Actively Recruiting

Age: 18Years +
All Genders
ID07436702

Optimal Time for Reperfusion in Acute Pulmonary Embolism Observational Study

Led by Azienda ULSS 8 Berica · Updated on 2026-03-03

500

Participants Needed

7

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Pulmonary embolism (PE) is a leading cause of death related to heart and blood vessel problems worldwide. This research aims to understand how the timing of treatments that clear blood clots, such as systemic thrombolysis or catheter-based therapies, affects survival and complications in patients with high-risk or intermediate-high-risk PE. The study seeks to find the best time window for these treatments to improve outcomes, as current guidelines do not specify exact timing. The study is a national, multicenter, prospective observational trial focusing on patients classified as high-risk or intermediate-high-risk PE according to European Society of Cardiology guidelines. It observes the use and timing of reperfusion treatments like systemic thrombolysis or catheter-directed therapies. These treatments are given as needed based on the patient’s condition, with no experimental drug or procedure assigned by the study. Participants will be monitored from enrollment through 30 days of treatment to track survival and any bleeding or heart-related complications. Data will be collected on treatment timing and patient outcomes without altering usual care. This approach helps researchers understand how timing influences the effectiveness and safety of reperfusion therapies in real-world settings.

CONDITIONS

Brief Title

Optimal Time for Reperfusion in Acute Pulmonary Embolism

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 years or older
  • Diagnosed with intermediate-high or high-risk pulmonary embolism confirmed by CT pulmonary angiography, pulmonary angiography, or echocardiography
  • Classified as high-risk or intermediate-high-risk according to 2019 European Society of Cardiology guidelines
  • Provided informed consent for processing of personal data
Not Eligible

You will not qualify if you...

  • Under 18 years of age
  • Diagnosed without acute high-risk or intermediate-high-risk pulmonary embolism
  • Unable to provide informed consent

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Diagnostic Evaluation

Duration - Up to a few days after screening

Participants diagnosed with intermediate-high or high-risk pulmonary embolism are evaluated to confirm eligibility and classification according to guidelines.

1 to 2 visits depending on diagnostic tests

Monitoring

Duration - Up to 30 days from enrollment

Participants are observed to assess timing and outcomes of systemic reperfusion or catheter-directed therapies when indicated, focusing on in-hospital mortality and complications.

Hospital visits as part of routine care during the 30-day period

Trial Site Locations

Total: 7 locations

1

UO Unità di Cure Intensive Cardiologiche e Cardiologia 1, Ospedale Niguarda, Milano

Milan, Milano, Italy, 20162

Actively Recruiting

2

UOC di Cardiologia, Ospedali Riuniti Padova Sud, Monselice, Italia

Monselice, Padova, Italy, 35043

Actively Recruiting

3

IRCCS Policlinico San Matteo

Pavia, Pavia, Italy, 27100

Actively Recruiting

4

UO di Sezione di Medicina Interna e Cardiovascolare, Ospedale Santa Maria della Misericordia, Perugia, Italia

Perugia, Perugia, Italy, 06129

Actively Recruiting

5

UO di Cardiologia 1, Azienda Ospedaliero Universitaria Pisana, Pisa, Italia

Pisa, Pisa, Italy, 56126

Actively Recruiting

6

UO di Cardiologia, Azienda Ospedaliera Ordine Mauriziano di Torino

Torino, Torino, Italy, 10128

Actively Recruiting

7

UOC di Cardiologia, Ospedali dell'Ovest Vicentino, Arzignano, IItalia

Arzignano, Vicenza, Italy, 36071

Actively Recruiting

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Research Team

C

Claudio Bilato, MD PhD

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

1

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Frequently Asked Questions

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