R. et al. Microvascular disease in chronic thromboembolic pulmonary hypertension: a role for pulmonary veins and systemic vasculature. Eur Respir J. 2014 Nov;44(5):1275-88. https://doi.org/10.1183/09031936.00169113Simonneau G., Torbicki A., Dorfmüller P., Kim N. The pathophysiology of chronic thromboembolic pulmonary hypertension. Eur Respir Rev 2017; 26(143):160112. https://doi.org/10.1183/16000617.0112-2016Simonneau G., Torbicki A., Dorfmüller P., Kim N. The pathophysiology of chronic thromboembolic pulmonary hypertension. Eur Respir Rev 2017; 26(143):160112. https://doi.org/10.1183/16000617.0112-2016Pepke-Zaba J., Delcroix M., Lang I., et al. Chronic thromboembolic pulmonary hypertension (CTEPH): results from an international prospective registry. Circulation. 2011 Nov 1;124(18):1973-81. https://doi.org/10.1161/circulationaha.110.015008Pepke-Zaba J., Delcroix M., Lang I., et al. Chronic thromboembolic pulmonary hypertension (CTEPH): results from an international prospective registry. Circulation. 2011 Nov 1;124(18):1973-81. https://doi.org/10.1161/circulationaha.110.015008Guth S., D'Armini A.M., Delcroix M. et al.Current strategies for managing chronic thromboembolic pulmonary hypertension: results of the worldwide prospective CTEPH Registry. ERJ Open Res. 2021 Aug 16;7(3):00850-2020. https://doi.org/10.1183/23120541.00850-2020Guth S., D'Armini A.M., Delcroix M. et al.Current strategies for managing chronic thromboembolic pulmonary hypertension: results of the worldwide prospective CTEPH Registry. ERJ Open Res. 2021 Aug 16;7(3):00850-2020. https://doi.org/10.1183/23120541.00850-2020Данилов Н.М., Матчин Ю.Г., Чернявский А.М. и соавт. Транс­люминальная баллонная ангиопластика лёгочных артерий у больных с неоперабельной хронической тромбоэмболической лёгочной гипертензией. Терапевтический архив. 2019;91(4):43- 47. https://doi.org/10.26442/00403660.2019.04.000100Danilov N.M., Matchin Y.G., Chernyavsky A.M. et al. Balloon pulmonary angioplasty for patients with inoperable chronic thromboembolic pulmonary hypertension // Terapevticheskii arkhiv. 2019;91(4):43-47. (In Russ.). https://doi.org/10.26442/00403660.2019.04.000100]Danilov, N.M., Matchin, Y.G., Yarovoy, S.Y. et al. TCT-92 Short-and Long-Term Remodeling of Pulmonary Arteries After Balloon Angioplasty in Patients with Inoperable Chronic Thromboembolic Pulmonary Hypertension. Journal of the American College of Cardiology. 2016:68(18):B37-B38. https://doi.org/10.1016/j.jacc.2016.09.365Danilov, N.M., Matchin, Y.G., Yarovoy, S.Y. et al. TCT-92 Short-and Long-Term Remodeling of Pulmonary Arteries After Balloon Angioplasty in Patients with Inoperable Chronic Thromboembolic Pulmonary Hypertension. Journal of the American College of Cardiology. 2016:68(18):B37-B38. https://doi.org/10.1016/j.jacc.2016.09.365Jain N., Sheikh M.A., Bajaj D. et al. Periprocedural Complications With Balloon Pulmonary Angioplasty: Analysis of Global Studies. JACC Cardiovasc Interv. 2023 Apr 24;16(8):976-983. https://doi.org/10.1016/j.jcin.2023.01.361Jain N., Sheikh M.A., Bajaj D. et al. Periprocedural Complications With Balloon Pulmonary Angioplasty: Analysis of Global Studies. JACC Cardiovasc Interv. 2023 Apr 24;16(8):976-983. https://doi.org/10.1016/j.jcin.2023.01.361Hyder S.N., Chatterjee S., Aggarwal V. Percutaneous Treatments for Pulmonary Hypertension: Reviewing the Growing Procedural Role for Interventional Cardiology. Interv Cardiol Clin. 2022 Jul;11(3):293-305. https://doi.org/10.1016/j.iccl.2022.01.006Hyder S.N., Chatterjee S., Aggarwal V. Percutaneous Treatments for Pulmonary Hypertension: Reviewing the Growing Procedural Role for Interventional Cardiology. Interv Cardiol Clin. 2022 Jul;11(3):293-305. https://doi.org/10.1016/j.iccl.2022.01.006Mizoguchi H., Ogawa A., Munemasa M. et al. Refined balloon pulmonary angioplasty for inoperable patients with chronic thromboembolic pulmonary hypertension. Circ Cardiovasc Interv. 2012 Dec;5(6):748- 55. https://doi.org/10.1161/circinterventions.112.971077Mizoguchi H., Ogawa A., Munemasa M. et al. Refined balloon pulmonary angioplasty for inoperable patients with chronic thromboembolic pulmonary hypertension. Circ Cardiovasc Interv. 2012 Dec;5(6):748- 55. https://doi.org/10.1161/circinterventions.112.971077Provost M., Mornex J.F., Nasser M. et al. Changes in the management of chronic thromboembolic pulmonary hypertension over a 10-year period, in a French expert regional competence centre. Respir Med Res. 2023 Nov;84:101021. https://doi.org/10.1016/j.resmer.2023.101021Provost M., Mornex J.F., Nasser M. et al. Changes in the management of chronic thromboembolic pulmonary hypertension over a 10-year period, in a French expert regional competence centre. Respir Med Res. 2023 Nov;84:101021. https://doi.org/10.1016/j.resmer.2023.101021Чазова И.Е., Карабашева М.Б., Данилов Н.М., Матчин Ю.Г. Хроническая тромбоэмболическая легочная гипер­тензия: современный взгляд на проблему. Кардиологи­ческий вестник 2019;14(2):1423. https://doi.org/10.17116/Cardiobulletin20191402114Chazova I.E., Karabasheva M.B., Danilov N.M., Matchin Yu.G. Chronic thromboembolic pulmonary hypertension: modern view on the problem. Russian Cardiology Bulletin. 2019;14(2):1423. (In Russ.). https://doi.org/10.17116/Cardiobulletin20191402114]Данилов Н.М., Яровой С.Ю., Елфимова Е.М. и соавт. Клинические и рентгенологические аспекты реперфузионного отёка лёгких после транслюминальной баллонной ангиопластики лёгочных артерий у пациентов с хронической тромбоэмболической лё­гочной гипертензией. Системные гипертензии. 2022;19(3):23- 30. https://doi.org/10.38109/2075-082X-2022-3-23-30Danilov N.M., Yarovoy S.Yu., Elfimova E.M., Mikhailova O.O., Litvin A.Yu., Danilushkin Yu.V., Matchin Yu.G., Chazova I.E. Clinical and radiological aspects of reperfusion pulmonary edema after balloon pulmonary angioplasty in patients with chronic thromboembolic pulmonary hypertension. Systemic Hypertension. 2022;19(3):23- 30. (In Russ.). https://doi.org/10.38109/2075-082X-2022-3-23-30Елфимова Е.М., Данилов Н.М., Яровой С.Ю. и соавт. Влияние СРАР-терапии на развитие реперфузионных поражений лёгких после транслюминальной баллонной ангиопластики лёгочных артерий у пациентов с хронической тромбоэмболической лё­гочной гипертензией. Системные гипертензии. 