Pulmonary embolism response teams: Purpose, evidence for efficacy, and future research directions

Abstract Pulmonary embolism (PE) is a major cause of morbidity and mortality in the United States. Although new therapeutic tools and strategies have recently been developed for the diagnosis and treatment of patients with PE, the outcomes for patients who present with massive or high‐risk PE remain...

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Main Authors: Rachel Rosovsky, Ken Zhao, Akhilesh Sista, Belinda Rivera‐Lebron, Christopher Kabrhel
Format: Article
Language:English
Published: Wiley 2019-07-01
Series:Research and Practice in Thrombosis and Haemostasis
Subjects:
Online Access:https://doi.org/10.1002/rth2.12216
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spelling doaj-61e1a9fc64b84a10aaa1e2993bd6b3a22020-11-24T21:26:37ZengWileyResearch and Practice in Thrombosis and Haemostasis2475-03792019-07-013331533010.1002/rth2.12216Pulmonary embolism response teams: Purpose, evidence for efficacy, and future research directionsRachel Rosovsky0Ken Zhao1Akhilesh Sista2Belinda Rivera‐Lebron3Christopher Kabrhel4Division of Hematology & Oncology Department of Medicine Massachusetts Hospital Boston MassachusettsDivision of Interventional Radiology Department of Radiology New York University Langone Medical Center New York New YorkDivision of Interventional Radiology Department of Radiology New York University Langone Medical Center New York New YorkDivision of Pulmonary, Allergy and Critical Care Medicine Department of Medicine University of Pittsburgh Pittsburgh PennsylvaniaCenter for Vascular Emergencies Department of Emergency Medicine Massachusetts General Hospital Boston MassachusettsAbstract Pulmonary embolism (PE) is a major cause of morbidity and mortality in the United States. Although new therapeutic tools and strategies have recently been developed for the diagnosis and treatment of patients with PE, the outcomes for patients who present with massive or high‐risk PE remain dismal. To address this crisis, pulmonary embolism response teams (PERTs) are being created around the world in an effort to immediately and simultaneously engage multiple specialists to determine the best course of action and coordinate the clinical care for patients with acute PE. The scope of this review is to describe the PERT model and purpose, present the structure and organization, examine the available evidence for efficacy and usefulness, and propose future directions for research that is needed to demonstrate the value of PERT and determine if this multidisciplinary approach represents a new standard of care.https://doi.org/10.1002/rth2.12216advanced therapiescatheter‐directed thrombolysisfollow‐up caremultidisciplinarypulmonary embolismpulmonary embolism response team
collection DOAJ
language English
format Article
sources DOAJ
author Rachel Rosovsky
Ken Zhao
Akhilesh Sista
Belinda Rivera‐Lebron
Christopher Kabrhel
spellingShingle Rachel Rosovsky
Ken Zhao
Akhilesh Sista
Belinda Rivera‐Lebron
Christopher Kabrhel
Pulmonary embolism response teams: Purpose, evidence for efficacy, and future research directions
Research and Practice in Thrombosis and Haemostasis
advanced therapies
catheter‐directed thrombolysis
follow‐up care
multidisciplinary
pulmonary embolism
pulmonary embolism response team
author_facet Rachel Rosovsky
Ken Zhao
Akhilesh Sista
Belinda Rivera‐Lebron
Christopher Kabrhel
author_sort Rachel Rosovsky
title Pulmonary embolism response teams: Purpose, evidence for efficacy, and future research directions
title_short Pulmonary embolism response teams: Purpose, evidence for efficacy, and future research directions
title_full Pulmonary embolism response teams: Purpose, evidence for efficacy, and future research directions
title_fullStr Pulmonary embolism response teams: Purpose, evidence for efficacy, and future research directions
title_full_unstemmed Pulmonary embolism response teams: Purpose, evidence for efficacy, and future research directions
title_sort pulmonary embolism response teams: purpose, evidence for efficacy, and future research directions
publisher Wiley
series Research and Practice in Thrombosis and Haemostasis
issn 2475-0379
publishDate 2019-07-01
description Abstract Pulmonary embolism (PE) is a major cause of morbidity and mortality in the United States. Although new therapeutic tools and strategies have recently been developed for the diagnosis and treatment of patients with PE, the outcomes for patients who present with massive or high‐risk PE remain dismal. To address this crisis, pulmonary embolism response teams (PERTs) are being created around the world in an effort to immediately and simultaneously engage multiple specialists to determine the best course of action and coordinate the clinical care for patients with acute PE. The scope of this review is to describe the PERT model and purpose, present the structure and organization, examine the available evidence for efficacy and usefulness, and propose future directions for research that is needed to demonstrate the value of PERT and determine if this multidisciplinary approach represents a new standard of care.
topic advanced therapies
catheter‐directed thrombolysis
follow‐up care
multidisciplinary
pulmonary embolism
pulmonary embolism response team
url https://doi.org/10.1002/rth2.12216
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AT kenzhao pulmonaryembolismresponseteamspurposeevidenceforefficacyandfutureresearchdirections
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AT belindariveralebron pulmonaryembolismresponseteamspurposeevidenceforefficacyandfutureresearchdirections
AT christopherkabrhel pulmonaryembolismresponseteamspurposeevidenceforefficacyandfutureresearchdirections
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