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To investigate safety and effectiveness of PE treatment according to the decision of the multi-disciplinary pulmonary embolism response team (PERT) and to define and optimize treatment indications, institutional algorithms and interventional techniques for PE.
This single-center cohort study is designed to retrospectively and prospectively collect treatment and outcome data related to patients with PE and after activation of the PERT. Treatment information and outcomes after advanced treatment modalities, including systemic thrombolysis, catheter directed thrombolysis and surgical embolectomy, will be collected.
Retrospective patient data will consist of treatment and health related outcomes of consecutive patients treated for acute and chronic PE between October 2017 and April 2020 (to assess the learning curve of the PERT) and of patients receiving surgical embolectomy between January 2001 and April 2020. The retrospective data will be derived from the local institutional dataset and will be transferred to the study database. Prospective patients will be included after May 2020.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Medical Therapy / Anticoagulation | |||
| Systemic Lysis | |||
| Interventional Therapy for PE | |||
| Surgical Embolectomy |
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| Measure | Description | Time Frame |
|---|---|---|
| In-hospital death | 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| Peri-procedural adverse events | 30 days | |
| Recurrent VTE during follow-up | up to 5 years | |
| Respiratory and functional deterioration after treatment |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Stefan Stortecky, MD | Contact | +41 31 632 21 11 | stefan.stortecky@insel.ch |
| Name | Affiliation | Role |
|---|---|---|
| Stefan Stortecky, MD | Department of Cardiology, Bern University Hospital, University of Bern, Switzerland | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Bern - Inselspital | Recruiting | Bern | Canton of Bern | 3010 | Switzerland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40281654 | Derived | Draxler DF, Johannes JK, Nakase M, Heg D, Dobner S, Turovskij E, Furholz M, Haner J, Lanz J, Pilgrim T, Hunziker L, Praz F, Raber L, Rohla M, Siontis GCM, Susuri-Pfammatter N, Windecker S, Stortecky S. Clinical Outcomes in Patients With Acute Pulmonary Embolism Undergoing Ultrasound-Assisted Catheter-Directed Thrombolysis. J Am Heart Assoc. 2025 May 6;14(9):e035916. doi: 10.1161/JAHA.124.035916. Epub 2025 Apr 25. |
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| ID | Term |
|---|---|
| D011655 | Pulmonary Embolism |
| ID | Term |
|---|---|
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D004617 | Embolism |
| D016769 | Embolism and Thrombosis |
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| 6 months |
| Development of chronic thromboembolic pulmonary hypertension (CTEPH) | up to 5 years |
| University Hospital Bern | Recruiting | Bern | 3010 | Switzerland |
|
| D014652 |
| Vascular Diseases |
| D002318 | Cardiovascular Diseases |