TY - JOUR
T1 - Use of Intermittent Aortic Balloon Occlusion
T2 - Report from the ABO Trauma Registry
AU - ABO Trauma Registry Group
AU - Buitendag, Johan
AU - Variawa, Saffiya
AU - Diayar, Aashish
AU - Snyders, Pieter
AU - Rademan, Pieter
AU - Allopi, Nabeel
AU - McGreevy, David Thomas
AU - Hörer, Tal Martin
AU - Oosthuizen, George
AU - Sadeghi, Mitra
AU - Pirouzram, Artai
AU - Toivola, Asko
AU - Larzon, Thomas
AU - Nilsson, Kristofer F.
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 - Abu-Zidan, Fikri M.
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
N1 - Publisher Copyright:
© 2023 CC BY 4.0.
PY - 2023/7/11
Y1 - 2023/7/11
N2 - 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).
AB - 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).
KW - ABO Trauma Registry
KW - Intermittent REBOA
KW - Trauma
KW - Trauma Hemorrhage
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U2 - 10.26676/jevtm.275
DO - 10.26676/jevtm.275
M3 - Article
AN - SCOPUS:85180228493
SN - 2002-7567
VL - 7
SP - 8
EP - 14
JO - Journal of Endovascular Resuscitation and Trauma Management
JF - Journal of Endovascular Resuscitation and Trauma Management
IS - 1
ER -