Pulmonary vascular disease & thromboembolism

A prospective, multicenter, randomized controlled trial evaluating anticoagulation alone vs anticoagulation plus computer assisted vacuum thrombectomy for the treatment of intermediate-high-risk acute pulmonary embolism: Rationale and design of the STORM-PE study

Am Heart JPublished Rationale and design of the STORM-PE randomised controlled trial

Study context

Population
Confirmed acute intermediate-high-risk pulmonary embolism (PE) with right ventricular (RV) dysfunction (RV/LV ratio ≥1.0) and elevated cardiac biomarkersup to 100 planned
Planned comparison
Anticoagulation (AC) plus computer assisted vacuum thrombectomy (CAVT) vs AC alone
Primary endpoint
Mean change in RV/LV ratio, assessed by CT pulmonary angiography and adjudicated by a blinded independent imaging Core Lab
Follow-up
48 hours
Methodological detailsprospective, multicenter, post-market, international, open-label, 1:1 randomisation, blinded independent imaging Core Lab, Additional endpoints through 90 days: composite major adverse events, functional outcomes, quality of life, mortality, symptomatic PE recurrence, Clinical Events Committee adjudicates adverse events; independent Data Safety Monitoring Board oversees the study
  • Prospective
  • Multicenter
  • Post-market
  • International
  • Open-label
  • 1:1 randomisation
  • Blinded independent imaging Core Lab
  • Additional endpoints through 90 days: composite major adverse events, functional outcomes, quality of life, mortality, symptomatic PE recurrence
  • Clinical Events Committee adjudicates adverse events; independent Data Safety Monitoring Board oversees the study

No results yet. This paper sets out the design of a trial; its results are to come.

Original publication

A prospective, multicenter, randomized controlled trial evaluating anticoagulation alone vs anticoagulation plus computer assisted vacuum thrombectomy for the treatment of intermediate-high-risk acute pulmonary embolism: Rationale and design of the STORM-PE study. Am Heart J. Published 31 March 2025. doi:10.1016/j.ahj.2025.03.018

Summarised from the published abstract; every number is checked against it

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