| 1. |
- Buitendag, Johan, et al.
(författare)
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Comparison of Outcomes Relating to REBOA Inflation Zones : Report from the ABO Trauma Registry
- 2023
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Ingår i: Journal of Endovascular Resuscitation and Trauma Management (JEVTM). - : Örebro University Hospital and University i samarbeid med 'Society of Endovascular Resuscitation and Trauma Management'. - 2002-7567 .- 2003-539X. ; 7:1, s. 15-21
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Tidskriftsartikel (refereegranskat)abstract
- Background: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a temporary management modality for non-compressible torso haemorrhage that can be deployed in the pre- and intrahospital setting. This study aimed to compare outcomes following balloon placement in the three aortic zones.Methods: This is a retrospective study using data from the ABO Trauma Registry. Relevant entries from January 2014 to December 2019 were used and stratified into three groups: those who received Zone 1, 2, or 3 balloon placements.Results: The study sample consisted of 237 patients: 63 (27%) women and 174 (73%) men, median age 35 years. The primary location of the REBOA balloon was in Zone 1 for 180 patients, while it was nine in Zone 2 and 48 in Zone 3. Complication rates and total durations did not differ significantly between inflation zones. Emergency department mortality rates for Zones 1 and 2 patients were significantly higher than for Zone 3 (P = 0.04), but there was no difference between groups in 24-hour and 30-day mortality rates.Conclusions: REBOA is currently used in the emergency setting for temporary stabilisation of the bleeding patient. In this cohort, balloon placement occurred in all zones of the aorta for similar durations, with no difference in complication rates between zones. Inadvertent Zone 2 placement was not found to be associated with increased complication rates.
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| 2. |
- Buitendag, Johan, et al.
(författare)
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Use of Intermittent Aortic Balloon Occlusion : Report from the ABO Trauma Registry
- 2023
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Ingår i: Journal of Endovascular Resuscitation and Trauma Management. - : Örebro University Hospital and University i samarbeid med 'Society of Endovascular Resuscitation and Trauma Management'. - 2002-7567 .- 2003-539X. ; 7:1, s. 8-14
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Tidskriftsartikel (refereegranskat)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.
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| 3. |
- Duchesne, Juan, et al.
(författare)
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To Ultrasound or not to Ultrasound : A REBOA Femoral Access Analysis from the ABOTrauma and AORTA Registries
- 2020
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Ingår i: Journal of endovascular resuscitation and trauma management. - Örebro : Society of Endovascular Resuscitation and Trauma Management in cooperation with Örebro University Hospital. - 2002-7567. ; 4:2, s. 80-87
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Tidskriftsartikel (refereegranskat)abstract
- Background: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is becoming a standardized adjunct in the management of non-compressible hemorrhage. Ultrasound (US)-guided femoral access has been taught as the best practice for femoral artery cannulation. However, there is a lack of evidence to support its use in patients in extremis with severe hemorrhage. We hypothesize that no differences in outcome will exist between US-guided and to blind percutaneous or cutdown access methods.Methods: This was an international, multicenter retrospective review of all patients managed with REBOA from the ABOTrauma Registry and the AORTA database. REBOA characteristics and outcomes were compared among puncture access methods. Significance was set at P < 0.05.Results: The cohort included 523 patients, primarily male (74%), blunt injured (77%), with median age 40 (27-58), and an Injury Severity Score of 34 (25-45). Percutaneous using external landmarks/palpation was the most common femoral puncture method (53%) used followed by US-guided (27.9%). There was no significant difference in overall complication rates (37.4% vs 34.9%; P = 0.615) or mortality (47.8% vs 50.3%; P = 0.599) between percutaneous and US-guided methods; however, access by cutdown was significantly associated with emergency department (ED) mortality (P = 0.004), 24 hour mortality (P = 0.002), and in-hospital mortality (P = 0.007).Conclusions: In patients with severe hemorrhage in need of REBOA placement, the percutaneous approach using anatomic landmarks and palpation, when compared with US-guided femoral access, was used more frequently without an increase in complications, access attempts, or mortality.