2023;20(3):11- 18. https://doi.org/10.38109/2075-082X-2023-3-11-18Elfimova E.M., Danilov N.M., Yarovoy S.Yu., Mikhailova O.O., Litvin A.Yu., Matchin Yu.G., Chazova I.E. Effect of CPAP therapy on the reperfusion lung injury after transluminal balloon angioplasty of the pulmonary arteries in patients with chronic thromboembolic pulmonary hypertension. Systemic Hypertension. 2023;20(3):11-18. (In Russ.) https://doi.org/10.38109/2075-082X-2023-3-11-18Riedel M., Stanek V., Widimsky J., Prerovsky I. Longterm follow-up of patients with pulmonary thromboembolism. Late prognosis and evolution of hemodynamic and respiratory data. Chest. 1982 Feb;81(2):151-8. https://doi.org/10.1378/chest.81.2.151Riedel M., Stanek V., Widimsky J., Prerovsky I. Longterm follow-up of patients with pulmonary thromboembolism. Late prognosis and evolution of hemodynamic and respiratory data. Chest. 1982 Feb;81(2):151-8. https://doi.org/10.1378/chest.81.2.151Lewczuk J., Piszko P., Jagas J. et al. Prognostic factors in medically treated patients with chronic pulmonary embolism. Chest. 2001 Mar;119(3):818-23. https://doi.org/10.1378/chest.119.3.818Lewczuk J., Piszko P., Jagas J. et al. Prognostic factors in medically treated patients with chronic pulmonary embolism. Chest. 2001 Mar;119(3):818-23. https://doi.org/10.1378/chest.119.3.818Kunieda T., Nakanishi N., Satoh T. et al. Prognoses of primary pulmonary hypertension and chronic majorvessel thromboembolic pulmonary hypertension determined from cumulative survival curves. Intern Med. 1999 Jul;38(7):543-6. https://doi.org/10.2169/internalmedicine.38.543Kunieda T., Nakanishi N., Satoh T. et al. Prognoses of primary pulmonary hypertension and chronic majorvessel thromboembolic pulmonary hypertension determined from cumulative survival curves. Intern Med. 1999 Jul;38(7):543-6. https://doi.org/10.2169/internalmedicine.38.543Hoeper M.M., Mayer E., Simonneau G., Rubin L.J. Chronic thromboembolic pulmonary hypertension. Circulation. 2006 Apr 25;113(16):2011-20. https://doi.org/10.1161/circulationaha.105.602565Hoeper M.M., Mayer E., Simonneau G., Rubin L.J. Chronic thromboembolic pulmonary hypertension. Circulation. 2006 Apr 25;113(16):2011-20. https://doi.org/10.1161/circulationaha.105.602565Mayer E., Jenkins D., Lindner J. et al. Surgical management and outcome of patients with chronic thromboembolic pulmonary hypertension: results from an international prospective registry. J Thorac Cardiovasc Surg. 2011 Mar;141(3):702-10. https://doi.org/10.1016/j.jtcvs.2010.11.024Mayer E., Jenkins D., Lindner J. et al. Surgical management and outcome of patients with chronic thromboembolic pulmonary hypertension: results from an international prospective registry. J Thorac Cardiovasc Surg. 2011 Mar;141(3):702-10. https://doi.org/10.1016/j.jtcvs.2010.11.024van der Plas M.N., Surie S., Reesink H.J. et al. Longitudinal follow-up of six-minute walk distance after pulmonary endarterectomy. Ann Thorac Surg. 2011 Apr;91(4):1094-9. https://doi.org/10.1016/j.athoracsur.2010.11.061van der Plas M.N., Surie S., Reesink H.J. et al. Longitudinal follow-up of six-minute walk distance after pulmonary endarterectomy. Ann Thorac Surg. 2011 Apr;91(4):1094-9. https://doi.org/10.1016/j.athoracsur.2010.11.061Condliffe R., Kiely D.G., Gibbs J.S. et al. Improved outcomes in medically and surgically treated chronic thromboembolic pulmonary hypertension. Am J Respir Crit Care Med. 2008 May 15;177(10):1122-7. https://doi.org/10.1164/rccm.200712-1841ocCondliffe R., Kiely D.G., Gibbs J.S. et al. Improved outcomes in medically and surgically treated chronic thromboembolic pulmonary hypertension. Am J Respir Crit Care Med. 2008 May 15;177(10):1122-7. https://doi.org/10.1164/rccm.200712-1841ocJamieson S.W., Kapelanski D.P., Sakakibara N. et al. Pulmonary endarterectomy: experience and lessons learned in 1,500 cases. Ann Thorac Surg. 2003 Nov;76(5):1457-62; discussion 1462-4. https://doi.org/10.1016/s0003-4975(03)00828-2Jamieson S.W., Kapelanski D.P., Sakakibara N. et al. Pulmonary endarterectomy: experience and lessons learned in 1,500 cases. Ann Thorac Surg. 2003 Nov;76(5):1457-62; discussion 1462-4. https://doi.org/10.1016/s0003-4975(03)00828-2Cannon J.E., Su L., Kiely D.G. et al. Dynamic Risk Stratification of Patient Long-Term Outcome After Pulmonary Endarterectomy: Results From the United Kingdom National Cohort. Circulation. 2016 May 3;133(18):1761-71. https://doi.org/10.1161/circulationaha.115.019470Cannon J.E., Su L., Kiely D.G. et al. Dynamic Risk Stratification of Patient Long-Term Outcome After Pulmonary Endarterectomy: Results From the United Kingdom National Cohort. Circulation. 2016 May 3;133(18):1761-71. https://doi.org/10.1161/circulationaha.115.019470Inami T., Kataoka M., Ando M. et al. A new era of therapeutic strategies for chronic thromboembolic pulmonary hypertension by two different interventional therapies; pulmonary endarterectomy and percutaneous transluminal pulmonary angioplasty. PLoS One. 2014 Apr 11;9(4):e94587. https://doi.org/10.1371/journal.pone.0094587Inami T., Kataoka M., Ando M. et al. A new era of therapeutic strategies for chronic thromboembolic pulmonary hypertension by two different interventional therapies; pulmonary endarterectomy and percutaneous transluminal pulmonary angioplasty. PLoS One. 2014 Apr 11;9(4):e94587. https://doi.org/10.1371/journal.pone.0094587Voorburg J.A., Cats V.M., Buis B., Bruschke A.V. Balloon angioplasty in the treatment of pulmonary hypertension caused by pulmonary embolism. Chest. 1988 Dec;94(6):1249-53. https://doi.org/10.1378/chest.94.6.1249Voorburg J.A., Cats V.M., Buis B., Bruschke A.V. Balloon angioplasty in the treatment of pulmonary hypertension caused by pulmonary embolism. Chest. 1988 Dec;94(6):1249-53. https://doi.org/10.1378/chest.94.6.1249Feinstein J.A., Goldhaber S.Z., Lock J.E. et al. Balloon pulmonary angioplasty for treatment of chronic thromboembolic pulmonary hypertension. Circulation. 2001 Jan 2;103(1):10-3. https://doi.org/10.1161/01.cir.103.1.10Feinstein J.A., Goldhaber S.Z., Lock J.E. et al. Balloon pulmonary angioplasty for treatment of chronic thromboembolic pulmonary hypertension. Circulation. 2001 Jan 2;103(1):10-3. https://doi.org/10.1161/01.cir.103.1.10Inami T., Kataoka M., Shimura N. et al. Pulmonary edema predictive scoring index (PEPSI), a new index to predict risk of reperfusion pulmonary edema and improvement of hemodynamics in percutaneous transluminal pulmonary angioplasty. JACC Cardiovasc Interv. 