The use of aortic balloon occlusion in traumatic shock: first report from the ABO trauma registry

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The use of aortic balloon occlusion in traumatic shock : first report from the ABO trauma registry

Sadeghi, Mitra, 1982- (author): Örebro universitet,Institutionen för medicinska vetenskaper,Västmanlands Hospital, Västerås, Sweden; Department of Vascular Surgery, Faculty of Health and Medical Sciences, Örebro University, Örebro, Sweden

Nilsson, Kristofer F., 1981- (author): Department of Cardiothoracic and Vascular Surgery Faculty of Medicine and Health, Örebro University Hospital, Örebro, Sweden

Larzon, Thomas, 1950- (author): Department of Cardiothoracic and Vascular Surgery, Örebro University Hospital, Örebro, Sweden

Pirouzram, Artai, 1970- (author): Department of Cardiothoracic and Vascular Surgery, Faculty of Medicine and Health, Örebro University Hospital, Örebro, Sweden

Toivola, Asko (author): Department of Cardiothoracic and Vascular Surgery, Örebro University Hospital, Örebro, Sweden

Skoog, Per, 1975- (author): Department of Vascular Surgery, Örebro University Hospital, Örebro, Sweden

Idoguchi, Koji (author): Senshu Trauma and Critical Care Center, Rinku General Medical Center, Izumisano, Japan

Kon, Yuri (author): Emergency and Critical Care Center, Hachinohe City Hospital, Hachinohe, Japan

Ishida, Tokiya (author): Emergency and Critical Care Center, Ohta Nishinouchi Hospital, Koriyama, Japan

Matsumara, Y. (author): Department of Emergency and Critical Care Medicine, Chiba University Graduate School of Medicine, Chiba, Japan; R Adams Cowley Shock Trauma Center, University of Maryland, College Park MD, United States

Matsumoto, Junichi (author): Department of Emergency and Critical Care Medicine, St Marianna University School of Medicine, Kawasaki, Japan

Reva, Viktor A. (author): Department of War Surgery, Kirov Military Medical Academy, Saint Petersburg, Russian Federation; Dzhanelidze Research Institute of Emergency Medicine, Saint Petersburg, Russian Federation

Maszkowski, M. (author): Västmanlands Hospital, Västerås, Sweden; Department of Vascular Surgery, Örebro University Hospital, Örebro, Sweden

Bersztel, Adam (author): Västmanlands Hospital, Västerås, Sweden; Department of Vascular Surgery, Örebro University Hospital, Örebro, Sweden

Caragounis, Eva Corina (author): Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för kirurgi,Institute of Clinical Sciences, Department of Surgery

Falkenberg, Mårten, 1959 (author): Department of Radiology, Örebro University Hospital, Örebro, Sweden

Handolin, Lauri E. (author): Department of Orthopedics and Traumatology, Helsinki University Hospital, University of Helsinki, Helsinki, Finland

Kessel, Boris J. (author): Department of Surgery, Hillel Yaffe Medical Centre, Hadera, Israel

Hebron, Dan (author): Department of Surgery, Hillel Yaffe Medical Centre, Hadera, Israel

Coccolini, Federico (author): Department of Surgery, Papa Giovanni XXIII Hospital, Bergamo, Italy

Ansaloni, Luca (author): Department of Surgery, Papa Giovanni XXIII Hospital, Bergamo, Italy

Madurska, Marta J. (author): Department of Vascular Surgery, Queen Elizabeth University Hospital, Glasgow, United Kingdom

Morrison, Jonathan James (author): Department of Vascular Surgery, Queen Elizabeth University Hospital, Glasgow, United Kingdom

Hörer, Tal Martin, 1971- (author): Department of Cardiothoracic and Vascular Surgery, Faculty of Medicine and Health, Örebro University Hospital, Örebro, Sweden

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2017-08-11
2018
English.
In: European Journal of Trauma and Emergency Surgery. - : Springer Berlin/Heidelberg. - 1863-9933 .- 1863-9941 .- 1615-3146. ; 44:4, s. 491-501

Related links:: https://doi.org/10.1...; show more...; https://link.springe...; https://urn.kb.se/re...; https://doi.org/10.1...; https://gup.ub.gu.se...; show less...

Journal article (peer-reviewed)

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PURPOSE: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a technique for temporary stabilization of patients with non-compressible torso hemorrhage. This technique has been increasingly used worldwide during the past decade. Despite the good outcomes of translational studies, clinical studies are divided. The aim of this multicenter-international study was to capture REBOA-specific data and outcomes.METHODS: REBOA practicing centers were invited to join this online register, which was established in September 2014. REBOA cases were reported, both retrospective and prospective. Demographics, injury patterns, hemodynamic variables, REBOA-specific data, complications and 30-days mortality were reported.RESULTS: Ninety-six cases from 6 different countries were reported between 2011 and 2016. Mean age was 52 ± 22 years and 88% of the cases were blunt trauma with a median injury severity score (ISS) of 41 (IQR 29-50). In the majority of the cases, Zone I REBOA was used. Median systolic blood pressure before balloon inflation was 60 mmHg (IQR 40-80), which increased to 100 mmHg (IQR 80-128) after inflation. Continuous occlusion was applied in 52% of the patients, and 48% received non-continuous occlusion. Occlusion time longer than 60 min was reported as 38 and 14% in the non-continuous and continuous groups, respectively. Complications, such as extremity compartment syndrome (n = 3), were only noted in the continuous occlusion group. The 30-day mortality for non-continuous REBOA was 48%, and 64% for continuous occlusion.CONCLUSIONS: This observational multicenter study presents results regarding continuous and non-continuous REBOA with favorable outcomes. However, further prospective studies are needed to be able to draw conclusions on morbidity and mortality.

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Surgery

Articles in the publication: European Journal ...

By the university: Örebro University; University of Gothenburg

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The use of aortic balloon occlusion in traumatic shock : first report from the ABO trauma registry

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