Feasibility and Clinical Outcome of Reboa in Patients with Impending Traumatic Cardiac Arrest

David Thomas McGreevy; Fikri M. Abu-Zidan; Mitra Sadeghi; Artai Pirouzram; Asko Toivola; Per Skoog; Koji Idoguchi; Yuri Kon; Tokiya Ishida; Yosuke Matsumura; Junichi Matsumoto; Viktor Reva; Mariusz Maszkowski; Adam Bersztel; Eva Corina Caragounis; Mårten Falkenberg; Lauri Handolin; George Oosthuizen; Endre Szarka; Vassil Manchev; Tongporn Wannatoop; Sung Wook Chang; Boris Kessel; Dan Hebron; Gad Shaked; Miklosh Bala; Federico Coccolini; Luca Ansaloni; Carlos A. Ordoñez; Emanuel M. Dogan; James E. Manning; Peter Hibert-Carius; Thomas Larzon; Kristofer F. Nilsson; Tal Martin Hörer

doi:10.1097/SHK.0000000000001500

Feasibility and Clinical Outcome of Reboa in Patients with Impending Traumatic Cardiac Arrest

David Thomas McGreevy, Fikri M. Abu-Zidan, Mitra Sadeghi, Artai Pirouzram, Asko Toivola, Per Skoog, Koji Idoguchi, Yuri Kon, Tokiya Ishida, Yosuke Matsumura, Junichi Matsumoto, Viktor Reva, Mariusz Maszkowski, Adam Bersztel, Eva Corina Caragounis, Mårten Falkenberg, Lauri Handolin, George Oosthuizen, Endre Szarka, Vassil ManchevTongporn Wannatoop, Sung Wook Chang, Boris Kessel, Dan Hebron, Gad Shaked, Miklosh Bala, Federico Coccolini, Luca Ansaloni, Carlos A. Ordoñez, Emanuel M. Dogan, James E. Manning, Peter Hibert-Carius, Thomas Larzon, Kristofer F. Nilsson, Tal Martin Hörer

Medical School for International Health

Research output: Contribution to journal › Article › peer-review

27 Scopus citations

Abstract

Background:Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) may improve Systolic Blood Pressure (SBP) in hypovolemic shock. It has, however, not been studied in patients with impending traumatic cardiac arrest (ITCA). We aimed to study the feasibility and clinical outcome of REBOA in patients with ITCA using data from the ABOTrauma Registry.Methods:Retrospective and prospective data on the use of REBOA from 16 centers globally were collected. SBP was measured both at pre-and post-REBOA inflation. Data collected included patients' demography, vascular access technique, number of attempts, catheter size, operator, zone and duration of occlusion, and clinical outcome.Results:There were 74 patients in this high-risk patient group. REBOA was performed on all patients. A 7-10Fr catheter was used in 66.7% and 58.5% were placed on the first attempt, 52.1% through blind insertion and 93.2% inflated in Zone I, 64.8% for a period of 30 to 60 min, 82.1% by ER doctors, trauma surgeons, or vascular surgeons. SBP significantly improved to 90 mm Hg following the inflation of REBOA. 36.6% of the patients survived.Conclusions:Our study has shown that REBOA may be performed in patients with ITCA, SBP can be elevated, and 36.6% of the patients survived if REBOA placement is successful.

Original language	English
Pages (from-to)	218-223
Number of pages	6
Journal	Shock
Volume	54
Issue number	2
DOIs	https://doi.org/10.1097/SHK.0000000000001500
State	Published - 1 Aug 2020

Keywords

Endovascular resuscitation
REBOA
impending traumatic cardiac arrest
shock
trauma
vascular access

ASJC Scopus subject areas

Emergency Medicine
Critical Care and Intensive Care Medicine

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10.1097/SHK.0000000000001500

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McGreevy, D. T., Abu-Zidan, F. M., Sadeghi, M., Pirouzram, A., Toivola, A., Skoog, P., Idoguchi, K., Kon, Y., Ishida, T., Matsumura, Y., Matsumoto, J., Reva, V., Maszkowski, M., Bersztel, A., Caragounis, E. C., Falkenberg, M., Handolin, L., Oosthuizen, G., Szarka, E., ... Hörer, T. M. (2020). Feasibility and Clinical Outcome of Reboa in Patients with Impending Traumatic Cardiac Arrest. Shock, 54(2), 218-223. https://doi.org/10.1097/SHK.0000000000001500