2013 Jul;6(7):725-36. https://doi.org/10.1016/j.jcin.2013.03.009Inami T., Kataoka M., Shimura N. et al. Pulmonary edema predictive scoring index (PEPSI), a new index to predict risk of reperfusion pulmonary edema and improvement of hemodynamics in percutaneous transluminal pulmonary angioplasty. JACC Cardiovasc Interv. 2013 Jul;6(7):725-36. https://doi.org/10.1016/j.jcin.2013.03.009Tsuji A., Ogo T., Demachi J. et al. Rescue balloon pulmonary angioplasty in a rapidly deteriorating chronic thromboembolic pulmonary hypertension patient with liver failure and refractory infection. Pulm Circ. 2014 Mar;4(1):142-7. https://doi.org/10.1086/675643Tsuji A., Ogo T., Demachi J. et al. Rescue balloon pulmonary angioplasty in a rapidly deteriorating chronic thromboembolic pulmonary hypertension patient with liver failure and refractory infection. Pulm Circ. 2014 Mar;4(1):142-7. https://doi.org/10.1086/675643Taniguchi Y., Miyagawa K., Nakayama K. et al. Balloon pulmonary angioplasty: an additional treatment option to improve the prognosis of patients with chronic thromboembolic pulmonary hypertension. EuroIntervention. 2014 Aug;10(4):518-25. https://doi.org/10.4244/eijv10i4a89Taniguchi Y., Miyagawa K., Nakayama K. et al. Balloon pulmonary angioplasty: an additional treatment option to improve the prognosis of patients with chronic thromboembolic pulmonary hypertension. EuroIntervention. 2014 Aug;10(4):518-25. https://doi.org/10.4244/eijv10i4a89Andreassen A.K., Ragnarsson A., Gude E. et al. Balloon pulmonary angioplasty in patients with inoperable chronic thromboembolic pulmonary hypertension. Heart. 2013 Oct;99(19):1415-20. https://doi.org/10.1136/heartjnl-2012-303549Andreassen A.K., Ragnarsson A., Gude E. et al. Balloon pulmonary angioplasty in patients with inoperable chronic thromboembolic pulmonary hypertension. Heart. 2013 Oct;99(19):1415-20. https://doi.org/10.1136/heartjnl-2012-303549Sugimura K., Fukumoto Y., Satoh K.et al. Percutaneous transluminal pulmonary angioplasty markedly improves pulmonary hemodynamics and long-term prognosis in patients with chronic thromboembolic pulmonary hypertension. Circ J. 2012;76(2):485- 8. https://doi.org/10.1253/circj.cj-11-1217Sugimura K., Fukumoto Y., Satoh K.et al. Percutaneous transluminal pulmonary angioplasty markedly improves pulmonary hemodynamics and long-term prognosis in patients with chronic thromboembolic pulmonary hypertension. Circ J. 2012;76(2):485- 8. https://doi.org/10.1253/circj.cj-11-1217Данилов Н.М., Матчин Ю.Г., Мартынюк Т.В. и соавт. Транс­люминальная баллонная ангиопластика лёгочных артерий у больных с неоперабельной хронической тромбоэмболической лёгочной гипертензией (первый опыт в России). Consilium Medicum. 2015; 17 (10): 61–66. https://doi.org/10.26442/2075-1753_2015.10.61-66Danilov N.M., Matchin Y.G., Martynyuk T.V. et al. Transluminal balloon angioplasty of pulmonary arteries in patients with inoperable chronic thromboembolic pulmonary hypertension (first experience in Russia). Consilium Medicum. 2015; 17 (10): 61–66. (In Russ.). https://doi.org/10.26442/2075-1753_2015.10.61-66]Galiè N., Humbert M., Vachiery J.L. ESC Scientific Document Group. 2015 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension: The Joint Task Force for the Diagnosis and Treatment of Pulmonary Hypertension of the European Society of Cardiology (ESC) and the European Respiratory Society (ERS): Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC), International Society for Heart and Lung Transplantation (ISHLT). Eur Heart J. 2016 Jan 1;37(1):67-119. https://doi.org/10.1093/eurheartj/ehv317Galiè N., Humbert M., Vachiery J.L. ESC Scientific Document Group. 2015 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension: The Joint Task Force for the Diagnosis and Treatment of Pulmonary Hypertension of the European Society of Cardiology (ESC) and the European Respiratory Society (ERS): Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC), International Society for Heart and Lung Transplantation (ISHLT). Eur Heart J. 2016 Jan 1;37(1):67-119. https://doi.org/10.1093/eurheartj/ehv317Fukuda K., Date H., Doi S. et al. Japanese Circulation Society and the Japanese Pulmonary Circulation and Pulmonary Hypertension Society Joint Working Group. Guidelines for the Treatment of Pulmonary Hypertension (JCS 2017/JPCPHS 2017). Circ J. 2019 Mar 25;83(4):842-945. https://doi.org/10.1253/circj.cj-66-0158Fukuda K., Date H., Doi S. et al. Japanese Circulation Society and the Japanese Pulmonary Circulation and Pulmonary Hypertension Society Joint Working Group. Guidelines for the Treatment of Pulmonary Hypertension (JCS 2017/JPCPHS 2017). Circ J. 2019 Mar 25;83(4):842-945. https://doi.org/10.1253/circj.cj-66-0158Kataoka M., Inami T., Kawakami T. et al. Balloon Pulmonary Angioplasty (Percutaneous Transluminal Pulmonary Angioplasty) for Chronic Thromboembolic Pulmonary Hypertension: A Japanese Perspective. JACC Cardiovasc Interv. 2019 Jul 22;12(14):1382- 1388. https://doi.org/10.1016/j.jcin.2019.01.237Kataoka M., Inami T., Kawakami T. et al. Balloon Pulmonary Angioplasty (Percutaneous Transluminal Pulmonary Angioplasty) for Chronic Thromboembolic Pulmonary Hypertension: A Japanese Perspective. JACC Cardiovasc Interv. 2019 Jul 22;12(14):1382- 1388. https://doi.org/10.1016/j.jcin.2019.01.237Чазова И.Е., Мартынюк Т.В., Валиева З.С. и соавт. Евразий­скике рекомендации по диагностике и лечению хронческой тромбоэмболической лёгочной гипертензии (2020). Евразий­ский Кардиологический Журнал. 2021;(1):6-43. https://doi.org/10.38109/2225-1685-2021-1-6-43Chazova I.E., Martynyuk T.V., Vasileva Z.S. et al. Eurasian guidelines for the diagnosis and treatment of CTEPH (2020). Eurasian heart journal. 