keyword
Keywords "Resuscitative Endovascular Ba...

"Resuscitative Endovascular Balloon Occlusion of the Aorta"

https://read.qxmd.com/read/38526841/emergency-department-resuscitative-endovascular-balloon-occlusion-of-the-aorta-in-trauma-patients-with-exsanguinating-hemorrhage-the-uk-reboa-randomized-clinical-trial
#1
EDITORIAL
Thariq Badiudeen, Venkatesh Thiruganasambandamoorthy, Hans Rosenberg
No abstract text is available yet for this article.
March 25, 2024: CJEM
https://read.qxmd.com/read/38523430/the-importance-of-early-femoral-access-when-reboa-catheter-must-be-removed-prior-to-hemorrhage-control
#2
JOURNAL ARTICLE
Michele N Fiorentino, Michael C Smith, Stephen P Gondek
Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a tool for hemorrhage control. We describe a case where the REBOA Catheter needed to be removed prior to hemorrhage control. The patient is a 40-year-old man that presented following motor vehicle collision. A REBOA Catheter was placed via the right common femoral artery (CFA). CT scan demonstrated extravasation from the left inferior epigastric artery. The Interventional Radiology (IR) team would only be able to perform angioembolization via contralateral access where the REBOA Catheter was in place...
March 24, 2024: American Surgeon
https://read.qxmd.com/read/38510375/endovascular-aortic-occlusion-improves-return-of-spontaneous-circulation-after-longer-periods-of-cardiopulmonary-resuscitation-a-translational-study-in-pigs
#3
JOURNAL ARTICLE
Steven Siemieniak, Tanner Greiving, Nola Shepard, Jason Rall, Craig Nowadly
INTRODUCTION: Resuscitative endovascular balloon occlusion of the aorta (REBOA) has emerged as an adjunct to CPR for nontraumatic cardiac arrest (NTCA). This translational study investigated the impact of varying low-flow duration (15- vs 30-mins) on REBOA's hemodynamic performance and ability to achieve return of spontaneous circulation (ROSC) in a porcine model. METHODS: Thirty-two pigs were anesthetized and placed into ventricular fibrillation. All animals received a 4-min no-flow period before CPR was initiated...
June 2024: Resuscitation plus
https://read.qxmd.com/read/38502081/resuscitative-endovascular-balloon-occlusion-of-the-aorta-in-patients-with-exsanguinating-hemorrhage
#4
LETTER
Ryo Aoki
No abstract text is available yet for this article.
March 19, 2024: JAMA
https://read.qxmd.com/read/38502080/resuscitative-endovascular-balloon-occlusion-of-the-aorta-in-patients-with-exsanguinating-hemorrhage
#5
LETTER
Kyosuke Kamijo, Yosuke Matsumura
No abstract text is available yet for this article.
March 19, 2024: JAMA
https://read.qxmd.com/read/38502079/resuscitative-endovascular-balloon-occlusion-of-the-aorta-in-patients-with-exsanguinating-hemorrhage
#6
JOURNAL ARTICLE
Constantinos Tingerides, Paul Walker
No abstract text is available yet for this article.
March 19, 2024: JAMA
https://read.qxmd.com/read/38502078/resuscitative-endovascular-balloon-occlusion-of-the-aorta-in-patients-with-exsanguinating-hemorrhage
#7
LETTER
Boris Kessel, Horer Tal, Adenauer Marinho de Oliveira Góes
No abstract text is available yet for this article.
March 19, 2024: JAMA
https://read.qxmd.com/read/38502077/resuscitative-endovascular-balloon-occlusion-of-the-aorta-in-patients-with-exsanguinating-hemorrhage
#8
LETTER
Brian Chin, Heli Patel, Adel Elkbuli
No abstract text is available yet for this article.
March 19, 2024: JAMA
https://read.qxmd.com/read/38502076/resuscitative-endovascular-balloon-occlusion-of-the-aorta-in-patients-with-exsanguinating-hemorrhage-reply
#9
JOURNAL ARTICLE
Jan O Jansen, Graeme S MacLennan, Marion K Campbell
No abstract text is available yet for this article.
March 19, 2024: JAMA
https://read.qxmd.com/read/38497576/the-balloon-that-doesn-t-rise-resuscitative-endovascular-balloon-occlusion-of-the-aorta
#10
JOURNAL ARTICLE
Bellal Joseph
No abstract text is available yet for this article.
