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Advanced Technical IVT

CTEPH

Also written as: CTEPH — Chronic Thromboembolic Pulmonary Hypertension

A form of pulmonary hypertension caused by chronic obstruction of pulmonary arteries by organized thromboembolic material.

Full Definition

Chronic Thromboembolic Pulmonary Hypertension (CTEPH) is a rare but potentially treatable cause of pulmonary hypertension characterized by chronic obstruction of pulmonary arteries by organized thromboembolic material and vascular remodeling. CTEPH can develop as a complication of acute pulmonary embolism when clots fail to resolve completely. Imaging plays a crucial role in diagnosis, with CT pulmonary angiography showing characteristic findings such as webs, bands, and chronic occlusions. Ventilation-perfusion scanning demonstrates mismatched perfusion defects. Early diagnosis is important because CTEPH may be curable with pulmonary thromboendarterectomy in appropriate candidates.

Usage

Usage note: Distinguish from acute PE and other forms of pulmonary hypertension in clinical documentation.

In Context

  • "CTEPH was suspected based on persistent dyspnea and perfusion defects six months post-PE." — Clinical assessment
  • "CT angiography demonstrated findings consistent with CTEPH including pulmonary artery webs and chronic occlusions." — Radiology report

Also known as

chronic thromboembolic disease

Contrasted with

acute PE pulmonary arterial hypertension

Don't confuse with

PAH acute pulmonary embolism

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