2021;(1):6-43. (In Russ.). https://doi.org/10.38109/2225-1685-2021-1-6-43]Kawakami T., Matsubara H., Shinke T. et al. Balloon pulmonary angioplasty versus riociguat in inoperable chronic thromboembolic pulmonary hypertension (MR BPA): an open-label, randomised controlled trial. Lancet Respir Med. 2022 Oct;10(10):949-960. https://doi.org/10.1016/s2213-2600(22)00171-0Kawakami T., Matsubara H., Shinke T. et al. Balloon pulmonary angioplasty versus riociguat in inoperable chronic thromboembolic pulmonary hypertension (MR BPA): an open-label, randomised controlled trial. Lancet Respir Med. 2022 Oct;10(10):949-960. https://doi.org/10.1016/s2213-2600(22)00171-0Jaïs X., Brenot P., Bouvaist H. et al. Balloon pulmonary angioplasty versus riociguat for the treatment of inoperable chronic thromboembolic pulmonary hypertension (RACE): a multicentre, phase 3, open-label, randomised controlled trial and ancillary follow-up study. Lancet Respir Med. 2022 Oct;10(10):961-971. https://doi.org/10.1016/s2213-2600(22)00214-4Jaïs X., Brenot P., Bouvaist H. et al. Balloon pulmonary angioplasty versus riociguat for the treatment of inoperable chronic thromboembolic pulmonary hypertension (RACE): a multicentre, phase 3, open-label, randomised controlled trial and ancillary follow-up study. Lancet Respir Med. 2022 Oct;10(10):961-971. https://doi.org/10.1016/s2213-2600(22)00214-4Thistlethwaite P.A., Mo M., Madani M.M. et al. Operative classification of thromboembolic disease determines outcome after pulmonary endarterectomy. J Thorac Cardiovasc Surg. 2002 Dec;124(6):1203-11. https://doi.org/10.1067/mtc.2002.127313Thistlethwaite P.A., Mo M., Madani M.M. et al. Operative classification of thromboembolic disease determines outcome after pulmonary endarterectomy. J Thorac Cardiovasc Surg. 2002 Dec;124(6):1203-11. https://doi.org/10.1067/mtc.2002.127313Madani M.M. Surgical Treatment of Chronic Thromboembolic Pulmonary Hypertension: Pulmonary Thromboendarterectomy. Methodist Debakey Cardiovasc J. 2016 Oct-Dec;12(4):213-218. https://doi.org/10.14797/mdcj-12-4-213Madani M.M. Surgical Treatment of Chronic Thromboembolic Pulmonary Hypertension: Pulmonary Thromboendarterectomy. Methodist Debakey Cardiovasc J. 2016 Oct-Dec;12(4):213-218. https://doi.org/10.14797/mdcj-12-4-213Kawakami T., Ogawa A., Miyaji K. et al.. Novel Angiographic Classification of Each Vascular Lesion in Chronic Thromboembolic Pulmonary Hypertension Based on Selective Angiogram and Results of Balloon Pulmonary Angioplasty. Circ Cardiovasc Interv. 2016 Oct;9(10):e003318. https://doi.org/10.1161/circinterventions.115.003318Kawakami T., Ogawa A., Miyaji K. et al.. Novel Angiographic Classification of Each Vascular Lesion in Chronic Thromboembolic Pulmonary Hypertension Based on Selective Angiogram and Results of Balloon Pulmonary Angioplasty. Circ Cardiovasc Interv. 2016 Oct;9(10):e003318. https://doi.org/10.1161/circinterventions.115.003318Демченкова А.Ю., Веселова Т.Н., Мартынюк Т.В. и соавт. Со­стояние сосудистого русла, паренхимы и перфузии лёгких при хронической тромбоэмболической лёгочной гипертензии по данным субтракционной компьютерной томографической ангиопульмонографии. Кардиология. 2018;58(5):48-56. https://doi.org/10.18087/cardio.2018.5.10120Demchenkova A.Yu., Veselova T.N., Martynyuk T.V. et al. The State of Vascular Bed, Parenchyma and Perfusion of Lungs in Chronic Thromboembolic Pulmonary Hypertension According to Data of Subtraction Pulmonary Angiography. Kardiologiia. 2018;58(5):48- 56. (In Russ.). https://doi.org/10.18087/cardio.2018.5.10120]Ghani H., Weir-McCall J.R., Ruggiero A., Pepke-Zaba J. Imaging in chronic thromboembolic pulmonary disease: Current practice and advances. Int J Cardiol Congenit Heart Dis. 2024 Aug 10;17:100536. https://doi.org/10.1016/j.ijcchd.2024.100536Ghani H., Weir-McCall J.R., Ruggiero A., Pepke-Zaba J. Imaging in chronic thromboembolic pulmonary disease: Current practice and advances. Int J Cardiol Congenit Heart Dis. 2024 Aug 10;17:100536. https://doi.org/10.1016/j.ijcchd.2024.100536Hinrichs J.B., Renne J., Hoeper M.M. et al. Balloon pulmonary angioplasty: applicability of C-Arm CT for procedure guidance. Eur Radiol. 2016 Nov;26(11):4064-4071. https://doi.org/10.1007/s00330-016-4280-zHinrichs J.B., Renne J., Hoeper M.M. et al. Balloon pulmonary angioplasty: applicability of C-Arm CT for procedure guidance. Eur Radiol. 2016 Nov;26(11):4064-4071. https://doi.org/10.1007/s00330-016-4280-zNOMENCLATURE of broncho-pulmonary anatomy; an international nomenclature accepted by the Thoracic Society. Thorax. 1950 Sep;5(3):222-8. https://doi.org/10.1136/thx.5.3.222NOMENCLATURE of broncho-pulmonary anatomy; an international nomenclature accepted by the Thoracic Society. Thorax. 1950 Sep;5(3):222-8. https://doi.org/10.1136/thx.5.3.222Lang I.M., Andreassen A.K., Andersen A. et al. Balloon pulmonary angioplasty for chronic thromboembolic pulmonary hypertension: a clinical consensus statement of the ESC working group on pulmonary circulation and right ventricular function. Eur Heart J. 2023 Aug 1;44(29):2659-2671. https://doi.org/10.1093/eurheartj/ehad413Lang I.M., Andreassen A.K., Andersen A. et al. Balloon pulmonary angioplasty for chronic thromboembolic pulmonary hypertension: a clinical consensus statement of the ESC working group on pulmonary circulation and right ventricular function. Eur Heart J. 2023 Aug 1;44(29):2659-2671. https://doi.org/10.1093/eurheartj/ehad413Shimokawahara H., Ogawa A., Mizoguchi H. et al. Vessel Stretching Is a Cause of Lumen Enlargement Immediately After Balloon Pulmonary Angioplasty: Intravascular Ultrasound Analysis in Patients With Chronic Thromboembolic Pulmonary Hypertension. Circ Cardiovasc Interv. 2018 Apr;11(4):e006010. https://doi.org/10.1161/circinterventions.117.006010Shimokawahara H., Ogawa A., Mizoguchi H. et al. Vessel Stretching Is a Cause of Lumen Enlargement Immediately After Balloon Pulmonary Angioplasty: Intravascular Ultrasound Analysis in Patients With Chronic Thromboembolic Pulmonary Hypertension. Circ Cardiovasc Interv. 2018 Apr;11(4):e006010. https://doi.org/10.1161/circinterventions.117.006010Räber L., Ueki Y., Lang I.M. Balloon pulmonary angioplasty for the treatment of chronic thromboembolic pulmonary hypertension. EuroIntervention. 2019 Oct 4;15(9):e814-e815. https://doi.org/10.4244/eij-d-18-01212Räber L., Ueki Y., Lang I.M. Balloon pulmonary angioplasty for the treatment of chronic thromboembolic pulmonary hypertension. EuroIntervention. 2019 Oct 4;15(9):e814-e815. https://doi.org/10.4244/eij-d-18-01212Danilov N.M., Matchin Yu.G., Sagaydak O.V. et al. Antecubital vein access for balloon pulmonary angioplasty in patients with chronic thromboembolic pulmonary hypertension: safe new approach. Russian Open Medical Journal 2019; 8: e0107. https://doi.org/10.15275/rusomj.2019.0107Danilov N.M., Matchin Yu.G., Sagaydak O.V. et al. Antecubital vein access for balloon pulmonary angioplasty in patients with chronic thromboembolic pulmonary hypertension: safe new approach. Russian Open Medical Journal 2019; 8: e0107. https://doi.org/10.15275/rusomj.2019.0107Roik M., Wretowski D., Rowiński O. et al. Refined balloon pulmonary angioplasty in inoperable chronic thromboembolic pulmonary hypertension--a multi-modality approach to the treated lesion. Int J Cardiol. 