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| 4. |
- Hörer, Tal M., 1971-, et al.
(författare)
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Alternative Methods for Endovascular and Hybrid Bleeding Control
- 2023
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Ingår i: Journal of Endovascular Resuscitation and Trauma Management (JEVTM). - : Örebro University Hospital and University i samarbeid med 'Society of Endovascular Resuscitation and Trauma Management'. - 2002-7567 .- 2003-539X. ; 7:1, s. 43-44
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Puncture site or vascular access bleeding may be managed with open or endovascular methods. In this paper, we shortly describe alternative methods for endovascular and hybrid bleeding control.
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| 5. |
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| 6. |
- Hörer, Tal M., 1971-
(författare)
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Chimney Grafts in Acute Endovascular Aortic Repair Due to Ruptured Abdominal Aorta Aneurysm
- 2021
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Ingår i: Journal of endovascular resuscitation and trauma management. - : Örebro University Hospital. - 2002-7567. ; 5:2, s. 96-97
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Parallel grafts, or chimney grafts, are at times a good solutions for EndoVascular Aorta repair (EVAR) in ruptured cases. These photoes shows an acute case with uni-chimney left kidney with succesful outcome.
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| 7. |
- Hörer, Tal M., 1971-
(författare)
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JEVTM 10th Edition
- 2021
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Ingår i: Journal of endovascular resuscitation and trauma management. - : Örebro University Hospital. - 2002-7567 .- 2003-539X. ; 5:1, s. 1-2
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
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| 8. |
- Hörer, Tal M., 1971-, et al.
(författare)
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Using Double Wires as a Stability Solution
- 2023
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Ingår i: Journal of Endovascular Resuscitation and Trauma Management (JEVTM). - : Örebro University Hospital and University i samarbeid med 'Society of Endovascular Resuscitation and Trauma Management'. - 2002-7567 .- 2003-539X. ; 7:1, s. 45-45
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- At times, when the endovascular delivery or catheter system is unstable, two wires can be used, forming a double wire system.
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| 9. |
- Kessel, Boris, et al.
(författare)
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A Novel Technique for the Damage Control of Huge Diaphragmatic Injuries
- 2020
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Ingår i: Journal of endovascular resuscitation and trauma management. - Örebro : Örebro University Hospital. - 2002-7567. ; 4:1, s. 30-32
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Tidskriftsartikel (refereegranskat)abstract
- Background: Diaphragmatic injuries are rare in trauma victims, and mostly located on the left side. The standard approach is primary closure, using non-absorbable heavy interrupted sutures. Right-sided injuries are protected by the liver and such repair is not mandatory. However, closure of large defects, not suitable for primary suture, remains a challenging problem, especially in a military setting or in severely multiple-organ injured patients. Up until now, the single surgical solution in such situations is usage of absorbable mesh.Methods: The feasibility of a damage control closure technique for huge traumatic diaphragmatic injury was evaluated.Results: After creation of large diaphragmatic defects in an animal model, the defects were closed with an appropriately sized plastic (Bogota) bag and using a large abdominal pad, accordingly. The total procedure time was about 3 min and no chest re-protrusion was observed until completion of the experiment.Conclusions: This novel method is likely to be safe and simple to use as a damage control method and should be further investigated in proper models and clinically.
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| 10. |
- Khan, Mansoor Ali, et al.
(författare)
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DCR and EVTM : The Future of Trauma Research and Training
- 2020
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Ingår i: Journal of endovascular resuscitation and trauma management. - Örebro : Society of Endovascular Resuscitation and Trauma Management in cooperation with Örebro University Hospital. - 2002-7567. ; 4:2, s. 75-76
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Special issue in collaboration with the Damage Control Resuscitation (DCR) group
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