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The use of aortic b...
The use of aortic balloon occlusion in traumatic shock : first report from the ABO trauma registry
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- 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
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- Nilsson, Kristofer F., 1981- (author)
- Department of Cardiothoracic and Vascular Surgery Faculty of Medicine and Health, Örebro University Hospital, Örebro, Sweden
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- Larzon, Thomas, 1950- (author)
- Department of Cardiothoracic and Vascular Surgery, Örebro University Hospital, Örebro, Sweden
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- Pirouzram, Artai, 1970- (author)
- Department of Cardiothoracic and Vascular Surgery, Faculty of Medicine and Health, Örebro University Hospital, Örebro, Sweden
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- Toivola, Asko (author)
- Department of Cardiothoracic and Vascular Surgery, Örebro University Hospital, Örebro, Sweden
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- Skoog, Per, 1975- (author)
- Department of Vascular Surgery, Örebro University Hospital, Örebro, Sweden
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- Idoguchi, Koji (author)
- Senshu Trauma and Critical Care Center, Rinku General Medical Center, Izumisano, Japan
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- Kon, Yuri (author)
- Emergency and Critical Care Center, Hachinohe City Hospital, Hachinohe, Japan
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- Ishida, Tokiya (author)
- Emergency and Critical Care Center, Ohta Nishinouchi Hospital, Koriyama, Japan
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- 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
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- Matsumoto, Junichi (author)
- Department of Emergency and Critical Care Medicine, St Marianna University School of Medicine, Kawasaki, Japan
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- 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
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- Maszkowski, M. (author)
- Västmanlands Hospital, Västerås, Sweden; Department of Vascular Surgery, Örebro University Hospital, Örebro, Sweden
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- Bersztel, Adam (author)
- Västmanlands Hospital, Västerås, Sweden; Department of Vascular Surgery, Örebro University Hospital, Örebro, Sweden
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- Caragounis, Eva Corina (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för kirurgi,Institute of Clinical Sciences, Department of Surgery
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- Falkenberg, Mårten, 1959 (author)
- Department of Radiology, Örebro University Hospital, Örebro, Sweden
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- Handolin, Lauri E. (author)
- Department of Orthopedics and Traumatology, Helsinki University Hospital, University of Helsinki, Helsinki, Finland
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- Kessel, Boris J. (author)
- Department of Surgery, Hillel Yaffe Medical Centre, Hadera, Israel
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- Hebron, Dan (author)
- Department of Surgery, Hillel Yaffe Medical Centre, Hadera, Israel
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- Coccolini, Federico (author)
- Department of Surgery, Papa Giovanni XXIII Hospital, Bergamo, Italy
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- Ansaloni, Luca (author)
- Department of Surgery, Papa Giovanni XXIII Hospital, Bergamo, Italy
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- Madurska, Marta J. (author)
- Department of Vascular Surgery, Queen Elizabeth University Hospital, Glasgow, United Kingdom
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- Morrison, Jonathan James (author)
- Department of Vascular Surgery, Queen Elizabeth University Hospital, Glasgow, United Kingdom
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- 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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(creator_code:org_t)
- 2017-08-11
- 2018
- English.
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In: European Journal of Trauma and Emergency Surgery. - : Springer Berlin/Heidelberg. - 1863-9933 .- 1863-9941 .- 1615-3146. ; 44:4, s. 491-501
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https://doi.org/10.1...
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https://link.springe...
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https://urn.kb.se/re...
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https://gup.ub.gu.se...
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Abstract
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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.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Keyword
- Aortic occlusion
- Hemorrhage
- IABO
- REBOA
- Trauma
- Aortic occlusion
- Hemorrhage
- IABO
- REBOA
- Trauma
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Sadeghi, Mitra, ...
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Nilsson, Kristof ...
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Larzon, Thomas, ...
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Pirouzram, Artai ...
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Toivola, Asko
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Skoog, Per, 1975 ...
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show more...
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Idoguchi, Koji
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Kon, Yuri
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Ishida, Tokiya
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Matsumara, Y.
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Matsumoto, Junic ...
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Reva, Viktor A.
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Maszkowski, M.
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Bersztel, Adam
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Caragounis, Eva ...
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Falkenberg, Mårt ...
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Handolin, Lauri ...
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Kessel, Boris J.
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Hebron, Dan
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Coccolini, Feder ...
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Ansaloni, Luca
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Madurska, Marta ...
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Morrison, Jonath ...
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Hörer, Tal Marti ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Surgery
- Articles in the publication
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European Journal ...
- By the university
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Örebro University
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University of Gothenburg