2014 Dec 20;177(3):e139-41. https://doi.org/10.1016/j.ijcard.2014.09.051Roik M., Wretowski D., Rowiński O. et al. Refined balloon pulmonary angioplasty in inoperable chronic thromboembolic pulmonary hypertension--a multi-modality approach to the treated lesion. Int J Cardiol. 2014 Dec 20;177(3):e139-41. https://doi.org/10.1016/j.ijcard.2014.09.051Roik M., Wretowski D., Łabyk A. et al. Refined balloon pulmonary angioplasty driven by combined assessment of intra-arterial anatomy and physiology--Multimodal approach to treated lesions in patients with non-operable distal chronic thromboembolic pulmonary hypertension--Technique, safety and efficacy of 50 consecutive angioplasties. Int J Cardiol. 2016 Jan 15;203:228-35. https://doi.org/10.1016/j.ijcard.2015.10.116Roik M., Wretowski D., Łabyk A. et al. Refined balloon pulmonary angioplasty driven by combined assessment of intra-arterial anatomy and physiology--Multimodal approach to treated lesions in patients with non-operable distal chronic thromboembolic pulmonary hypertension--Technique, safety and efficacy of 50 consecutive angioplasties. Int J Cardiol. 2016 Jan 15;203:228-35. https://doi.org/10.1016/j.ijcard.2015.10.116Banning A.P., Serruys P., De Maria G.L. et al. Five-year outcomes after state-of-the-art percutaneous coronary revascularization in patients with de novo three-vessel disease: final results of the SYNTAX II study. Eur Heart J. 2022 Mar 31;43(13):1307-1316. https://doi.org/10.1093/eurheartj/ehab703Banning A.P., Serruys P., De Maria G.L. et al. Five-year outcomes after state-of-the-art percutaneous coronary revascularization in patients with de novo three-vessel disease: final results of the SYNTAX II study. Eur Heart J. 2022 Mar 31;43(13):1307-1316. https://doi.org/10.1093/eurheartj/ehab703Gerges C., Friewald R., Gerges M. et al. Efficacy and Safety of Percutaneous Pulmonary Artery Subtotal Occlusion and Chronic Total Occlusion Intervention in Chronic Thromboembolic Pulmonary Hypertension. Circ Cardiovasc Interv. 2021 Aug;14(8):e010243. https://doi.org/10.1161/circinterventions.120.010243Gerges C., Friewald R., Gerges M. et al. Efficacy and Safety of Percutaneous Pulmonary Artery Subtotal Occlusion and Chronic Total Occlusion Intervention in Chronic Thromboembolic Pulmonary Hypertension. Circ Cardiovasc Interv. 2021 Aug;14(8):e010243. https://doi.org/10.1161/circinterventions.120.010243Tajti P., Karmpaliotis D., Alaswad K., et al. The Hybrid Approach to Chronic Total Occlusion Percutaneous Coronary Intervention: Update From the PROGRESS CTO Registry. JACC Cardiovasc Interv. 2018 Jul 23;11(14):1325-1335. https://doi.org/10.1016/j.jcin.2018.02.036Tajti P., Karmpaliotis D., Alaswad K., et al. The Hybrid Approach to Chronic Total Occlusion Percutaneous Coronary Intervention: Update From the PROGRESS CTO Registry. JACC Cardiovasc Interv. 2018 Jul 23;11(14):1325-1335. https://doi.org/10.1016/j.jcin.2018.02.036Galassi A.R., Werner G.S., Boukhris M. et al. Percutaneous recanalisation of chronic total occlusions: 2019 consensus document from the EuroCTO Club. EuroIntervention. 2019 Jun 20;15(2):198-208. https://doi.org/10.4244/eij-d-18-00826Galassi A.R., Werner G.S., Boukhris M. et al. Percutaneous recanalisation of chronic total occlusions: 2019 consensus document from the EuroCTO Club. EuroIntervention. 2019 Jun 20;15(2):198-208. https://doi.org/10.4244/eij-d-18-00826Steinberg Z.L., Lombardi W.L., Lee J. et al. Balloon Pulmonary Angioplasty in Chronic Totally Occluded Pulmonary Arteries: Applying Lessons Learned From the Treatment of Coronary Artery Chronic Total Occlusions. J Invasive Cardiol. 2021 Aug;33(8):E632-E639. https://doi.org/10.25270/jic/20.00623Steinberg Z.L., Lombardi W.L., Lee J. et al. Balloon Pulmonary Angioplasty in Chronic Totally Occluded Pulmonary Arteries: Applying Lessons Learned From the Treatment of Coronary Artery Chronic Total Occlusions. J Invasive Cardiol. 2021 Aug;33(8):E632-E639. https://doi.org/10.25270/jic/20.00623Kurzyna M., Darocha S., Pietura R., et al. Changing the strategy of balloon pulmonary angioplasty resulted in a reduced complication rate in patients with chronic thromboembolic pulmonary hypertension. A single-centre European experience. Kardiol Pol. 2017;75:645-654. Epub 2017 May 29. https://doi.org/10.5603/kp.a2017.0091Kurzyna M., Darocha S., Pietura R., et al. Changing the strategy of balloon pulmonary angioplasty resulted in a reduced complication rate in patients with chronic thromboembolic pulmonary hypertension. A single-centre European experience. Kardiol Pol. 2017;75:645-654. Epub 2017 May 29. https://doi.org/10.5603/kp.a2017.0091Marukyan N., Simakova M., Moiseeva O., Kashtanov M. Transbronchial Guidance for Balloon Pulmonary Angioplasty in CTEPH: The Safe Guidewire Passage Through the Occlusion. JACC Cardiovasc Interv. 2022 Jan 24;15(2):e25-e26. https://doi.org/10.1016/j.jcin.2021.11.006Marukyan N., Simakova M., Moiseeva O., Kashtanov M. Transbronchial Guidance for Balloon Pulmonary Angioplasty in CTEPH: The Safe Guidewire Passage Through the Occlusion. JACC Cardiovasc Interv. 2022 Jan 24;15(2):e25-e26. https://doi.org/10.1016/j.jcin.2021.11.006Rathore S., Katoh O., Matsuo H. et al. Retrograde percutaneous recanalization of chronic total occlusion of the coronary arteries: procedural outcomes and predictors of success in contemporary practice. Circ Cardiovasc Interv. 2009 Apr;2(2):124-32. https://doi.org/10.1161/circinterventions.108.838862Rathore S., Katoh O., Matsuo H. et al. Retrograde percutaneous recanalization of chronic total occlusion of the coronary arteries: procedural outcomes and predictors of success in contemporary practice. Circ Cardiovasc Interv. 2009 Apr;2(2):124-32. https://doi.org/10.1161/circinterventions.108.838862Marukyan N., Zubarev D., Gorbatykh A., et al. Carlino-Like Technique for Retrograde Recanalization of Chronic Thromboembolic Pulmonary Artery Occlusion. JACC Cardiovasc Interv. 2024 Jun 10;17(11):1394-1396. https://doi.org/10.1016/j.jcin.2024.01.308Marukyan N., Zubarev D., Gorbatykh A., et al. Carlino-Like Technique for Retrograde Recanalization of Chronic Thromboembolic Pulmonary Artery Occlusion. JACC Cardiovasc Interv. 2024 Jun 10;17(11):1394-1396. https://doi.org/10.1016/j.jcin.2024.01.308Валиева З.