@article{3a5a5c76c49f4f599d365e6f05efecee,

title = "Feasibility and Clinical Outcome of Reboa in Patients with Impending Traumatic Cardiac Arrest",

abstract = "Background:Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) may improve Systolic Blood Pressure (SBP) in hypovolemic shock. It has, however, not been studied in patients with impending traumatic cardiac arrest (ITCA). We aimed to study the feasibility and clinical outcome of REBOA in patients with ITCA using data from the ABOTrauma Registry.Methods:Retrospective and prospective data on the use of REBOA from 16 centers globally were collected. SBP was measured both at pre-and post-REBOA inflation. Data collected included patients' demography, vascular access technique, number of attempts, catheter size, operator, zone and duration of occlusion, and clinical outcome.Results:There were 74 patients in this high-risk patient group. REBOA was performed on all patients. A 7-10Fr catheter was used in 66.7% and 58.5% were placed on the first attempt, 52.1% through blind insertion and 93.2% inflated in Zone I, 64.8% for a period of 30 to 60 min, 82.1% by ER doctors, trauma surgeons, or vascular surgeons. SBP significantly improved to 90 mm Hg following the inflation of REBOA. 36.6% of the patients survived.Conclusions:Our study has shown that REBOA may be performed in patients with ITCA, SBP can be elevated, and 36.6% of the patients survived if REBOA placement is successful.",

keywords = "Endovascular resuscitation, REBOA, impending traumatic cardiac arrest, shock, trauma, vascular access",

author = "McGreevy, {David Thomas} and Abu-Zidan, {Fikri M.} and Mitra Sadeghi and Artai Pirouzram and Asko Toivola and Per Skoog and Koji Idoguchi and Yuri Kon and Tokiya Ishida and Yosuke Matsumura and Junichi Matsumoto and Viktor Reva and Mariusz Maszkowski and Adam Bersztel and Caragounis, {Eva Corina} and M{\aa}rten Falkenberg and Lauri Handolin and George Oosthuizen and Endre Szarka and Vassil Manchev and Tongporn Wannatoop and Chang, {Sung Wook} and Boris Kessel and Dan Hebron and Gad Shaked and Miklosh Bala and Federico Coccolini and Luca Ansaloni and Ordo{\~n}ez, {Carlos A.} and Dogan, {Emanuel M.} and Manning, {James E.} and Peter Hibert-Carius and Thomas Larzon and Nilsson, {Kristofer F.} and H{\"o}rer, {Tal Martin}",

year = "2020",

month = aug,

day = "1",

doi = "10.1097/SHK.0000000000001500",

language = "English",

volume = "54",

pages = "218--223",

journal = "Shock",

issn = "1073-2322",

publisher = "Lippincott Williams and Wilkins Ltd.",

number = "2",

}

McGreevy, DT, Abu-Zidan, FM, Sadeghi, M, Pirouzram, A, Toivola, A, Skoog, P, Idoguchi, K, Kon, Y, Ishida, T, Matsumura, Y, Matsumoto, J, Reva, V, Maszkowski, M, Bersztel, A, Caragounis, EC, Falkenberg, M, Handolin, L, Oosthuizen, G, Szarka, E, Manchev, V, Wannatoop, T, Chang, SW, Kessel, B, Hebron, D, Shaked, G, Bala, M, Coccolini, F, Ansaloni, L, Ordoñez, CA, Dogan, EM, Manning, JE, Hibert-Carius, P, Larzon, T, Nilsson, KF & Hörer, TM 2020, 'Feasibility and Clinical Outcome of Reboa in Patients with Impending Traumatic Cardiac Arrest', Shock, vol. 54, no. 2, pp. 218-223. https://doi.org/10.1097/SHK.0000000000001500

TY - JOUR

T1 - Feasibility and Clinical Outcome of Reboa in Patients with Impending Traumatic Cardiac Arrest

AU - McGreevy, David Thomas

AU - Abu-Zidan, Fikri M.

