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Feasibility and Clinical Outcome of Reboa in Patients with Impending Traumatic Cardiac Arrest
Department of Cardiothoracic and Vascular Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Department of Surgery, College of Medicine and Health Science, UAE University, Al-Ain, United Arab Emirates.
Department of Cardiothoracic and Vascular Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Örebro University, School of Medical Sciences. Department of Cardiothoracic and Vascular Surgery.
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2019 (English)In: Shock, ISSN 1073-2322, E-ISSN 1540-0514Article in journal (Refereed) Epub ahead of print
Abstract [en]

BACKGROUND: Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) may improve Systolic Blood Pressure (SBP) in hypovolemic shock. It has, however, not been studied in patients with impending traumatic cardiac arrest (ITCA). We aimed to study the feasibility and clinical outcome of REBOA in patients with ITCA using data from the ABOTrauma Registry.

METHODS: Retrospective and prospective data on the use of REBOA from 16 centers globally were collected. SBP was measured both at pre- and post-REBOA inflation. Data collected included patients' demography, vascular access technique, number of attempts, catheter size, operator, zone and duration of occlusion, and clinical outcome.

RESULTS: There were 74 patients in this high-risk patient group. REBOA was performed on all patients. A 7-10Fr catheter was used in 66.7%, 58.5% were placed on the first attempt, 52.1% through blind insertion and 93.2% inflated in Zone I, 64.8% for a period of 30 to 60 minutes, 82.1% by ER doctors, trauma surgeons or vascular surgeons. SBP significantly improved to 90 mmHg following the inflation of REBOA. 36.6% of the patients survived.

CONCLUSIONS: Our study has shown that REBOA may be performed in patients with ITCA, SBP can be elevated and 36.6% of the patients survived if REBOA placement is successful.

Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, 2019.
Keywords [en]
Endovascular Resuscitation, Impending Traumatic Cardiac Arrest, REBOA, Shock, Trauma, Vascular Access
National Category
Medical and Health Sciences Anesthesiology and Intensive Care
Identifiers
URN: urn:nbn:se:oru:diva-79417DOI: 10.1097/SHK.0000000000001500PubMedID: 31851119OAI: oai:DiVA.org:oru-79417DiVA, id: diva2:1388755
Available from: 2020-01-27 Created: 2020-01-27 Last updated: 2020-02-03Bibliographically approved

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Pirouzram, ArtaiDogan, Emanuel M.Larzon, ThomasNilsson, Kristofer F.

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School of Medical SciencesÖrebro University Hospital
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