Fig. 24From: Pathophysiology of right ventricular failure in acute pulmonary embolism and chronic thromboembolic pulmonary hypertension: a pictorial essay for the interventional radiologistImaging and treatment in a patient with CTEPH. An 82-year-old male patient, nonsurgical candidate, with central-type and distal-type CTEPH. a CTA demonstrating webs and bands (white arrows). b Region of stenosis (solid black arrow) and occlusion (open black arrow) due to webs and bands. c Fluoroscopic image of balloon pulmonary angioplasty. A 4Â mm balloon (open black arrow), passed through a 7 Fr 90Â cm Brite Tip sheath (Cordis, Milpitas, CA, USA, arrow head), over a V18 (Boston Scientific, Malborough, MA) working wire (solid black arrow). d Pulmonary angiogram demonstrates revascularized segmental pulmonary arteries (black arrows)Back to article page