This is a great topic, @colleensteele. Just celebrating my 15 years last week with PH, I have had times when both have applied. I have had times when my CHF was so bad and they were scared to do a cath. I went for several years without one because of the risks.
Thankfully, I am now in better shape, overall with PH, so I do have caths done every year pretty much. If there is a time when my health is questionable, they will hold off.
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