Transition from Intravenous Epoprostenol to Oral or Subcutaneous Therapy in Pulmonary Arterial Hypertension: A Retrospective Case Series and Systematic Literature Review

BACKGROUND: Intravenous epoprostenol, a prostaglandin analogue, has been a mainstay of therapy for patients with advanced pulmonary arterial hypertension (PAH) since the early 1990s. This medication has multiple side effects, and sudden discontinuation is potentially associated with severe sequelae....

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Main Authors: Kirily Park, David Ostrow, Robert D Levy, John Swiston
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Canadian Respiratory Journal
Online Access:http://dx.doi.org/10.1155/2011/104834
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author Kirily Park
David Ostrow
Robert D Levy
John Swiston
author_facet Kirily Park
David Ostrow
Robert D Levy
John Swiston
author_sort Kirily Park
collection DOAJ
description BACKGROUND: Intravenous epoprostenol, a prostaglandin analogue, has been a mainstay of therapy for patients with advanced pulmonary arterial hypertension (PAH) since the early 1990s. This medication has multiple side effects, and sudden discontinuation is potentially associated with severe sequelae. Several recent case series have described the transition from intravenous to newer oral or subcutaneous therapies. A case series detailing the authors’ experience with such transitions, and a systematic lierature review is presented.
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institution Kabale University
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publisher Wiley
record_format Article
series Canadian Respiratory Journal
spelling doaj-art-7979622deddc49d3aab4dce0617cbf212025-02-03T01:00:35ZengWileyCanadian Respiratory Journal1198-22412011-01-0118315716210.1155/2011/104834Transition from Intravenous Epoprostenol to Oral or Subcutaneous Therapy in Pulmonary Arterial Hypertension: A Retrospective Case Series and Systematic Literature ReviewKirily Park0David Ostrow1Robert D Levy2John Swiston3The Lung Centre, Vancouver General Hospital, University of British Columbia, Vancouver, British Columbia, CanadaThe Lung Centre, Vancouver General Hospital, University of British Columbia, Vancouver, British Columbia, CanadaThe Lung Centre, Vancouver General Hospital, University of British Columbia, Vancouver, British Columbia, CanadaThe Lung Centre, Vancouver General Hospital, University of British Columbia, Vancouver, British Columbia, CanadaBACKGROUND: Intravenous epoprostenol, a prostaglandin analogue, has been a mainstay of therapy for patients with advanced pulmonary arterial hypertension (PAH) since the early 1990s. This medication has multiple side effects, and sudden discontinuation is potentially associated with severe sequelae. Several recent case series have described the transition from intravenous to newer oral or subcutaneous therapies. A case series detailing the authors’ experience with such transitions, and a systematic lierature review is presented.http://dx.doi.org/10.1155/2011/104834
spellingShingle Kirily Park
David Ostrow
Robert D Levy
John Swiston
Transition from Intravenous Epoprostenol to Oral or Subcutaneous Therapy in Pulmonary Arterial Hypertension: A Retrospective Case Series and Systematic Literature Review
Canadian Respiratory Journal
title Transition from Intravenous Epoprostenol to Oral or Subcutaneous Therapy in Pulmonary Arterial Hypertension: A Retrospective Case Series and Systematic Literature Review
title_full Transition from Intravenous Epoprostenol to Oral or Subcutaneous Therapy in Pulmonary Arterial Hypertension: A Retrospective Case Series and Systematic Literature Review
title_fullStr Transition from Intravenous Epoprostenol to Oral or Subcutaneous Therapy in Pulmonary Arterial Hypertension: A Retrospective Case Series and Systematic Literature Review
title_full_unstemmed Transition from Intravenous Epoprostenol to Oral or Subcutaneous Therapy in Pulmonary Arterial Hypertension: A Retrospective Case Series and Systematic Literature Review
title_short Transition from Intravenous Epoprostenol to Oral or Subcutaneous Therapy in Pulmonary Arterial Hypertension: A Retrospective Case Series and Systematic Literature Review
title_sort transition from intravenous epoprostenol to oral or subcutaneous therapy in pulmonary arterial hypertension a retrospective case series and systematic literature review
url http://dx.doi.org/10.1155/2011/104834
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