In this episode of Respiratory Exchange, titled "Treating CTEPH: Surgery, Medication or Balloon Angioplasty?" Dr. Gustavo Heresi and Dr. Alice Goyanes discuss specialized, dedicated treatment options for chronic thromboembolic pulmonary hypertension (CTEPH), a type of pulmonary vascular disease. They review when pulmonary endarterectomy is appropriate. They also discuss treatment options for patients who are not candidates for surgery, such as those with decompensated cirrhosis or metastatic cancer. For those patients, they consider the options such as using the FDA-approved vasodilator, Riociguat, and balloon angioplasty. They also note the benefits of discussion with vascular medicine and hematology.