Intraaortic balloon occlusion during refractory cardiac arrest. A case report

Aslanger, Emre; Gölcük, Ebru; Oflaz, Hüseyin; Yılmaz, Akar; Mercanoğlu, Fehmi; Buğra, Zehra; Umman, Berrin; Nişancí, Yílmaz

doi:10.1016/j.resuscitation.2008.10.017

Cited by 27 publications

(22 citation statements)

References 12 publications

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“…The patient subsequently achieved ROSC and survived to hospital discharge. 26 In this study, REBOA was effective in increasing aortic diastolic pressure without increasing right atrial diastolic pressure, thus achieving higher CPP and CCA-flow. The decrease in PetCO 2 during balloon inflation was anticipated since the increase in afterload would reduce cardiac output generated by chest compressions.…”

Section: Discussionmentioning

confidence: 64%

Use of resuscitative balloon occlusion of the aorta in a swine model of prolonged cardiac arrest

et al. 2019

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Aim-We examined the use of a Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) catheter during cardiopulmonary resuscitation (CPR) after cardiac arrest (CA) to assess its effect on haemodynamics such as coronary perfusion pressure (CPP), common carotid artery blood flow (CCA-flow) and end-tidal CO 2 (PetCO 2) which are associated with increased return of spontaneous circulation (ROSC).

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Section: Discussionmentioning

confidence: 64%

Use of resuscitative balloon occlusion of the aorta in a swine model of prolonged cardiac arrest

et al. 2019

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“…A 74-yearold female was taken to the cardiac catheterization laboratory for an acute myocardial infarction and suffered from a cardiac arrest during the procedure. 44 After 25 minutes of traditional ACLS, she underwent aortic occlusion with an intra-aortic balloon pump while in asystole, followed by sustained ROSC 1 minute later. She was discharged from the hospital eventually and made a "good recovery."…”

Section: Reboa In Human Non-traumatic Cardiac Arrestmentioning

confidence: 99%

“…She was discharged from the hospital eventually and made a "good recovery." 44 In June 2019, Coniglio et al reported on the first case where a REBOA catheter was used in the emergency department for NTCA as a bridge therapy to an intra-aortic balloon pump. 45 Following aortic balloon inflation in the ED, the patient's ETCO 2 increased from 8-20 mmHg, hemodynamics stabilized, and sustained ROSC was achieved.…”

Section: Reboa In Human Non-traumatic Cardiac Arrestmentioning

confidence: 99%

The use of resuscitative endovascular balloon occlusion of the aorta (REBOA) for non‐traumatic cardiac arrest: A review

et al. 2020

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Resuscitative endovascular balloon occlusion of the aorta (REBOA) has been proposed as a novel approach to managing non‐traumatic cardiac arrest (NTCA). During cardiac arrest, cardiac output ceases and perfusion of vital organs is compromised. Traditional advanced cardiac life support (ACLS) measures and cardiopulmonary resuscitation are often unable to achieve return of spontaneous circulation (ROSC). During insertion of REBOA a balloon‐tipped catheter is placed into the femoral artery and advanced in a retrograde manner into the aorta while the patient is undergoing cardiopulmonary resuscitation (CPR). The balloon is then inflated to fully occlude the aorta. The literature surrounding the use of aortic occlusion in non‐traumatic cardiac arrest is limited to animal studies, case reports and one recent non‐controlled feasibility trial. In both human and animal studies, preliminary data show that REBOA may improve coronary and cerebral perfusion pressures and key physiologic parameters during cardiac arrest resuscitation, and animal data have demonstrated improved rates of ROSC. Multiple questions remain before REBOA can be considered as an adjunct to ACLS. If demonstrated to be effective clinically, REBOA represents a potentially cost‐effective and generalizable intervention that may improve quality of life for patients with non‐traumatic cardiac arrest.

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“…A REBOA catheter can be placed in patients with traumatic (66, 74) or non-traumatic cardiopulmonary arrest (CPA) (75–77). Aortic occlusion during CPR allows for selective perfusion to the myocardium and brain.…”

Section: Expanded Uses Of Reboamentioning

confidence: 99%

Resuscitative Endovascular Balloon Occlusion of the Aorta: Review of the Literature and Applications to Veterinary Emergency and Critical Care

et al. 2019

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While hemorrhagic shock might be the result of various conditions, hemorrhage control and resuscitation are the corner stone of patient management. Hemorrhage control can prove challenging in both the acute care and surgical settings, especially in the abdomen, where no direct pressure can be applied onto the source of bleeding. Resuscitative endovascular balloon occlusion of the aorta (REBOA) has emerged as a promising replacement to resuscitative thoracotomy (RT) for the management of non-compressible torso hemorrhage in human trauma patients. By inflating a balloon at specific levels (or zones) of the aorta to interrupt blood flow, hemorrhage below the level of the balloon can be controlled. While REBOA allows for hemorrhage control and augmentation of blood pressure cranial to the balloon, it also exposes caudal tissue beds to ischemia and the whole body to reperfusion injury. We aim to introduce the advantages of REBOA while reviewing known limitations. This review outlines a step-by-step approach to REBOA implementation, and discusses common challenges observed both in human patients and during translational large animal studies. Currently accepted and debated indications for REBOA in humans are discussed. Finally, we review possible applications for veterinary patients and how REBOA has the potential to be translated into clinical veterinary practice.

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Intraaortic balloon occlusion during refractory cardiac arrest. A case report

Cited by 27 publications

References 12 publications

Use of resuscitative balloon occlusion of the aorta in a swine model of prolonged cardiac arrest

Use of resuscitative balloon occlusion of the aorta in a swine model of prolonged cardiac arrest

The use of resuscitative endovascular balloon occlusion of the aorta (REBOA) for non‐traumatic cardiac arrest: A review

Resuscitative Endovascular Balloon Occlusion of the Aorta: Review of the Literature and Applications to Veterinary Emergency and Critical Care

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