March 18, 2024: Journal of the American College of Surgeons
https://read.qxmd.com/read/38493898/vascular-complications-secondary-to-reboa-placement-at-a-level-1-trauma-center
#11
JOURNAL ARTICLE
Amanda Tullos, Sanjay Wunnava, Daniela Medina, Claudie Sheahan, Amit Chawla, Bruce Torrance, Amadis Brooke, Melissa Donovan, Tapash Palit, Malachi Sheahan
INTRODUCTION: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is designed to manage severe hemorrhagic shock. Popularized in medical care during military conflicts, the concept has emerged as a lifesaving technique that is utilized around the United States. Literature on risks of REBOA placement, especially vascular injuries, are not well reported. Our goal was to assess the incidence of vascular injury from REBOA placement and the risk factors associated with injury and death among these patients at our institution...
March 15, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38465184/transcatheter-arterial-embolization-for-blunt-splenic-injury-with-resuscitative-endovascular-balloon-occlusion-of-the-aorta-the-significance-of-early-involvement-of-radiologists
#12
Shinji Wada, Junichi Matsumoto, Masaya Osugi, Keisuke Ida, Hidefumi Mimura
Splenectomy is a common procedure for managing splenic injury in patients with unstable vital signs. Transcatheter arterial embolization (TAE) has emerged as a limited alternative to splenectomy, although the role of TAE can be expanded upon the stabilization of vital signs. The current case report discusses a man in his 50s, in shock after a motor vehicle accident, who was successfully stabilized using resuscitative endovascular balloon occlusion of the aorta (REBOA), followed by splenic artery embolization (SAE) instead of splenectomy, with early involvement of diagnostic and interventional radiologists from the initial stage of care...
February 2024: Curēus
https://read.qxmd.com/read/38456908/the-effect-of-an-endovascular-heaney-maneuver-to-achieve-total-hepatic-isolation-on-survival-hemodynamic-stability-retrohepatic-bleeding-and-collateral-flow-in-a-porcine-model
#13
JOURNAL ARTICLE
Maria B Wikström, Anna Stene-Hurtsén, Jens Åström, Tal M Hörer, Kristofer F Nilsson
PURPOSE: Combining resuscitative endovascular balloon occlusion of the aorta (REBOA) and the inferior vena cava (REBOVC) with open surgery is a new hybrid approach for treating retrohepatic vena caval injuries. We compared endovascular total hepatic isolation with supraceliac REBOA ± suprahepatic REBOVC and no occlusion in experimental retrohepatic vena cava bleeding regarding survival, bleeding volume, hemodynamic stability, and arterial collateral blood flow. METHODS: Twenty-five anesthetized pigs (n = 6-7/group) were randomized to REBOA; REBOA + REBOVC; REBOA + infra and suprahepatic REBOVC + portal vein occlusion (endovascular Heaney maneuver, four-balloon-occlusion, 4BO) or no occlusion...
March 8, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38453308/management-of-pelvic-trauma
#14
REVIEW
Jennifer E Baker, Nicole L Werner, Clay Cothren Burlew
Pelvic fractures are common after blunt trauma with patients' presentation ranging from stable with insignificant fractures to life-threatening exsanguination from unstable fractures. Often, hemorrhagic shock from a pelvic fracture may go unrecognized and high clinical suspicion for a pelvic source lies with the clinician. A multidisciplinary coordinated effort is required for management of these complex patients. In the exsanguinating patient, hemorrhage control remains the top priority and may be achieved with external stabilization, resuscitative endovascular balloon occlusion of the aorta, preperitoneal pelvic packing, angiographic intervention, or a combination of therapies...
April 2024: Surgical Clinics of North America
https://read.qxmd.com/read/38453304/the-role-of-resuscitative-endovascular-balloon-occlusion-of-the-aorta
#15
REVIEW
Megan Brenner
Resuscitative endovascular balloon occlusion of the aorta (REBOA) has been utilized by trauma surgeons at the bedside for over a decade in both civilian and military settings. Both translational and clinical research suggest it is superior to resuscitative thoracotomy for specific patient populations. Technological advancements in recent years have significantly enhanced the safety profile of REBOA. Resuscitative balloon occlusion of the aorta has also swiftly found implementation in patients in shock from non-traumatic hemorrhage...
