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resuscitative endovascular balloon occlusion of the aorta

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https://www.readbyqxmd.com/read/27894499/resuscitative-endovascular-balloon-occlusion-of-the-aorta-indications-outcomes-and-training
#1
REVIEW
Lena M Napolitano
Exsanguinating torso hemorrhage is a leading killer of trauma patients. The most appropriate means of hemorrhage control must be used. Trauma surgeons should have expertise with all approaches for prompt hemorrhage control [laparotomy, thoracotomy, resuscitative endovascular balloon occlusion of the aorta (REBOA), and resuscitative thoracotomy]. REBOA is an exciting adjunct for hemorrhage control as it can be deployed quickly and placed percutaneously. Balloon inflation can vary dependent on patient physiology...
January 2017: Critical Care Clinics
https://www.readbyqxmd.com/read/27853843/endovascular-solutions-for-the-management-of-penetrating-trauma-an-update-on-reboa-and-axillo-subclavian-injuries
#2
REVIEW
B C Branco, J J DuBose
PURPOSE: Endovascular procedures continue to gain acceptance as management options for penetrating traumatic injuries. Currently, several areas of potential endovascular application are being investigated. However, the bulk of the literature on this topic is still limited to case series or small retrospective studies. Therefore, we performed a review of the published experience involving the application of endovascular therapy to trauma patients who have sustained penetrating injuries with focus on outcomes of resuscitative endovascular balloon occlusion of the aorta (REBOA) and endovascular repair of axillo-subclavian injuries...
November 16, 2016: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/27834057/lower-limb-ischemia-caused-by-resuscitative-balloon-occlusion-of-aorta
#3
Yohei Okada, Hiromichi Narumiya, Wataru Ishi, Iiduka Ryoji
BACKGROUND: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is an emergency procedure to manage severe hemorrhagic shock from torso injury but can cause severe ischemia of the lower extremities. However, lower extremity ischemia occurring as a complication of REBOA has been rarely reported. We describe the severe lower extremity ischemia caused by REBOA with a 12-Fr sheath in a small-built patient. CASE REPRESENTATION: The patient was a 16-year-old male who developed severe hemorrhagic shock due to abdominal blunt trauma...
December 2016: Surgical Case Reports
https://www.readbyqxmd.com/read/27820707/resuscitative-endovascular-balloon-occlusion-of-the-aorta-promise-practice-and-progress
#4
Zane B Perkins, Robbie A Lendrum, Karim Brohi
PURPOSE OF REVIEW: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a minimally invasive damage control procedure for life-threatening abdominal or pelvic haemorrhage. The purpose of this review is to summarize the current understanding and experience with REBOA, outline potential future applications of this technology, and highlight priority areas for further research. RECENT FINDINGS: REBOA is a feasible method of achieving temporary aortic occlusion and can be performed rapidly, with a high degree of success, in the emergency setting (including at the scene of injury) by appropriately trained clinicians...
November 4, 2016: Current Opinion in Critical Care
https://www.readbyqxmd.com/read/27817883/resuscitative-endovascular-balloon-occlusion-of-the-aorta-reboa-what-have-we-learned
#5
EDITORIAL
Jose Andres, Julian Scott, Peter V Giannoudis
No abstract text is available yet for this article.
December 2016: Injury
https://www.readbyqxmd.com/read/27805999/ultrasound-optimization-for-resuscitative-endovascular-balloon-occlusion-of-the-aorta
#6
James N Bogert, Bhavesh M Patel, Daniel J Johnson
No abstract text is available yet for this article.
October 31, 2016: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/27805960/resuscitative-endovascular-balloon-occlusion-of-the-aorta-promise-practice-and-progress
#7
Zane B Perkins, Robbie A Lendrum, Karim Brohi
PURPOSE OF REVIEW: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a minimally invasive damage control procedure for life-threatening abdominal or pelvic haemorrhage. The purpose of this review is to summarize the current understanding and experience with REBOA, outline potential future applications of this technology, and highlight priority areas for further research. RECENT FINDINGS: REBOA is a feasible method of achieving temporary aortic occlusion and can be performed rapidly, with a high degree of success, in the emergency setting (including at the scene of injury) by appropriately trained clinicians...
December 2016: Current Opinion in Critical Care
https://www.readbyqxmd.com/read/27799653/-reboa-is-it-really-safe-a-case-with-massive-intracranial-hemorrhage-possibly-due-to-endovascular-balloon-occlusion-of-the-aorta-reboa
#8
Hayaki Uchino, Nobuichiro Tamura, Ryosuke Echigoya, Tetsunori Ikegami, Toshio Fukuoka
BACKGROUND Non-compressible torso hemorrhage continues to be the leading cause of preventable death in trauma patients. Recent case series report that resuscitative endovascular balloon occlusion of the aorta (REBOA) in the trauma population is a technically feasible method to manage the patients with exsanguinating hemorrhage. On the other hand, it seems that REBOA is being widely promoted prematurely. Complications due to REBOA haven't been reported much in the literature, and they could have been underestimated...
