Use of Intermittent Aortic Balloon Occlusion: Report from the ABO Trauma Registry
| العنوان: | Use of Intermittent Aortic Balloon Occlusion: Report from the ABO Trauma Registry |
|---|---|
| المؤلفون: | Buitendag, Johan, Variawa, Saffiya, Diayar, Aashish, Snyders, Pieter, Rademan, Pieter, Allopi, Nabeel, McGreevy, David Thomas, 1988, Hörer, Tal Martin, 1971, Oosthuizen, George |
| المساهمون: | ABO Trauma Registry Group, Contributor |
| المصدر: | Journal of Endovascular Resuscitation and Trauma Management. 7(1):8-14 |
| مصطلحات موضوعية: | Intermittent REBOA, ABO Trauma Registry, Trauma Hemorrhage, Trauma |
| الوصف: | 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. |
| وصف الملف: | |
| URL الوصول: | https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-107918 https://doi.org/10.26676/jevtm.275 |
| قاعدة البيانات: | SwePub |
| تدمد: | 20027567 2003539X |
|---|---|
| DOI: | 10.26676/jevtm.275 |