April 2024: Surgical Clinics of North America
https://read.qxmd.com/read/38450433/the-degree-of-aortic-occlusion-in-the-setting-of-trauma-alters-the-extent-of-acute-kidney-injury-associated-with-mitochondrial-preservation
#16
JOURNAL ARTICLE
Biebele Abel, John Mares, Justin Hutzler, Babita Parajuli, Lalitha Kurada, Joseph M White, Brandon W Propper, Ian J Stewart, David M Burmeister
Resuscitative endovascular balloon occlusion of the aorta (REBOA) is used to control non-compressible hemorrhage not addressed with traditional tourniquets. However, REBOA is associated with acute kidney injury (AKI) and subsequent mortality in severe trauma patients. Herein, we investigated how the degree of aortic occlusion alters AKI in a porcine model. Female Yorkshire-cross swine (n=16, 68.1±0.7Kg) were anesthetized, and had carotid and bilateral femoral arteries accessed for REBOA insertion and distal and proximal blood pressure monitoring...
March 7, 2024: American Journal of Physiology. Renal Physiology
https://read.qxmd.com/read/38448977/torso-hemorrhage-noncompressible-never-say-never
#17
REVIEW
Lian-Yang Zhang, Hua-Yu Zhang
Since limb bleeding has been well managed by extremity tourniquets, the management of exsanguinating torso hemorrhage (TH) has become a hot issue both in military and civilian medicine. Conventional hemostatic techniques are ineffective for managing traumatic bleeding of organs and vessels within the torso due to the anatomical features. The designation of noncompressible torso hemorrhage (NCTH) marks a significant step in investigating the injury mechanisms and developing effective methods for bleeding control...
March 6, 2024: European Journal of Medical Research
https://read.qxmd.com/read/38407818/resuscitative-endovascular-balloon-occlusion-of-the-aorta-zone-1-reperfusion-induced-coagulopathy
#18
JOURNAL ARTICLE
Alexis L Cralley, Ernest E Moore, Ian LaCroix, T J Schaid, Otto Thielen, William Hallas, Patrick Hom, Sanchayita Mitra, Marguerite Kelher, Kirk Hansen, Mitchell Cohen, Christopher Silliman, Angela Sauaia, Charles J Fox
Objective: We sought to identify potential drivers behind resuscitative endovascular balloon occlusion of the aorta (REBOA) induced reperfusion coagulopathy using novel proteomic methods. Background: Coagulopathy associated with REBOA is poorly defined. The REBOA Zone 1 provokes hepatic and intestinal ischemia that may alter coagulation factor production and lead to molecular pathway alterations that compromises hemostasis. We hypothesized that REBOA Zone 1 would lead to reperfusion coagulopathy driven by mediators of fibrinolysis, loss of coagulation factors, and potential endothelial dysfunction...
February 1, 2024: Shock
https://read.qxmd.com/read/38386921/multiomics-signatures-of-coagulopathy-in-a-polytrauma-swine-model-contrasted-with-severe-multisystem-injured-patients
#19
JOURNAL ARTICLE
Ian S LaCroix, Ernest E Moore, Alexis Cralley, Francesca I Cendali, Monika Dzieciatkowska, Patrick Hom, Sanchayita Mitra, Mitchell Cohen, Christopher Silliman, Kirk C Hansen, Angelo D'Alessandro
Trauma-induced coagulopathy (TIC) is a leading contributor to preventable mortality in severely injured patients. Understanding the molecular drivers of TIC is an essential step in identifying novel therapeutics to reduce morbidity and mortality. This study investigated multiomics and viscoelastic responses to polytrauma using our novel swine model and compared these findings with severely injured patients. Molecular signatures of TIC were significantly associated with perturbed coagulation and inflammation systems as well as extensive hemolysis...
February 22, 2024: Journal of Proteome Research
https://read.qxmd.com/read/38368774/is-reboa-the-last-card-to-control-a-massive-gastrointestinal-bleeding
#20
JOURNAL ARTICLE
Fernando Rodríguez-Holguín, Alexander Salcedo, Philip Leib, Yaset Caicedo, José Julián Serna, Luis Toro, Sandra Carvajal, Manolo Riascos, Michael W Parra, Alberto García, Carlos A Ordoñez
INTRODUCTION: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a potential tool for the management of massive gastrointestinal bleeding (MGB). This study aims to describe the experience of the use of REBOA as adjunctive therapy in patients with MGB and to evaluate its effectiveness. METHODS: Serial cases of patients with hemorrhagic shock secondary to MGB in whom REBOA was placed were collected. Patient demographics, bleeding severity, etiology, management, and clinical outcomes were recorded...
February 17, 2024: Journal of Surgical Research
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