November 1, 2016: American Journal of Case Reports
https://www.readbyqxmd.com/read/27768660/identifying-potential-utility-of-resuscitative-endovascular-balloon-occlusion-of-the-aorta-an-autopsy-study
#9
Bellal Joseph, Kareem Ibraheem, Ansab A Haider, Narong Kulvatunyou, Andrew Tang, Terence O'Keeffe, Zachary M Bauman, Donald J Green, Rifat Latifi, Peter Rhee
BACKGROUND: Resuscitative thoracotomy (RT) has been the standard therapy in patients with acute arrest due to hemorrhagic shock. However, with the development of resuscitative endovascular balloon occlusion of the aorta (REBOA), its role as a potential adjunct to a highly morbid intervention such as RT is being discussed. The aim of this study was to identify patients who most likely would have potentially benefited from REBOA use based on autopsy findings. METHODS: We performed a 4-year retrospective review of all RTs performed at our Level I trauma center...
November 2016: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/27752617/use-of-resuscitative-endovascular-balloon-occlusion-of-the-aorta-in-a-patient-with-gastrointestinal-bleeding
#10
Jungyoup Lee, Kyuseok Kim, You Hwan Jo, Jae Hyuk Lee, Joonghee Kim, Heajin Chung, Ji Eun Hwang
Resuscitative endovascular balloon occlusion of the aorta (REBOA) was developed for controlling intra-abdominal arterial bleeding before definitive bleeding control, and is commonly used in patients with ruptured abdominal aortic aneurysms. Although there is limited evidence for other uses of REBOA, we used REBOA in a patient with massive gastrointestinal bleeding. A 53-year-old man with hematochezia was admitted to our emergency department with an initial systolic blood pressure (SBP) of 83 mmHg. His SBP decreased to 40 mmHg in 10 minutes despite rapid fluid infusion...
March 2016: Clinical and Experimental Emergency Medicine
https://www.readbyqxmd.com/read/27738726/resuscitative-endovascular-balloon-occlusion-of-the-aorta-what-is-the-optimum-occlusion-time-in-an-ovine-model-of-hemorrhagic-shock
#11
V A Reva, Y Matsumura, T Hörer, D A Sveklov, A V Denisov, S Y Telickiy, A B Seleznev, E R Bozhedomova, J Matsumoto, I M Samokhvalov, J J Morrison
PURPOSE: The aim of this study is to evaluate the early survival and organ damage following 30 and 60 min of thoracic resuscitative endovascular balloon occlusion of the aorta (REBOA) in an ovine model of severe hemorrhagic shock. METHODS: Eighteen sheep were induced into shock by undergoing a 35 % controlled exsanguination over 30 min. Animals were randomized into three groups: 60-min REBOA 30 min after the bleeding (60-REBOA), 30-min REBOA 60 min after the bleeding (30-REBOA) and no-REBOA control (n-REBOA)...
October 13, 2016: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/27623805/prehospital-control-of-life-threatening-truncal-and-junctional-haemorrhage-is%C3%A2-the-ultimate-challenge-in-optimizing-trauma-care-a-review-of-treatment-options-and-their-applicability-in-the-civilian-trauma-setting
#12
REVIEW
S E van Oostendorp, E C T H Tan, L M G Geeraedts
INTRODUCTION: Exsanguination following trauma is potentially preventable. Extremity tourniquets have been successfully implemented in military and civilian prehospital care. Prehospital control of bleeding from the torso and junctional area's remains challenging but offers a great potential to improve survival rates. This review aims to provide an overview of potential treatment options in both clinical as preclinical state of research on truncal and junctional bleeding. Since many options have been developed for application in the military primarily, translation to the civilian situation is discussed...
September 13, 2016: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/27377669/resuscitative-endovascular-balloon-occlusion-of-the-aorta-reboa-in-the-pre-hospital-setting-an-additional-resuscitation-option-for-uncontrolled-catastrophic-haemorrhage
#13
Samy Sadek, David J Lockey, Robbie A Lendrum, Zane Perkins, Jonathan Price, Gareth Edward Davies
This report describes the first use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in the pre-hospital setting to control catastrophic haemorrhage. The patient, who had fallen 15 meters, suffered catastrophic internal haemorrhage associated with a pelvic fracture. He was treated by London's Air Ambulance's Physician-Paramedic team. This included insertion of a REBOA balloon catheter at the scene to control likely fatal exsanguination. The patient survived transfer to hospital, emergency angio-embolization and subsequent surgery...
October 2016: Resuscitation
https://www.readbyqxmd.com/read/27280941/availability-of-on-site-acute-vascular-interventional-radiology-techniques-performed-by-trained-acute-care-specialists-a-single-emergency-center-experience
#14
Junya Tsurukiri, Shoichi Ohta, Shiro Mishima, Hiroshi Homma, Eitaro Okumura, Itsuro Akamine, Masahito Ueno, Jun Oda, Tetsuo Yukioka
INTRODUCTION: Comprehensive treatment of a patient in acute medicine and surgery (AMS) requires the use of both surgical techniques and other treatment methods. Recently, acute vascular interventional radiology techniques (AVIRTs) have become increasingly popular, enabling adequately trained in-house experts to improve the quality of on-site care. METHODS: After obtaining approval from our institutional ethics committee, we conducted a retrospective study of AVIRT procedures performed by acute care specialists trained in AMS over a 1-year period, including those conducted out of hours...
