Perioperative medicine & outcomes

Preoperative Right Ventricle–to–Pulmonary Artery Coupling Correlates With Intensive Care Length of Stay After Pulmonary Endarterectomy

J Cardiothorac Vasc AnesthPublished Retrospective cohort study

Main finding · ICU LOSResult — go to the resultOdds ratio 3.45 95% CI 1.16–11.11

Authors' conclusion

A lower preoperative TAPSE:PASP ratio was associated with prolonged ICU stay and hemodynamic compromise after PEA.

Study context

Population
Patients with chronic thromboembolic pulmonary hypertension (CTEPH) undergoing pulmonary endarterectomy (PEA) at a national tertiary CTEPH centre
Participants
60 patients
Exposure
Preoperative TAPSE:PASP ratio below vs at or above 0.17 mm/mmHg
Outcome
ICU LOS
Methodological detailssingle-center
  • Single-center

Main finding

As reported in the abstract

Odds ratio

3.45

95% CI 1.16–11.11

By group

TAPSE:PASP <0.17 vs TAPSE:PASP ≥0.17
OR 3.45 (95% CI 1.16–11.11)

Observational data: associations, not effects.

Secondary outcomes

Need for vasoactive and inotropic therapy (perioperative hemodynamic instability)

OR (95% CI)P value
Lower TAPSE:PASP ratiosHigher need3.33 (1.11–10.00)P = 0.032

Prolonged need for vasoactive and inotropic therapy

OR (95% CI)P value
Lower TAPSE:PASP ratiosProlonged need3.70 (1.23–11.11)P = 0.019

Original publication

Preoperative Right Ventricle–to–Pulmonary Artery Coupling Correlates With Intensive Care Length of Stay After Pulmonary Endarterectomy. J Cardiothorac Vasc Anesth. Published 19 December 2025. doi:10.1053/j.jvca.2025.12.013

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