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Title: Feasibility and Clinical Outcome of Reboa in Patients with Impending Traumatic Cardiac Arrest
Authors: David Thomas McGreevy
Fikri M. Abu-Zidan
Mitra Sadeghi
Artai Pirouzram
Asko Toivola
Per Skoog
Koji Idoguchi
Yuri Kon
Tokiya Ishida
Yosuke Matsumura
Junichi Matsumoto
Viktor Reva
Mariusz Maszkowski
Adam Bersztel
Eva Corina Caragounis
Mårten Falkenberg
Lauri Handolin
George Oosthuizen
Endre Szarka
Vassil Manchev
Tongporn Wannatoop
Sung Wook Chang
Boris Kessel
Dan Hebron
Gad Shaked
Miklosh Bala
Federico Coccolini
Luca Ansaloni
Carlos A. Ordoñez
Emanuel M. Dogan
James E. Manning
Peter Hibert-Carius
Thomas Larzon
Kristofer F. Nilsson
Tal Martin Hörer
Graduate School of Medicine
Fundación Valle del Lili
College of Medicine and Health Sciences United Arab Emirates University
Sahlgrenska Universitetssjukhuset
Ohta Nishinouchi Hospital
Soroka University Medical Center
Hille Yaffe Medical Center Israel
The University of North Carolina at Chapel Hill
University of KwaZulu-Natal College of Health Sciences
University of Maryland
Helsinki University Hospital
Ospedale M. Bufalini
St. Marianna University School of Medicine
Faculty of Medicine, Siriraj Hospital, Mahidol University
University of KwaZulu-Natal
Örebro Universitet
BG-Kliniken Bergmannstrost Halle
Military Medical Academy, Saint Petersburg
Dankook University
Hadassah University Medical Centre
Dzhanelidze Research Institute of Emergency Medicine
Hachinohe City Hospital
Rinku General Medical Center
Keywords: Medicine
Issue Date: 1-Aug-2020
Citation: Shock (Augusta, Ga.). Vol.54, No.2 (2020), 218-223
Abstract: 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% and 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 min, 82.1% by ER doctors, trauma surgeons, or vascular surgeons. SBP significantly improved to 90 mm Hg 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.
ISSN: 15400514
Appears in Collections:Scopus 2020

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