在肺endart TY - T1的决策erectomy surgery JF - European Respiratory Journal JO - Eur Respir J DO - 10.1183/13993003.02138-2018 VL - 53 IS - 1 SP - 1802138 AU - Kim, Nick H. AU - Mayer, Eckhard Y1 - 2019/01/01 UR - //www.qdcxjkg.com/content/53/1/1802138.abstract N2 - We thank R. Condliffe and co-workers for their critical clarifications and for pointing out any potential misrepresentation of their report [1]. We recognised in our review of the manuscript that 81% upon remote review were felt to be technically operable cases. However, in the end, only half were operated. In their response, R. Condliffe and co-workers provide further elaboration of their chronic thromboembolic pulmonary hypertension (CTEPH) case review process, in close partnership with the surgical centre at Papworth, including the important offer of an in-person consultation. So, were all 135 patients (72 who refused and 63 who were deemed unfit for surgery) examined and reviewed in person at the surgical reference centre? This is critical information left out in the original paper and in their correspondence, and the point which should be highlighted in this dialogue.Operability assessment in CTEPH remains highly subjective. In order to provide the optimal care to each patient with CTEPH, we encourage direct evaluation and counselling whenever possible. http://ow.ly/uRCO30mMs46 ER -