Department of Cardiothoracic and Vascular Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Department of Hybrid and Interventional Surgery, Unit of Vascular Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden.
Senshu Trauma and Critical Care Center, Rinku General Medical Center, Izumisano, Japan.
Emergency and Critical Care Center, Hachinohe City Hospital, Hachinohe, Japan.
Emergency and Critical Care Center, Ohta Nishinouchi Hospital, Koriyama, Japan.
Department of Emergency and Critical Care Medicine, Chiba University Graduate School of Medicine, Chiba, Japan.
Department of Emergency and Critical Care Medicine, St Marianna University School of Medicine, Kawasaki, Japan.
Department of War Surgery, Kirov Military Medical Academy, Saint Petersburg, RussiaDzhanelidze Research Institute of Emergency Medicine, Saint Petersburg, Russia .
Västmanlands Hospital Västerås, Department of Vascular Surgery, Örebro University, Örebro, Sweden.
Västmanlands Hospital Västerås, Department of Vascular Surgery, Örebro University, Örebro, Sweden.
Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg and Sahlgrenska University Hospital, Gothenburg, Sweden.
Department of Radiology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Helsinki University Hospital, Department of Orthopedics and Traumatology, University of Helsinki, Helsinki, Finland.
Ngwelezana Surgery and Trauma, Department of Surgery, University of KwaZulu-Natal, Empangeni, KwaZulu-Natal, South Africa.
Pietermaritzburg Metropolitan Trauma Service, Department of Surgery, University of KwaZulu-Natal College of Health Sciences, Pietermaritzburg, KwaZulu-Natal, South Africa.
Department of Surgery. Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Department of Surgery. Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Department of Thoracic and Cardiovascular Surgery, Trauma Center, Dankook University Hospital, Cheonan, Republic of Korea.
Department of Surgery, Hillel Yaffe Medical Centre, Hadera, Israel.
Department of Surgery, Hillel Yaffe Medical Centre, Hadera, Israel.
Department of Anesthesiology and Critical Care, Soroka University Medical Center, Ben Gurion University, Beer Sheva, Israel.
Trauma and Acute Care Surgery Unit, Hadassah Hebrew University Medical Center, Jerusalem, Israel.
Department of General, Emergency and Trauma Surgery, Bufalini Hospital, Cesena, Italy.
Department of General, Emergency and Trauma Surgery, Bufalini Hospital, Cesena, Italy.
Division of Trauma and Acute Care Surgery, Department of Surgery, Fundación Valle del Lili and Universidad Del Valle, Cali, Colombia.
Department of Emergency Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.
Department of Anesthesiology, Emergency and Intensive Care Medicine, Bergmannstrost Hospital Halle, Halle, Germany.
Department of Cardiothoracic and Vascular Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Örebro University, School of Medical Sciences. Örebro University Hospital. Department of Cardiothoracic and Vascular Surgery.
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.
Lippincott Williams & Wilkins, 2020. Vol. 54, no 2, p. 218-223
Endovascular Resuscitation, Impending Traumatic Cardiac Arrest, REBOA, Shock, Trauma, Vascular Access