Use of Intermittent Aortic Balloon Occlusion: Report from the ABO Trauma Registry
3
Issued Date
2023-07-11
Resource Type
ISSN
20027567
eISSN
2003539X
Scopus ID
2-s2.0-85180228493
Journal Title
Journal of Endovascular Resuscitation and Trauma Management
Volume
7
Issue
1
Start Page
8
End Page
14
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of Endovascular Resuscitation and Trauma Management Vol.7 No.1 (2023) , 8-14
Suggested Citation
Buitendag J., Variawa S., Diayar A., Snyders P., Rademan P., Allopi N., McGreevy D.T., Hörer T.M., Oosthuizen G., Sadeghi M., Pirouzram A., Toivola A., Larzon T., Nilsson K.F., Skoog P., Idoguchi K., Kon Y., Ishida T., Matsumura Y., Matsumoto J., Reva V., Maszkowski M., Bersztel A., Caragounis E.C., Falkenberg M., Handolin L., Abu-Zidan F.M., Szarka E., Manchev V., Wannatoop T., Chang S.W., Kessel B., Hebron D., Shaked G., Bala M., Coccolini F., Ansaloni L., Ordoñez C.A., Dogan E.M., Manning J.E., Hibert-Carius P. Use of Intermittent Aortic Balloon Occlusion: Report from the ABO Trauma Registry. Journal of Endovascular Resuscitation and Trauma Management Vol.7 No.1 (2023) , 8-14. 14. doi:10.26676/jevtm.275 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/95578
Title
Use of Intermittent Aortic Balloon Occlusion: Report from the ABO Trauma Registry
Author(s)
Buitendag J.
Variawa S.
Diayar A.
Snyders P.
Rademan P.
Allopi N.
McGreevy D.T.
Hörer T.M.
Oosthuizen G.
Sadeghi M.
Pirouzram A.
Toivola A.
Larzon T.
Nilsson K.F.
Skoog P.
Idoguchi K.
Kon Y.
Ishida T.
Matsumura Y.
Matsumoto J.
Reva V.
Maszkowski M.
Bersztel A.
Caragounis E.C.
Falkenberg M.
Handolin L.
Abu-Zidan F.M.
Szarka E.
Manchev V.
Wannatoop T.
Chang S.W.
Kessel B.
Hebron D.
Shaked G.
Bala M.
Coccolini F.
Ansaloni L.
Ordoñez C.A.
Dogan E.M.
Manning J.E.
Hibert-Carius P.
Variawa S.
Diayar A.
Snyders P.
Rademan P.
Allopi N.
McGreevy D.T.
Hörer T.M.
Oosthuizen G.
Sadeghi M.
Pirouzram A.
Toivola A.
Larzon T.
Nilsson K.F.
Skoog P.
Idoguchi K.
Kon Y.
Ishida T.
Matsumura Y.
Matsumoto J.
Reva V.
Maszkowski M.
Bersztel A.
Caragounis E.C.
Falkenberg M.
Handolin L.
Abu-Zidan F.M.
Szarka E.
Manchev V.
Wannatoop T.
Chang S.W.
Kessel B.
Hebron D.
Shaked G.
Bala M.
Coccolini F.
Ansaloni L.
Ordoñez C.A.
Dogan E.M.
Manning J.E.
Hibert-Carius P.
Author's Affiliation
Rinku General Medical Center
Faculty of Medicine and Health
Siriraj Hospital
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
Hillel Yaffe Medical Center
Sahlgrenska Akademin
The University of North Carolina at Chapel Hill
Universitetssjukhuset Örebro
University of Maryland, College Park
Helsinki University Hospital
St. Marianna University School of Medicine
Tygerberg Hospital
University of KwaZulu-Natal
Örebro Universitet
BG-Kliniken Bergmannstrost Halle
Military Medical Academy, Saint Petersburg
Dankook University
Stellenbosch University
Hadassah University Medical Centre
Saint-Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine
Hachinohe City Hospital
Faculty of Medicine and Health
Siriraj Hospital
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
Hillel Yaffe Medical Center
Sahlgrenska Akademin
The University of North Carolina at Chapel Hill
Universitetssjukhuset Örebro
University of Maryland, College Park
Helsinki University Hospital
St. Marianna University School of Medicine
Tygerberg Hospital
University of KwaZulu-Natal
Örebro Universitet
BG-Kliniken Bergmannstrost Halle
Military Medical Academy, Saint Petersburg
Dankook University
Stellenbosch University
Hadassah University Medical Centre
Saint-Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine
Hachinohe City Hospital
Corresponding Author(s)
Other Contributor(s)
Abstract
Background: Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) is a helpful adjunct in the management of hemorrhagic shock due to bleeding in the abdomen or pelvis. Ischemia distal to the occlusion is a concern; intermittent aortic balloon inflation (i-REBOA) is a novel way to achieve decreased ischemia time. Methods: This study was conducted using data from the multinational ABO Trauma Registry. All patients entered between January 2016 and December 2019 were included. Results: The sample consisted of 157 patients. There were 57 patients in the i-REBOA group (36%) and 100 in the REBOA group (64%). The groups were similar in gender (P = 0.50), age (P = 0.17), mechanism of injury (P = 0.42), and injury severity score (P = 0.13). The levels of international normalized ratio (INR) (P < 0.01), activated partial thromboplastin time (aPTT) (P < 0.01) and lactate (P = 0.02) were higher in the i-REBOA group. Total balloon inflation times were longer in the i-REBOA group (P < 0.01). Major complication rates did not differ between groups. Mortality rates between groups were similar in the Emergency Department (ED) (3.8% for i-REBOA vs 10.1%; P = 0.17), within 24 hours (43.4% for i-REBOA vs 38.2%; P = 0.54), and at 30 days (63.6% for i-REBOA vs 48.4%; P = 0.07). Conclusions: The data from this registry show that i-REBOA is currently being used and may allow for longer total balloon inflation times without higher morbidity or mortality rates