Actively Recruiting

Age: 18Years +
All Genders
NCT07436702

Optimal Time for Reperfusion in Acute Pulmonary Embolism

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

500

Participants Needed

7

Research Sites

48 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Pulmonary embolism (PE) is the third leading cause of cardiovascular mortality worldwide. Current guidelines recommend early reperfusion for high-risk and intermediate-high-risk PE, yet systemic thrombolysis and percutaneous therapies are frequently underutilized, and no specific timing for reperfusion is defined, unlike in acute myocardial infarction or ischemic stroke. As most PE-related in-hospital deaths occur within the first hours and thrombus composition changes over time, defining an optimal reperfusion time window may improve survival and prevent hemodynamic deterioration. We therefore propose a national, multicenter, prospective observational study to evaluate the prognostic impact of reperfusion timing, using systemic thrombolysis or catheter-directed therapies, on in-hospital mortality and haemorrhagic or cardiovascular complications.

CONDITIONS

Official 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 63; 18 years
  • Diagnosis of intermediate-high or high 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 personal data
Not Eligible

You will not qualify if you...

  • Age < 18 years
  • Diagnosis of acute high-risk or intermediate-high-risk pulmonary embolism excluded
  • Unable to provide informed consent

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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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

CONTACT

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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Optimal Time for Reperfusion in Acute Pulmonary Embolism | DecenTrialz