Rossi Fábio Henrique, Osse Francisco José, Thorpe Patricia Ellen
Instituto de Excelência em Doenças Venosas - IEDV, São Paulo, SP, Brasil.
J Vasc Bras. 2024 Mar 4;24:e20230095. doi: 10.1590/1677-5449.202300952. eCollection 2024.
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®).
肺栓塞(PE)是心血管疾病死亡的第三大原因,也是全球可预防的院内死亡的主要原因。PERT®(肺栓塞反应团队)概念涉及多学科诊断和即时治疗。深静脉血栓形成(DVT)是大多数PE病例的初始病因,并导致诸如慢性血栓栓塞复发、血栓形成后综合征和慢性血栓栓塞性肺动脉高压等并发症。对严重的髂股静脉DVT采用类似于PERT®系统的积极治疗方法,不仅可以降低PE和死亡的直接风险,还可以减少后期后遗症。用于静脉血栓栓塞(VTE)的新型经皮技术和机械血栓切除术设备已显示出令人鼓舞的临床效果。我们提议发展一种针对VTE的扩展快速反应概念,它不仅涉及PE(PERT®),还包括严重的DVT病例:静脉血栓栓塞反应团队(VTERT®)。