在治疗严重静脉血栓栓塞的模式转变
Fábio Henrique Rossi1, Francisco José Osse1, Patricia Ellen Thorpe1
1Instituto de Excelência em Doenças Venosas - IEDV, São Paulo, SP, Brasil.
Jornal vascular brasileiro
|March 15, 2024
概括
肺栓塞 (PE) 和深静脉血栓塞 (DVT) 是主要的死亡原因. 一个新的静脉血栓栓塞瘤应对小组 (VTERT®) 方法扩大了现有的肺栓塞瘤应对小组 (PERT®),包括严重的DVT,旨在减少死亡率和并发症.
科学领域:
- 心血管医学 心血管医学
- 血管外科 血管外科
- 紧急医疗 紧急医疗
背景情况:
- 肺栓塞 (PE) 是心血管死亡的主要原因和可预防的住院死亡率.
- 深静脉血栓 (DVT) 是PE的主要原因,并导致显著的长期并发症.
- 目前的肺栓塞反应小组 (PERT®) 协议侧重于PE,而不是严重的DVT.
研究的目的:
- 为静脉血栓栓塞 (VTE) 提出一个扩展的快速反应概念.
- 将严重深静脉血栓塞 (DVT) 的管理整合到一个多学科的快速反应框架中.
- 减少与VTE相关的直接风险和长期后果.
主要方法:
- 审查目前的PE和DVT管理策略.
- 对VTE的新的皮穿式和机械血栓切除技术的评估.
- 为新的静脉血栓栓塞反应小组 (VTERT®) 模型提出建议.
主要成果:
- 严重的 iliofemoral DVT 需要积极的管理,以防止 PE 和减少后续.
- 穿皮技术和机械血栓切除术在静脉瘤治疗中显示出有前途的结果.
- 对于PE和严重的DVT,一个集成的快速响应系统是可行的.
结论:
- 拟议的静脉血栓栓塞反应小组 (VTERT®) 模型可以改善PE和严重DVT的结果.
- 将PERT®概念扩展到包括DVT解决了VTE护理中的一个关键差距.
- 多学科,快速干预是有效管理复杂VTE病例的关键.
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