Preliminary report on the use of the percluder® occluding aortic balloon in human beings

Low, Ronald B.; Longmore, Wayne; Rubinstein, Richard A.; Flores, Lucio; Wolvek, Sidney

doi:10.1016/s0196-0644(86)80945-3

Cited by 86 publications

(37 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Survival rates of trauma patients undergoing REBOA from available studies (USA, Japan and Europe) range from 13% to 67% (14)(15)(16)18,20,27,(29)(30)(31)(32)(33)(34). Unfortunately, there are huge discrepancies in methodology, inclusion criteria and interventions.…”

Section: Outcomes Features and Keys For Successmentioning

confidence: 99%

Resuscitative endovascular balloon occlusion of the aorta (REBOA): What have we learned?

Andrés

Scott²,

Giannoudis

2016

Injury

View full text Add to dashboard Cite

Section: Outcomes Features and Keys For Successmentioning

confidence: 99%

Resuscitative endovascular balloon occlusion of the aorta (REBOA): What have we learned?

Andrés

Scott²,

Giannoudis

2016

Injury

View full text Add to dashboard Cite

“…Partial inflation with controlled hypotensive target allowed benefits overcome risks of a defective procedure. REBOA adoption, even in a potentially dangerous position, gave authors time to move patient from OR to angiographic room (not available at the moment in our hospital a hybrid surgical angiographic suite) [23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41] and time to find the primary source in a severe and multiple hemorrhagic trauma, with good clinical outcome.…”

Section: Discussionmentioning

confidence: 99%

Partial Zone II Resuscitative Endovascular Balloon Occlusion of the Aorta in Management of Multiple Trauma with Combined Abdominal and Pelvic Injury

Gamberini¹,

Fabbri²,

Taioli³

et al. 2017

J Trauma Treat

View full text Add to dashboard Cite

show abstract

“…The emergence of endovascular techniques to repair aortic aneurysms using stent grafts has resulted in the development of large diameter, compliant aortic balloons 5–7 , and the re-emergence of resuscitative endovascular balloon occlusion of the aorta (REBOA) for hemorrhage control. First described in 1954 by Hughes 5 in the Korean Conflict, occlusion balloons have been shown to be clinically effective in managing shock due to ruptured aortic aneurysms, one of the most commonly encountered clinical conditions causing noncompressible torso hemorrhage 6,8 .…”

Section: Introductionmentioning

confidence: 99%

Morphometric roadmaps to improve accurate device delivery for fluoroscopy-free resuscitative endovascular balloon occlusion of the aorta

MacTaggart

Poulson

Akhter

et al. 2016

Journal of Trauma and Acute Care Surgery

View full text Add to dashboard Cite

Background Uncontrolled hemorrhage from vessel injuries within the torso remains a significant source of prehospital trauma mortality. Resuscitative endovascular balloon occlusion of the aorta can effectively control non-compressible hemorrhage, but this minimally invasive technique relies heavily upon imaging not available in the field. Our goal was to develop morphometric roadmaps to enhance the safety and accuracy of fluoroscopy-free endovascular navigation of hemorrhage control devices. Methods Three-dimensional reconstructions of computed tomography angiography scans from n=122 trauma patients (mean age 47±24 years, range 5-93 years, 64 Male/58 Female) were used to measure centerline distances from femoral artery access sites to the major aortic branch artery origins. Morphometric roadmap equations were created using multiple linear regression analysis to predict distances to the origins of the major arteries in the chest, abdomen and pelvis using torso length, demographics, and risk factors as independent variables. A 40-mm long occlusion balloon was then virtually deployed targeting Zones 1 and 3 of the aorta using these equations. Balloon placement accuracy was determined by comparing predicted versus actual measured distances to the target zone locations within the aortas from the database. Results Torso length and age were the strongest predictors of centerline distances from femoral artery access sites to the major artery origins. Male gender contributed to longer distances while diabetes and smoking were associated with shorter distances. Hypertension, dyslipidemia and coronary artery disease had no effect. Using morphometric roadmaps, virtual occlusion balloon placement accuracy was 100% for Zone 3 of the aorta, compared to 87% accuracy when using torso length alone. Conclusion Morphometric roadmaps demonstrate potential for improving the safety and accuracy of fluoroscopy-free aortic occlusion balloon delivery. Continued development of minimally invasive hemorrhage control techniques hold promise to improve prehospital mortality for patients with noncompressible exsanguinating torso injuries. Level of evidence Diagnostic, level III.

show abstract

Preliminary report on the use of the percluder® occluding aortic balloon in human beings

Cited by 86 publications

References 28 publications

Resuscitative endovascular balloon occlusion of the aorta (REBOA): What have we learned?

Resuscitative endovascular balloon occlusion of the aorta (REBOA): What have we learned?

Partial Zone II Resuscitative Endovascular Balloon Occlusion of the Aorta in Management of Multiple Trauma with Combined Abdominal and Pelvic Injury

Morphometric roadmaps to improve accurate device delivery for fluoroscopy-free resuscitative endovascular balloon occlusion of the aorta

Contact Info

Product

Resources

About