TY - JOUR
T1 - Successfully REBOA performance
T2 - does medical specialty matter? International data from the ABOTrauma Registry
AU - The ABOTrauma Registry research group
AU - Hilbert-Carius, Peter
AU - McGreevy, David
AU - Abu-Zidan, Fikri M.
AU - Hörer, Tal M.
AU - Sadeghi, M.
AU - Pirouzram, A.
AU - Toivola, A.
AU - Skoog, P.
AU - Idoguchi, K.
AU - Kon, Y.
AU - Ishida, T.
AU - Matsumura, Y.
AU - Matsumoto, J.
AU - Maszkowski, M.
AU - Bersztel, A.
AU - Caragounis, E. C.
AU - Bachmann, T.
AU - Falkenberg, M.
AU - Handolin, L.
AU - Chang, S. W.
AU - Hecht, A.
AU - Kessel, B.
AU - Hebron, D.
AU - Shaked, G.
AU - Bala, M.
AU - Coccolini, F.
AU - Ansaloni, L.
AU - Hoencamp, R.
AU - Özlüer, Yunus Emre
AU - Larzon, T.
AU - Nilsson, K. F.
N1 - Funding Information:
The authors would like to thank all participating centers in the ABOTrauma Registry. ABOTrauma Registry research group : M. Sadeghi 2,22, A. Pirouzram 2, A. Toivola 2, P. Skoog 5, K. Idoguchi 6, Y. Kon 7, T. Ishida 8, Y. Matsumura 9, J. Matsumoto 10, M. Maszkowski 11, A. Bersztel 11, EC. Caragounis 12, T Bachmann 1, M. Falkenberg 13, L. Handolin14, S. W. Chang 15, A. Hecht 1, B. Kessel 16 , D. Hebron 16, G. Shaked17, M. Bala 18F. Coccolini 19, L. Ansaloni 19, R. Hoencamp 20, Yunus Emre Özlüer21, T. Larzon 2, K. F. Nilsson 2 1 Department of Anesthesiology, Intensive Care and Emergency Medicine, Bergmannstrost Hospital Halle, Halle (Saale), Germany.2Department of Cardiothoracic and Vascular Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden 5Department of Molecular and Clinical Medicine at the Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Sweden 6 Senshu Trauma and Critical Care Center, Rinku General Medical Center, Izumisano, Japan.7Emergency and Critical Care Center, Hachinohe City Hospital, Hachinohe, Japan. 8Emergency and Critical Care Center, Ohta Nishinouchi Hospital, Koriyama, Japan.9 Department of Emergency and Critical Care Medicine, Chiba University Graduate School of Medicine, Chiba, Japan.10 Department of Emergency and Critical Care Medicine, St Marianna University School of Medicine, Kawasaki, Japan.11 Västmanlands Hospital Västerås, Department of Vascular Surgery, Örebro University, Örebro, Sweden.12 Department of Surgery, Institute of Clinical Science, Sahlgrenska Academy, University of Gothenburg and Sahlgrenska University Hospital, Gothenburg, Sweden.13 Department of Radiology, Sahlgrenska University Hospital, Gothenburg, Sweden.14 Helsinki University Hospital, Department of Orthopedics and Traumatology, University of Helsinki, Helsinki, Finland.15Department of Thoracic and Cardiovascular Surgery, Trauma Center, Dankook University Hospital, Cheonan, Republic of Korea.16Department of Surgery, Hillel Yaffe Medical Centre, Hadera, Israel.17Department of Anesthesiology and Critical Care, Soroka University Medical Center, Ben Gurion University, Beer Sheva, Israel. 18Trauma and Acute Care Surgery Unit, Hadassah Hebrew University Medical Center, Jerusalem, Israel.19Department of Surgery, Papa Giovanni XXIII Hospital, Bergamo, Italy.20Department of Surgery, Alrijne Hospital Leiderdorp, Leiderdorp, Netherlands.21Department of Emergency Medicine, Adnan Menderes University Hospital, Aydin, Turkey.22Department of Cardiothoracic and Vascular Surgery Linköping University Hospital, Linköping, Sweden, Faculty of Medicine and Health, Örebro University, Sweden.