June 8, 2016: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/27270855/design-of-a-cost-effective-hemodynamically-adjustable-model-for-resuscitative-endovascular-balloon-occlusion-of-the-aorta-reboa-simulation
#15
Benjamin A Keller, Edgardo S Salcedo, Timothy K Williams, Lucas P Neff, Anthony J Carden, Yiran Li, Oren Gotlib, Nam K Tran, Joseph M Galante
Resuscitative endovascular balloon occlusion of the aorta (REBOA) is an adjunct technique for salvaging patients with noncompressible torso hemorrhage. Current REBOA training paradigms require large animals, virtual reality simulators, or human cadavers for acquisition of skills. These training strategies are expensive and resource intensive, which may prevent widespread dissemination of REBOA. We have developed a low-cost, near-physiologic, pulsatile REBOA simulator by connecting an anatomic vascular circuit constructed out of latex and polyvinyl chloride tubing to a commercially available pump...
September 2016: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/27244576/smaller-introducer-sheaths-for-reboa-may-be-associated-with-fewer-complications
#16
William A Teeter, Junichi Matsumoto, Koji Idoguchi, Yuri Kon, Tomohiko Orita, Tomohiro Funabiki, Megan L Brenner, Yosuke Matsumura
INTRODUCTION: Large arterial sheaths currently used for Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) may be associated with severe complications. Smaller diameter catheters compatible with 7Fr sheaths may improve the safety profile. METHODS: A retrospective review of patients receiving REBOA through a 7Fr sheath for refractory traumatic hemorrhagic shock was performed from January 2014 to June 2015 at 5 tertiary care hospitals in Japan. Demographics were collected including method of arterial access; outcomes included mortality and REBOA-related access complications...
May 27, 2016: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/27213011/resuscitative-endovascular-balloon-occlusion-of-the-aorta-for-uncontrollable-nonvariceal-upper-gastrointestinal-bleeding
#17
Hidefumi Sano, Junya Tsurukiri, Akira Hoshiai, Taishi Oomura, Yosuke Tanaka, Shoichi Ohta
BACKGROUND: Although resuscitative endovascular balloon occlusion of the aorta (REBOA) in various clinical settings was found to successfully elevate central blood pressure in hemorrhagic shock, this intervention is associated with high mortality and may represent a last-ditch option for trauma patients. We conducted a retrospective study of patients with nonvariceal upper gastrointestinal bleeding (UGIB) who underwent REBOA to identify the effectiveness of REBOA and reviewed published literatures...
2016: World Journal of Emergency Surgery: WJES
https://www.readbyqxmd.com/read/27192469/identifying-potential-utility-of-reboa-an-autopsy-study
#18
Bellal Joseph, Kareem Ibraheem, Ansab A Haider, Narong Kulvatunyou, Andrew Tang, Terence O'Keeffe, Zachary M Bauman, Donald J Green, Rifat Latifi, Peter Rhee
BACKGROUND: Resuscitative thoracotomy (RT) has been the standard therapy in patients with acute arrest due to hemorrhagic shock. However; with the development of resuscitative endovascular balloon occlusion of the aorta (REBOA), its role as a potential adjunct to a highly morbid intervention like RT is being discussed. The aim of this study was to identify patients that most likely would have potentially benefitted from REBOA use based on autopsy findings. METHODS: We performed a four-year retrospective review of all RT performed at our Level I trauma center...
May 18, 2016: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/27192466/emergent-non-image-guided-resuscitative-endovascular-balloon-occlusion-of-the-aorta-reboa-catheter-placement-a-cadaver-based-study
#19
Megan Linnebur, Kenji Inaba, Tobias Haltmeier, Todd E Rasmussen, Jennifer Smith, Ranan Mendelsberg, Daniel Grabo, Demetrios Demetriades
BACKGROUND: Emergent resuscitative endovascular balloon occlusion of the aorta (REBOA) insertion for critically injured patients in hemorrhagic shock is performed blindly with fluoroscopic imaging confirmation. The aim of this study was to determine a reliable method for initial REBOA catheter insertion with balloon deployment between the left subclavian artery takeoff and the celiac trunk (CT). METHODS: Human cadaver study. External surface (sternal notch, mid-sternum, xiphoid) and intravascular (left subclavian artery [LSA], and CT) landmarks were measured from standardized left and right common femoral artery puncture sites...
September 2016: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/27184378/erratum-to-resuscitative-endovascular-balloon-occlusion-of-the-aorta-for-uncontrolled-haemorrahgic-shock-as-an-adjunct-to-haemostatic-procedures-in-the-acute-care-setting
#20
Junya Tsurukiri, Itsurou Akamine, Takao Sato, Masatsugu Sakurai, Eitaro Okumura, Mariko Moriya, Hiroshi Yamanaka, Shoichi Ohta
No abstract text is available yet for this article.
2016: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
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