The paradigm shift in treatment of severe venous thromboembolism.

IF 0.8 Q4 PERIPHERAL VASCULAR DISEASE
Jornal Vascular Brasileiro Pub Date : 2024-03-04 eCollection Date: 2024-01-01 DOI:10.1590/1677-5449.202300952
Fábio Henrique Rossi, Francisco José Osse, Patricia Ellen Thorpe
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引用次数: 0

Abstract

Pulmonary embolism (PE) is the third leading cause of cardiovascular death and the main cause of preventable in-hospital death in the world. The PERT® (Pulmonary Embolism Response Team) concept involves multidisciplinary diagnosis and immediate treatment. Deep venous thrombosis (DVT) is the initial cause of most cases of PE and is responsible for complications such as chronic thromboembolic recurrence, postthrombotic syndrome, and chronic thromboembolic pulmonary hypertension. An aggressive approach to severe cases of iliofemoral DVT similar to the PERT® system can not only reduce the immediate risk of PE and death but can also reduce later sequelae. New percutaneous techniques and mechanical thrombectomy devices for venous thromboembolism (VTE) have shown encouraging clinical results. We propose the development of an expanded concept of rapid response to VTE, which involves not only PE (PERT®) but also severe cases of DVT: the Venous Thromboembolism Response Team (VTERT®).

严重静脉血栓栓塞症治疗模式的转变。
肺栓塞(PE)是心血管疾病死亡的第三大原因,也是世界上可预防的院内死亡的主要原因。PERT®(肺栓塞应对小组)的理念包括多学科诊断和即时治疗。深静脉血栓(DVT)是大多数肺栓塞病例的最初病因,也是慢性血栓栓塞复发、血栓后综合征和慢性血栓栓塞性肺动脉高压等并发症的罪魁祸首。对严重的髂股深层血栓病例采取类似于 PERT® 系统的积极治疗方法,不仅能降低 PE 的即刻风险和死亡风险,还能减少日后的后遗症。治疗静脉血栓栓塞症(VTE)的新经皮技术和机械血栓切除装置已显示出令人鼓舞的临床效果。我们建议制定一个扩大的 VTE 快速反应概念,不仅包括 PE(PERT®),还包括严重的深静脉血栓形成病例:静脉血栓栓塞反应小组(VTERT®)。
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来源期刊
Jornal Vascular Brasileiro
Jornal Vascular Brasileiro Medicine-Cardiology and Cardiovascular Medicine
CiteScore
1.20
自引率
0.00%
发文量
57
审稿时长
20 weeks
期刊介绍: The Jornal Vascular Brasileiro is editated and published quaterly to select and disseminate high-quality scientific contents concerning original research, novel surgical and diagnostic techniques, and clinical observations in the field of vascular surgery, angiology, and endovascular surgery. Its abbreviated title is J. Vasc. Bras., which should be used in bibliographies, footnotes and bibliographical references and strips.
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