С., Мартынюк Т.В. Выбор специфической и антикоа­гулянтной терапии у пациентов с впервые выявленной хрониче­ской тромбоэмболической лёгочной гипертензией в зависимо­сти от статуса операбельности. Российский кардиологический журнал. 2023;28(3):5231. https://doi.org/10.15829/1560-4071-2023-5231Valieva Z.S., Martynyuk T.V. Choice of specific and anticoagulant therapy in patients with newly diagnosed chronic thromboembolic pulmonary hypertension, depending on operability status. Russian Journal of Cardiology. 2023;28(3):5231. (In Russ.). https://doi.org/10.15829/1560-4071-2023-5231Delcroix M., Torbicki A., Gopalan D. et al. ERS statement on chronic thromboembolic pulmonary hypertension. Eur Respir J 2021; 57(6):2002828. https://doi.org/10.1183/13993003.02828-2020Delcroix M., Torbicki A., Gopalan D. et al. ERS statement on chronic thromboembolic pulmonary hypertension. Eur Respir J 2021; 57(6):2002828. https://doi.org/10.1183/13993003.02828-2020Stickel S., Gin-Sing W., Wagenaar M, Gibbs J.S.R. The practical management of fluid retention in adults with right heart failure due to pulmonary arterial hypertension. Eur Heart J Suppl. 2019 Dec;21(Suppl K):K46-K53. https://doi.org/10.1093/eurheartj/suz207Stickel S., Gin-Sing W., Wagenaar M, Gibbs J.S.R. The practical management of fluid retention in adults with right heart failure due to pulmonary arterial hypertension. Eur Heart J Suppl. 2019 Dec;21(Suppl K):K46-K53. https://doi.org/10.1093/eurheartj/suz207Диневич Е.О., Данилов Н.М., Чазова И.Е. Роль стимулятора растворимой гуанилатциклазы риоцигуата в предотвращении развития реперфузионного поражения лёгких после транс­люминальной баллонной ангиопластики лёгочных артерий у пациентов с хронической тромбоэмболической лёгочной ги­пертензией. Системные гипертензии. 2023;20(4):11-17. https://doi.org/10.38109/2075-082X-2023-4-11-17Dinevich E.O., Danilov N.M., Chazova I.E. The role of soluble guanylate cyclase stimulator riociguat in preventing the development of reperfusion lung injury after balloon pulmonary angioplasty in patients with chronic thromboembolic pulmonary hypertension. Systemic Hypertension. 2023;20(4):11-17. (In Russ.). https://doi.org/10.38109/2075-082X-2023-4-11-17]Карабашева М.Б., Данилов Н.М., Сагайдак О.В. и соавт. Отда­ленные результаты транслюминальной баллонной ангиопла­стики лёгочных артерий у пациентов с неоперабельной фор­мой хронической тромбоэмболической лёгочной гипертензии. Системные гипертензии. 2019; 16 (4): 27–32. https://doi.org/10.2 6442/2075082X.2019.4.190609Karabasheva M.B., Danilov N.M., Sagaidak O.V., Matchin Y.G., Chazova I.E. Long-term outcomes after percutaneous transluminal pulmonary angioplasty for chronic thromboembolic pulmonary hypertension. Systemic Hypertension. 2019;16(4):27-32. (In Russ.). https://doi.org/10.26442/2075082X.2019.4.190609Shigetoshi M., Hatanaka K., Ogawa A., et al. Oxygen inhalation can selectively dilate pulmonary arteries in patients with chronic thromboembolic pulmonary hypertension before balloon angioplasty. J Cardiol. 2022 Feb;79(2):265-269. https://doi.org/10.1016/j.jjcc.2021.09.003Shigetoshi M., Hatanaka K., Ogawa A., et al. Oxygen inhalation can selectively dilate pulmonary arteries in patients with chronic thromboembolic pulmonary hypertension before balloon angioplasty. J Cardiol. 2022 Feb;79(2):265-269. https://doi.org/10.1016/j.jjcc.2021.09.003Nef H.M., Achenbach S., Birkemeyer R. et al. Manual der arbeitsgruppe interventionelle kardiologie (AGIK) der deutschen gesellschaft für kardiologie—herz-und kreislaufforschung e. V. (DGK). Der Kardiologe Volume 2021;15:542–584. https://doi.org/10.1007/s12181-021-00504-6Nef H.M., Achenbach S., Birkemeyer R. et al. Manual der arbeitsgruppe interventionelle kardiologie (AGIK) der deutschen gesellschaft für kardiologie—herz-und kreislaufforschung e. V. (DGK). Der Kardiologe Volume 2021;15:542–584. https://doi.org/10.1007/s12181-021-00504-6Sebastià C., Nicolau C., Martín de Francisco Á.L. et al. Prophylaxis against postcontrast acute kidney injury (PC-AKI): updates in the ESUR guidelines 10.0 and critical review. Radiologia (Engl Ed). 2020 Jul-Aug;62(4):292-297. English, Spanish. https://doi.org/10.1016/j.rx.2019.12.005Sebastià C., Nicolau C., Martín de Francisco Á.L. et al. Prophylaxis against postcontrast acute kidney injury (PC-AKI): updates in the ESUR guidelines 10.0 and critical review. Radiologia (Engl Ed). 2020 Jul-Aug;62(4):292-297. English, Spanish. https://doi.org/10.1016/j.rx.2019.12.005[Guideline] ACR Committee on Drugs and Contrast Media. ACR Manual on Contrast Media 2023. American College of Radiology. Available at https://www.acr.org/-/media/acr/files/clinical-resources/contrast_media.pdf.Guideline] ACR Committee on Drugs and Contrast Media. ACR Manual on Contrast Media 2023. American College of Radiology. Available at https://www.acr.org/-/media/acr/files/clinical-resources/contrast_media.pdf.Аржанцев А.С., Данилов Н.М,, Матчн Ю.Г. и соавт. Перфорация лёгочных артерий при проведении транслюминальной баллон­ной ангиопластики. Кардиологический вестник. 2021;16(1):5663. https://doi.org/10.17116/Cardiobulletin20211601156Arzhantsev A.S., Danilov N.M., Atanesyan R.V. et al. Perforation of pulmonary arteries during transluminal balloon angioplasty. Russian Cardiology Bulletin. 2021;16(1):5663. (In Russ.). https:// doi.org/10.17116/Cardiobulletin20211601156Aggarwal V., Giri J., Visovatti S.H. et al. Status and Future Directions for Balloon Pulmonary Angioplasty in Chronic Thromboembolic Pulmonary Disease With and Without Pulmonary Hypertension: A Scientific Statement From the American Heart Association. Circulation. 2024 Apr 9;149(15):e1090-e1107. https://doi.org/10.1161/cir.0000000000001197Aggarwal V., Giri J., Visovatti S.H. et al. Status and Future Directions for Balloon Pulmonary Angioplasty in Chronic Thromboembolic Pulmonary Disease With and Without Pulmonary Hypertension: A Scientific Statement From the American Heart Association. Circulation. 2024 Apr 9;149(15):e1090-e1107. https://doi.org/10.1161/cir.0000000000001197Christoph B. Wiedenroth, Henrike Deissner, Miriam S.D. et al. Complications of balloon pulmonary angioplasty for inoperable chronic thromboembolic pulmonary hypertension: Impact on the outcome, The Journal of Heart and Lung Transplantation. 