Pulmonary Vascular Disease

Our Comprehensive Pulmonary Vascular Disease Program offers coordinated, multidisciplinary expertise by a team of specialists in cardiology, pulmonary hypertension, vascular medicine, anticoagulation management, hematology, emergency medicine, hospital medicine, interventional cardiology, interventional radiology, and cardiothoracic surgery. Patients have access to highquality, progressive care across the entire spectrum of disease, including acute and chronic pulmonary embolism (PE), pulmonary hypertension, specifically chronic thromboembolic pulmonary hypertension (CTEPH), and pulmonary veno-occlusive disease.

Patients with a prior history of pulmonary embolism who present with shortness of breath, fatigue, or right heart failure should undergo a ventilation perfusion scan (VQ) and echocardiogram to evaluate for chronic PE or CTEPH. If positive, patients should be seen at a center of excellence with specific expertise in pulmonary endarterectomy and balloon pulmonary angioplasty (BPA)

We staff a dedicated, multidisciplinary, 24-hour oncall pulmonary vascular disease service available to referring physicians internal and external to U-M Health. This service is a gateway to our pulmonary embolism response team (PERT) as well as our inpatient and outpatient specialized care teams, providing seamless coordination of medical, interventional, and open surgical management.

The Frankel CVC is a regional referral center for CTEPH, and the only center in Michigan to offer both pulmonary endarterectomy and BPA. To deliver optimally integrated care across health systems, we host monthly virtual care coordination conferences with our statewide referring physician community. Patients who are not eligible for the complex, open-heart endarterectomy procedure are treated with minimally invasive BPA. Our highly trained specialists perform over 30 pulmonary endarterectomies annually and routinely perform pulmonary angiogram and BPA.

The Michigan Pulmonary Angiography and Angioplasty course (Mi-PACE) is offered live quarterly by U-M Health. In addition to didactics, participants are invited to directly observe expert pulmonary angiography and angioplasty. Past participants have successfully launched new chronic pulmonary embolism and CTEPH treatment programs at comprehensive academic medical centers nationwide.

>200 PULMONARY ENDARTERECTOMIES EXPONENTIAL PULMONARY INTERVENTIONAL GROWTH:

>400 COMPLETED PROCEDURES PULMONARY ANGIOGRAPHY AND BPA