AU - Sadeghi, Mitra

AU - Pirouzram, Artai

AU - Toivola, Asko

AU - Skoog, Per

AU - Idoguchi, Koji

AU - Kon, Yuri

AU - Ishida, Tokiya

AU - Matsumura, Yosuke

AU - Matsumoto, Junichi

AU - Reva, Viktor

AU - Maszkowski, Mariusz

AU - Bersztel, Adam

AU - Caragounis, Eva Corina

AU - Falkenberg, Mårten

AU - Handolin, Lauri

AU - Oosthuizen, George

AU - Szarka, Endre

AU - Manchev, Vassil

AU - Wannatoop, Tongporn

AU - Chang, Sung Wook

AU - Kessel, Boris

AU - Hebron, Dan

AU - Shaked, Gad

AU - Bala, Miklosh

AU - Coccolini, Federico

AU - Ansaloni, Luca

AU - Ordoñez, Carlos A.

AU - Dogan, Emanuel M.

AU - Manning, James E.

AU - Hibert-Carius, Peter

AU - Larzon, Thomas

AU - Nilsson, Kristofer F.

AU - Hörer, Tal Martin

PY - 2020/8/1

Y1 - 2020/8/1

N2 - Background:Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) may improve Systolic Blood Pressure (SBP) in hypovolemic shock. It has, however, not been studied in patients with impending traumatic cardiac arrest (ITCA). We aimed to study the feasibility and clinical outcome of REBOA in patients with ITCA using data from the ABOTrauma Registry.Methods:Retrospective and prospective data on the use of REBOA from 16 centers globally were collected. SBP was measured both at pre-and post-REBOA inflation. Data collected included patients' demography, vascular access technique, number of attempts, catheter size, operator, zone and duration of occlusion, and clinical outcome.Results:There were 74 patients in this high-risk patient group. REBOA was performed on all patients. A 7-10Fr catheter was used in 66.7% and 58.5% were placed on the first attempt, 52.1% through blind insertion and 93.2% inflated in Zone I, 64.8% for a period of 30 to 60 min, 82.1% by ER doctors, trauma surgeons, or vascular surgeons. SBP significantly improved to 90 mm Hg following the inflation of REBOA. 36.6% of the patients survived.Conclusions:Our study has shown that REBOA may be performed in patients with ITCA, SBP can be elevated, and 36.6% of the patients survived if REBOA placement is successful.

AB - Background:Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) may improve Systolic Blood Pressure (SBP) in hypovolemic shock. It has, however, not been studied in patients with impending traumatic cardiac arrest (ITCA). We aimed to study the feasibility and clinical outcome of REBOA in patients with ITCA using data from the ABOTrauma Registry.Methods:Retrospective and prospective data on the use of REBOA from 16 centers globally were collected. SBP was measured both at pre-and post-REBOA inflation. Data collected included patients' demography, vascular access technique, number of attempts, catheter size, operator, zone and duration of occlusion, and clinical outcome.Results:There were 74 patients in this high-risk patient group. REBOA was performed on all patients. A 7-10Fr catheter was used in 66.7% and 58.5% were placed on the first attempt, 52.1% through blind insertion and 93.2% inflated in Zone I, 64.8% for a period of 30 to 60 min, 82.1% by ER doctors, trauma surgeons, or vascular surgeons. SBP significantly improved to 90 mm Hg following the inflation of REBOA. 36.6% of the patients survived.Conclusions:Our study has shown that REBOA may be performed in patients with ITCA, SBP can be elevated, and 36.6% of the patients survived if REBOA placement is successful.

KW - Endovascular resuscitation

KW - REBOA

KW - impending traumatic cardiac arrest

KW - shock

KW - trauma

KW - vascular access

UR - http://www.scopus.com/inward/record.url?scp=85088177144&partnerID=8YFLogxK

U2 - 10.1097/SHK.0000000000001500

DO - 10.1097/SHK.0000000000001500

M3 - Article

C2 - 31851119

AN - SCOPUS:85088177144

SN - 1073-2322

VL - 54

SP - 218

EP - 223

JO - Shock

JF - Shock

IS - 2

ER -

Feasibility and Clinical Outcome of Reboa in Patients with Impending Traumatic Cardiac Arrest

Abstract

Keywords

ASJC Scopus subject areas

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