2022 AUG;41(8):1086-1094. EPUB 2022 MAY 20. PMID: 35690560. https://doi.org/10.1016/J.HEALUN.2022.05.002Christoph B. Wiedenroth, Henrike Deissner, Miriam S.D. et al. Complications of balloon pulmonary angioplasty for inoperable chronic thromboembolic pulmonary hypertension: Impact on the outcome, The Journal of Heart and Lung Transplantation. 2022 AUG;41(8):1086-1094. EPUB 2022 MAY 20. PMID: 35690560. https://doi.org/10.1016/J.HEALUN.2022.05.002Velazquez M., Albarran A., Hernandez I. et al. Balloon Pulmonary Angioplasty for Inoperable Patients With Chronic Thromboembolic Pulmonary Hypertension. Observational Study in a Referral Unit. Rev Esp Cardiol (Engl Ed). 2019 Mar;72(3):224-232. https://doi.org/10.1016/j.rec.2018.02.020Velazquez M., Albarran A., Hernandez I. et al. Balloon Pulmonary Angioplasty for Inoperable Patients With Chronic Thromboembolic Pulmonary Hypertension. Observational Study in a Referral Unit. Rev Esp Cardiol (Engl Ed). 2019 Mar;72(3):224-232. https://doi.org/10.1016/j.rec.2018.02.020Correction to: Status and Future Directions for Balloon Pulmonary Angioplasty in Chronic Thromboembolic Pulmonary Disease With and Without Pulmonary Hypertension: A Scientific Statement From the American Heart Association. Circulation. 2024 Jun 11;149(24):e1412. https://doi.org/10.1161/cir.0000000000001261Correction to: Status and Future Directions for Balloon Pulmonary Angioplasty in Chronic Thromboembolic Pulmonary Disease With and Without Pulmonary Hypertension: A Scientific Statement From the American Heart Association. Circulation. 2024 Jun 11;149(24):e1412. https://doi.org/10.1161/cir.0000000000001261Ogo T., Fukuda T., Tsuji A. et al. Efficacy and safety of balloon pulmonary angioplasty for chronic thromboembolic pulmonary hypertension guided by cone-beam computed tomography and electrocardiogram-gated area detector computed tomography. Eur J Radiol. 2017 Apr;89:270-276. https://doi.org/10.1016/j.ejrad.2016.12.013Ogo T., Fukuda T., Tsuji A. et al. Efficacy and safety of balloon pulmonary angioplasty for chronic thromboembolic pulmonary hypertension guided by cone-beam computed tomography and electrocardiogram-gated area detector computed tomography. Eur J Radiol. 2017 Apr;89:270-276. https://doi.org/10.1016/j.ejrad.2016.12.013Mahmud E., Ang L. Time to Standardize Definitions for the Success and Complications of Balloon Pulmonary Angioplasty: A Quality Imperative. JACC Cardiovasc Interv. 2023 Apr 24;16(8):984-985. https://doi.org/10.1016/j.jcin.2023.02.017Mahmud E., Ang L. Time to Standardize Definitions for the Success and Complications of Balloon Pulmonary Angioplasty: A Quality Imperative. JACC Cardiovasc Interv. 2023 Apr 24;16(8):984-985. https://doi.org/10.1016/j.jcin.2023.02.017Елфимова Е.М., Данилов Н.М., Яровой С.Ю. и соавт. Влияние СРАР-терапии на развитие реперфузионных поражений лёгких после транслюминальной баллонной ангиопластики лёгочных артерий у пациентов с хронической тромбоэмболической лёгочной гипертензией. Системные гипертензии. 2023;20(3):11- 18. https://doi.org/10.38109/2075-082X-2023-3-11-18Elfimova E.M., Danilov N.M., Yarovoy S.Yu. et al. Effect of CPAP therapy on the reperfusion lung injury after transluminal balloon angioplasty of the pulmonary arteries in patients with chronic thromboembolic pulmonary hypertension. Systemic Hypertension. 2023;20(3):11-18. (In Russ.). https://doi.org/10.38109/2075-082X-2023-3-11-18]Brenot P., Jais X., Taniguchi Y. et al. French Experience of balloon pulmonary angioplasty for chronic thromboembolic pulmonary hypertension. Eur Respir J 2019;53:1802095. https://doi.org/10.1183/13993003.02095-2018Brenot P., Jais X., Taniguchi Y. et al. French Experience of balloon pulmonary angioplasty for chronic thromboembolic pulmonary hypertension. Eur Respir J 2019;53:1802095. https://doi.org/10.1183/13993003.02095-2018Методические рекомендации «Неинвазивная вентиляция лёг­ких», Общероссийская общественная организация Федерация анестезиологов и реаниматологов, 2020. https://faronline.ru/api/static/cms-files/53189cb3-1fb2-469a-ad9c-e44a537158e2/niv2020.pdfMethodological recommendations “Non-invasive ventilation”, All-Russian public organization Federation of Anesthesiologists and Resuscitators, 2020. https://faronline.ru/api/static/cms-files/53189cb3-1fb2-469a-ad9c-e44a537158e2/niv2020.pdfShinkura Y., Nakayama K., Yanaka K. et al. Extensive revascularisation by balloon pulmonary angioplasty for chronic thromboembolic pulmonary hypertension beyond haemodynamic normalisation. EuroIntervention. 2018 Apr 20;13(17):2060-2068. https://doi.org/10.4244/eij-d-17-00157Shinkura Y., Nakayama K., Yanaka K. et al. Extensive revascularisation by balloon pulmonary angioplasty for chronic thromboembolic pulmonary hypertension beyond haemodynamic normalisation. EuroIntervention. 2018 Apr 20;13(17):2060-2068. https://doi.org/10.4244/eij-d-17-00157Хирургическое лечение хронической тромбоэмболической лёгочной гипертензии. Под ред. А.М. Чернявского. – Новоси­бирск: Изд-во СО РАН, 2019. – 318 с.Chronic thromboembolic pulmonary hypertension surgery. Chernyavskiy AM. Novosibirsk. Siberian Branch of the Russian Academy of Sciences, 2019. – 318 pp (In Russ.)Wilkens H., Konstantinides S., Lang I.M., et al. Chronic thromboembolic pulmonary hypertension (CTEPH): Updated Recommendations from the Cologne Consensus Conference 2018. Int J Cardiol. 2018;272S:69-78. https://doi.org/10.1016/j.ijcard.2018.08.079Wilkens H., Konstantinides S., Lang I.M., et al. Chronic thromboembolic pulmonary hypertension (CTEPH): Updated Recommendations from the Cologne Consensus Conference 2018. Int J Cardiol. 2018;272S:69-78. https://doi.org/10.1016/j.ijcard.2018.08.079Бадоян А.Г., Гранкин Д.С., Крестьянинов О.В., Шарафутдинов У.Ш., Манукян С.Н., Баранов А.А., Хелимский Д.А. Баллонная легочная ангиопластика у пациентов с хронической тромбо­эмболической лёгочной гипертензией: непосредственные и отдаленные результаты. Патология кровообращения и кардио­хирургия. 2024;28(3):52-63. https://doi.org/10.21688/1681-3472-2024-3-52-63Badoyan A.G., Grankin D.S., Krestyaninov O.V., Sharafutdinov U.Sh., Manukyan S.N., Baranov A.A., Khelimsky D.A. Balloon pulmonary angioplasty in patients with chronic thromboembolic pulmonary hypertension: immediate and long-term results. Circulatory pathology and cardiac surgery. 2024;28(3):52-63. (In Russ.) https://doi.org/10.21688/1681-3472-2024-3-52-63Delcroix M., Pepke-Zaba J., D'Armini A.M. et al. Worldwide CTEPH Registry: Long-Term Outcomes With Pulmonary Endarterectomy, Balloon Pulmonary Angioplasty, and Medical Therapy. Circulation. 