{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T01:46:41Z","timestamp":1772070401495,"version":"3.50.1"},"reference-count":13,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. vasc. bras."],"abstract":"<jats:p>Abstract 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\u00ae (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\u00ae 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\u00ae) but also severe cases of DVT: the Venous Thromboembolism Response Team (VTERT\u00ae).<\/jats:p>","DOI":"10.1590\/1677-5449.202300952","type":"journal-article","created":{"date-parts":[[2024,3,4]],"date-time":"2024-03-04T10:44:52Z","timestamp":1709549092000},"source":"Crossref","is-referenced-by-count":3,"title":["The paradigm shift in treatment of severe venous thromboembolism"],"prefix":"10.1590","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9423-3638","authenticated-orcid":false,"given":"F\u00e1bio Henrique","family":"Rossi","sequence":"first","affiliation":[{"name":"Instituto de Excel\u00eancia em Doen\u00e7as Venosas,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-7021-0193","authenticated-orcid":false,"given":"Francisco Jos\u00e9","family":"Osse","sequence":"additional","affiliation":[{"name":"Instituto de Excel\u00eancia em Doen\u00e7as Venosas,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia Ellen","family":"Thorpe","sequence":"additional","affiliation":[{"name":"Instituto de Excel\u00eancia em Doen\u00e7as Venosas,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2024]]},"reference":[{"key":"ref1","series-title":"Preventing hospital-acquired venous thromboembolism: a guide for effective quality improvement.","author":"Maynard GA","year":"2008"},{"issue":"6","key":"ref2","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1001\/archinte.158.6.585","article-title":"Trends in the incidence of deep vein thrombosis and pulmonary embolism: a 25-year population-based study","volume":"158","author":"Silverstein MD","year":"1998","journal-title":"Arch Intern 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and submassive pulmonary embolism","volume":"42","author":"Provias T","year":"2014","journal-title":"Hosp Pract"},{"issue":"1","key":"ref7","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1007\/s11239-020-02188-3","article-title":"Value-based assessment of implementing a Pulmonary Embolism Response Team (PERT)","volume":"51","author":"Annabathula R","year":"2021","journal-title":"J Thromb Thrombolysis"},{"issue":"6","key":"ref8","doi-asserted-by":"crossref","first-page":"365","DOI":"10.3390\/diagnostics10060365","article-title":"Advances in the diagnosis of venous thromboembolism: a literature review","volume":"10","author":"Patel H","year":"2020","journal-title":"Diagnostics"},{"issue":"1","key":"ref9","first-page":"347","article-title":"The PERT\u00ae concept: a step-by-step approach to managing pulmonary embolism","volume":"159","author":"Rivera-Lebron BN","year":"2021","journal-title":"Chest"},{"issue":"1","key":"ref10","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.ejvs.2020.09.023","article-title":"European Society for Vascular Surgery (ESVS) 2021 clinical practice guidelines on the management of venous thrombosis","volume":"61","author":"Kakkos SK","year":"2021","journal-title":"Eur J Vasc Endovasc Surg"},{"issue":"4","key":"ref11","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1093\/eurheartj\/ehz405","article-title":"2019 ESC guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS)","volume":"41","author":"Konstantinides SV","year":"2020","journal-title":"Eur Heart J"},{"key":"ref12","doi-asserted-by":"crossref","DOI":"10.1590\/1677-5449.202101922","article-title":"Thrombectomy in a severe case of iliofemoral venous thrombosis involving the deep femoral vein via a single percutaneous access from the jugular vein: case report and description of the technique","volume":"21","author":"Rossi FH","year":"2022","journal-title":"J Vasc Bras"},{"issue":"11","key":"ref13","doi-asserted-by":"crossref","first-page":"1313","DOI":"10.1016\/j.amjmed.2020.03.058","article-title":"Changes in care for acute pulmonary embolism through a multidisciplinary pulmonary embolism response team","volume":"133","author":"Carroll BJ","year":"2020","journal-title":"Am J Med"}],"container-title":["Jornal Vascular Brasileiro"],"original-title":["A mudan\u00e7a de paradigma no tratamento do tromboembolismo venoso grave"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S1677-54492024000100701&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,4]],"date-time":"2024-03-04T10:45:03Z","timestamp":1709549103000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S1677-54492024000100701&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024]]},"references-count":13,"alternative-id":["S1677-54492024000100701"],"URL":"https:\/\/doi.org\/10.1590\/1677-5449.202300952","relation":{"has-translation":[{"id-type":"doi","id":"10.1590\/1677-5449.202300951","asserted-by":"subject"}]},"ISSN":["1677-7301","1677-5449"],"issn-type":[{"value":"1677-7301","type":"electronic"},{"value":"1677-5449","type":"print"}],"subject":[],"published":{"date-parts":[[2024]]},"article-number":"e20230095"}}