Exclusive clinical experience with a lower profile device for resuscitative endovascular balloon occlusion of the aorta (REBOA)

被引：27

作者：

Brenner, Megan ^{[1
]}

Moore, Laura ^{[3
]}

Teeter, William ^{[2
]}

Hu, Peter ^{[2
]}

Yang, Shiming ^{[2
]}

Wasicek, Philip ^{[2
]}

Taylor, John ^{[3
]}

Harvin, John ^{[3
]}

Stein, Deborah ^{[2
]}

Scalea, Thomas ^{[2
]}

机构：

[1] Univ Calif Riverside, Moreno Valley, CA 92555 USA

[2] Univ Maryland, Shock Trauma Ctr, Baltimore, MD 21201 USA

[3] Univ Texas Mem Hermann, Med Ctr, Texas Trauma Inst, Houston, TX USA

来源：

AMERICAN JOURNAL OF SURGERY | 2019年 / 217卷 / 06期

关键词：

Resuscitative endovascular balloon occlusion of the aorta (REBOA); Aortic occlusion (AO); Hemorrhage; LIFE;

D O I：

10.1016/j.amjsurg.2018.11.029

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background: A lower profile, FDA-approved device for aortic occlusion (AO) is available for REBOA. Methods: Patients who received AO with the new device from February 2016 to February 2017 at 2 urban tertiary care centers were enrolled. Results: 60 consecutive patients underwent REBOA; 44 (73.3%) following blunt trauma. 52 (88.1%) were male; mean age of 40 +/- 18 years. 49 REBOAs were deployed in Zone 1, 11 in Zone 3.67.7% of patients in arrest achieved return of spontaneous circulation (ROSC). Overall in-hospital survival was 43%; 19% for patients in arrest and 69% for patients with refractory hypotension. Access and vascular procedural complications included iliac intimal injury requiring stent-graft (1), patch angioplasty of the CFA (1), and balloon ruptures (3). 5 amputations were required; 2 immediate completion amputations due to initial injury, and 3 delayed amputations after efforts to salvage severely mangled extremities were unsuccessful. Conclusion: Smaller introducer sheaths for REBOA are safe and effective but do not eliminate the need for surgical common femoral artery access. Patients can benefit from REBOA with acceptable survival rates. (C) 2018 Published by Elsevier Inc.

引用

页码：1126 / 1129

页数：4

共 21 条

[1] Open chest cardiac massage offers no benefit over closed chest compressions in patients with traumatic cardiac arrest [J].