2024 Oct 22;150(17):1354-1365. https://doi.org/10.1161/circulationaha.124.068610Delcroix M., Pepke-Zaba J., D'Armini A.M. et al. Worldwide CTEPH Registry: Long-Term Outcomes With Pulmonary Endarterectomy, Balloon Pulmonary Angioplasty, and Medical Therapy. Circulation. 2024 Oct 22;150(17):1354-1365. https://doi.org/10.1161/circulationaha.124.068610Araszkiewicz A., Darocha S., Pietrasik A. et al. Balloon pulmonary angioplasty for the treatment of residual or recurrent pulmonary hypertension after pulmonary endarterectomy. Int J Cardiol. 2019 Mar 1;278:232-237. https://doi.org/10.1016/j.ijcard.2018.10.066Araszkiewicz A., Darocha S., Pietrasik A. et al. Balloon pulmonary angioplasty for the treatment of residual or recurrent pulmonary hypertension after pulmonary endarterectomy. Int J Cardiol. 2019 Mar 1;278:232-237. https://doi.org/10.1016/j.ijcard.2018.10.066Shimura N., Kataoka M., Inami T. et al. Additional percutaneous transluminal pulmonary angioplasty for residual or recurrent pulmonary hypertension after pulmonary endarterectomy. Int J Cardiol. 2015 Mar 15;183:138-42. https://doi.org/10.1016/j.ijcard.2015.01.034Shimura N., Kataoka M., Inami T. et al. Additional percutaneous transluminal pulmonary angioplasty for residual or recurrent pulmonary hypertension after pulmonary endarterectomy. Int J Cardiol. 2015 Mar 15;183:138-42. https://doi.org/10.1016/j.jcard.2015.01.034Brookes J.D.L., Li C., Chung S.T.W. et al. Pulmonary thromboendarterectomy for chronic thromboembolic pulmonary hypertension: a systematic review. Ann Cardiothorac Surg. 2022 Mar;11(2):68-81. https://doi.org/10.21037/acs-2021-pte-25Brookes J.D.L., Li C., Chung S.T.W. et al. Pulmonary thromboendarterectomy for chronic thromboembolic pulmonary hypertension: a systematic review. Ann Cardiothorac Surg. 2022 Mar;11(2):68-81. https://doi.org/10.21037/acs-2021-pte-25Ishida K., Masuda M., Tanabe N. et al. Long-term outcome after pulmonary endarterectomy for chronic thromboembolic pulmonary hypertension. J Thorac Cardiovasc Surg. 2012 Aug;144(2):321-6. https://doi.org/10.1016/j.jtcvs.2011.09.004Ishida K., Masuda M., Tanabe N. et al. Long-term outcome after pulmonary endarterectomy for chronic thromboembolic pulmonary hypertension. J Thorac Cardiovasc Surg. 2012 Aug;144(2):321-6. https://doi.org/10.1016/j.jtcvs.2011.09.004Saouti N., Morshuis W.J., Heijmen R.H., Snijder R.J. Long-term outcome after pulmonary endarterectomy for chronic thromboembolic pulmonary hypertension: a single institution experience. Eur J Cardiothorac Surg. 2009 Jun;35(6):947-52; discussion 952. https://doi.org/10.1016/j.ejcts.2009.01.023Saouti N., Morshuis W.J., Heijmen R.H., Snijder R.J. Long-term outcome after pulmonary endarterectomy for chronic thromboembolic pulmonary hypertension: a single institution experience. Eur J Cardiothorac Surg. 2009 Jun;35(6):947-52; discussion 952. https://doi.org/10.1016/j.ejcts.2009.01.023Shimahara Y., Suzuki S., Fujiyoshi T. et al. Balloon pulmonary angioplasty followed by pulmonary endarterectomy: Combination treatment for high-surgical-risk patients with chronic thromboembolic pulmonary hypertension. Interdiscip CardioVasc Thorac Surg 2023; https://doi.org/10.1093/icvts/ivad031Shimahara Y., Suzuki S., Fujiyoshi T. et al. Balloon pulmonary angioplasty followed by pulmonary endarterectomy: Combination treatment for high-surgical-risk patients with chronic thromboembolic pulmonary hypertension. Interdiscip CardioVasc Thorac Surg 2023; https://doi.org/10.1093/icvts/ivad031Madani M.M. Pulmonary endarterectomy for chronic thromboembolic pulmonary hypertension: state-of-the-art 2020. Pulm Circ. 2021 May 24;11(2):20458940211007372. https://doi.org/10.1177/20458940211007372Madani M.M. Pulmonary endarterectomy for chronic thromboembolic pulmonary hypertension: state-of-the-art 2020. Pulm Circ. 2021 May 24;11(2):20458940211007372. https://doi.org/10.1177/20458940211007372Данилов НМ, Матчин ЮГ, Яровой СЮ, Демченкова АЮ, Чазова ИЕ. Баллонная ангиопластика как альтернатива тромбэндарте­рэктомии при проксимальном типе поражения легочной арте­рии у больной с хронической тромбоэмболической легочной гипертензией (клинический случай). Системные гипертензии 2017;14(1):41-44. https://doi.org/10.26442/SG29173Danilov N.M., Matchin Y.G., Iarovoi S.Y., et al. Balloon angioplasty as an alternative to thromboendarterectomy for proximal pulmonary artery obstruction in a patient with chronic thromboembolic pulmonary hypertension: a case report // Systemic Hypertension. 2017;14(1):41-44. (In Russ.). https://doi.org/10.26442/SG29173Danilov N., Karabasheva M., Sagaydak O. Hybrid Approach For Treating Patient With Chronic Thromboembolic Pulmonary Hypertension And Extrinsic Compression Of Left Main Coronary Artery. Russian Open Medical Journal 2019. volume 8 - Issue 4. https://doi.org/10.15275/rusomj.2019.0407Danilov N., Karabasheva M., Sagaydak O. Hybrid Approach For Treating Patient With Chronic Thromboembolic Pulmonary Hypertension And Extrinsic Compression Of Left Main Coronary Artery. Russian Open Medical Journal 2019. volume 8 - Issue 4. https://doi.org/10.15275/rusomj.2019.0407Kajita L.J., Martinez E.E., Ambrose J.A.et al. Extrinsic compression of the left main coronary artery by a dilated pulmonary artery: clinical, angiographic, and hemodynamic determinants. Catheter Cardiovasc Interv. 2001 Jan;52(1):49-54. https://doi.org/10.1002/1522-726x(200101)52:1<49::aid-ccd1012>3.0.co;2-0Kajita L.J., Martinez E.E., Ambrose J.A.et al. Extrinsic compression of the left main coronary artery by a dilated pulmonary artery: clinical, angiographic, and hemodynamic determinants. Catheter Cardiovasc Interv. 2001 Jan;52(1):49-54. https://doi.org/10.1002/1522-726x(200101)52:1<49::aid-ccd1012>3.0.co;2-0Sugiyama K., Koizumi N., Ogino H. Severe Compression of the Left Main Coronary Artery in a Patient with Chronic Thromboembolic Pulmonary Hypertension. Ann Thorac Cardiovasc Surg. 2018 Oct 19;24(5):251-254. https://doi.org/10.5761/atcs.cr.17-00084Sugiyama K., Koizumi N., Ogino H. Severe Compression of the Left Main Coronary Artery in a Patient with Chronic Thromboembolic Pulmonary Hypertension. Ann Thorac Cardiovasc Surg. 2018 Oct 19;24(5):251-254. https://doi.org/10.5761/atcs.cr.17-00084

The authors declare that there are no conflicts of interest present.