Publisher Copyright:
© 2020, The Author(s).
PY - 2020/12
Y1 - 2020/12
N2 - Background: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a minimally invasive procedure being increasingly utilized to prevent patients with non-compressible torso hemorrhage from exsanguination. The increased use of REBOA is giving rise to discussion about “Who is and who should be performing it?” Methods: Data from the international ABO (aortic balloon occlusion) Trauma Registry from between November 2014 and April 2020 were analyzed concerning the question: By who, how, and where is REBOA being performed? The registry collects retrospective and prospective data concerning use of REBOA in trauma patients. Results: During the study period, 259 patients had been recorded in the registry, 72.5% (n = 188) were males with a median (range) age of 46 (10-96) years. REBOA was performed in the ER in 50.5%, in the OR in 41.5%, and in the angiography suite in 8% of patients. In 54% of the patients REBOA was performed by surgeons (trauma surgeons 28%, vascular surgeons 22%, general surgeons 4%) and in 46% of the patients by non-surgeons (emergency physicians 31%, radiologists 9.5%, anesthetists 5.5%). Common femoral artery (CFA) access was achieved by use of external anatomic landmarks and palpation alone in 119 patients (51%), by cutdown in 57 patients (24%), using ultrasound in 49 patients (21%), and by fluoroscopy in 9 patients (4%). Significant differences between surgeons and non-surgeons were found regarding patient’s age, injury severity, access methods, place where REBOA was performed, location patients were taken to from the emergency room, and mortality. Conclusion: A substantial number of both surgical and non-surgical medical disciplines are successfully performing REBOA to an almost equal extent. Surgical cutdown is used less frequently as access to the CFA compared with reports in older literature and puncture by use of external anatomic landmarks and palpation alone is used with a high rate of success.
AB - Background: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a minimally invasive procedure being increasingly utilized to prevent patients with non-compressible torso hemorrhage from exsanguination. The increased use of REBOA is giving rise to discussion about “Who is and who should be performing it?” Methods: Data from the international ABO (aortic balloon occlusion) Trauma Registry from between November 2014 and April 2020 were analyzed concerning the question: By who, how, and where is REBOA being performed? The registry collects retrospective and prospective data concerning use of REBOA in trauma patients. Results: During the study period, 259 patients had been recorded in the registry, 72.5% (n = 188) were males with a median (range) age of 46 (10-96) years. REBOA was performed in the ER in 50.5%, in the OR in 41.5%, and in the angiography suite in 8% of patients. In 54% of the patients REBOA was performed by surgeons (trauma surgeons 28%, vascular surgeons 22%, general surgeons 4%) and in 46% of the patients by non-surgeons (emergency physicians 31%, radiologists 9.5%, anesthetists 5.5%). Common femoral artery (CFA) access was achieved by use of external anatomic landmarks and palpation alone in 119 patients (51%), by cutdown in 57 patients (24%), using ultrasound in 49 patients (21%), and by fluoroscopy in 9 patients (4%). Significant differences between surgeons and non-surgeons were found regarding patient’s age, injury severity, access methods, place where REBOA was performed, location patients were taken to from the emergency room, and mortality. Conclusion: A substantial number of both surgical and non-surgical medical disciplines are successfully performing REBOA to an almost equal extent. Surgical cutdown is used less frequently as access to the CFA compared with reports in older literature and puncture by use of external anatomic landmarks and palpation alone is used with a high rate of success.
KW - Bleeding
KW - Performance
KW - Registry
KW - Resuscitative endovascular balloon occlusion of the aorta
KW - Trauma
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UR - http://www.scopus.com/inward/citedby.url?scp=85096436015&partnerID=8YFLogxK
U2 - 10.1186/s13017-020-00342-z
DO - 10.1186/s13017-020-00342-z
M3 - Article
C2 - 33228705
AN - SCOPUS:85096436015
SN - 1749-7922
VL - 15
JO - World Journal of Emergency Surgery
JF - World Journal of Emergency Surgery
IS - 1
M1 - 62
ER -