Implementation of regional multidisciplinary pulmonary embolism response team – PERT-POZ initial one-year experience

Sylwia Sławek-Szmyt, Stanisław Jankiewicz, Anna Smukowska-Gorynia, Magdalena Janus, Aneta Klotzka, Mateusz Puślecki, Marek Jemielity, Zbigniew Krasiński, Bartosz Żabicki, Waldemar Elikowski, Marek Grygier, Tatiana Mularek-Kubzdela (+2 others)
2020 Kardiologia polska  
Pulmonary embolism (PE) is the third most common potentially life-threatening cardiovascular disease. Pulmonary Embolism Response Team (PERT) approach has been introduced to provide rapid multidisciplinary assessment and treatment of patients with PE. However, there is a lack of detailed institutional experience and clinical outcomes data from such teams. The present study was aimed to report our experience with PERT-guided PE management within first year of action. We performed a prospective
more » ... med a prospective study of PERT activations at university care center. Patients characteristics, therapies and clinical outcomes were evaluated. There were 86 unique PERT activations, and PE was confirmed in 80 patients. Nine (11.25%) patients were classified as low-risk, 19 (23.75%) as intermediate-low risk, 38 (47.50%) as intermediate-high 38 (47.50%) and 14 (17.50%) as high-risk PE. Sixty (75%) patients received only anticoagulation, 28 (35%) direct oral anticoagulant, 7 (8.75%) vitamin K antagonist, 23 (28.75%) low molecular weight heparin, and 2 (2.50%) unfractionated heparin. Ten (12.50%) patients were treated with catheter-directed thrombectomy, 6 (7.50) received systemic thrombolysis (ST), 2 (2.50%) underwent surgical embolectomy, 2 (2.50%) were on extracorporeal membrane oxygenation support, a 2 (2.50%) underwent pharmacomechanical venous thrombectomy. There were 7 (8.75%) in-hospital deaths, and 2 (2.50%) deaths during 3-month follow-up. Bleeding complications were rare, only 3 (3.75%) patients experienced major bleeding events, but none after administration of ST. We report our initial 12-months experience with a novel PERT-guided PE management.
doi:10.33963/kp.15230 pmid:32165606 fatcat:qvy6vwwjrndetpa7i37dyeasja