A Novel Fluoroscopy-free, Resuscitative Endovascular Aortic Balloon Occlusion System in a Model of Hemorrhagic Shock

reportActive / Technical Report | Accession Number: ADA615139 | Open PDF

Abstract:

Resuscitative endovascular balloon occlusion of the aorta REBOA is a potentially lifesaving maneuver in the setting of hemorrhagic shock. However, emergent use of REBOA is limited by existing technology, which requires large sheath arterial access and fluoroscopy- guided balloon positioning. The objectives of this study were to describe a new, fluoroscopy-free REBOA system and to compare its efficacy to existing technology. An additional objective was to characterize the survivability of 60 minutes of REBOA using these systems in a model of hemorrhagic shock. This study reports the feasibility and efficacy of a novel, fluoroscopy-free REBOA system in a model of shock. Despite a significant physiologic insult, 60 minutes of REBOA is tolerated and recoverable. Development of lower profile, fluoroscopy-free endovascular balloon occlusion catheters may allow proactive aortic control in patients at risk for hemorrhagic shock and cardiovascular collapse.

Author(s):
Scott, Daniel J. ; Eliason, Jonathan L. ; Villamaria, Carole ; Morrison, Jonathan J. ; Houston, Robert ; Spencer, Jerry R. ; Rasmussen, Todd E.
Author Organization(s):
ARMY INST OF SURGICAL RESEARCH FORT SAM HOUSTON TX
Descriptive Note:
Journal article
Supplementary Note:
Published in the Journal of Trauma and Acute Care Surgery, v75 n1 p122-128, 2013. Presented at the 26th Annual Scientific Assembly of the Eastern Association for the Surgery of Trauma, held in Scottsdale, AZ, 15-19 January 2013.
Pagination:
0008

Security Markings

DOCUMENT & CONTEXTUAL SUMMARY

Distribution:
Approved For Public Release
Distribution Statement:
Approved For Public Release; Distribution Is Unlimited.

RECORD

Collection: TR
Identifying Numbers
Monitor Series:
USAISR
 Subject Terms
Joint Capability Areas:
JCA_3_Force Application; JCA_3.1.1_Maneuver to Engage; JCA_3.1_Maneuver; JCA_1.4.1_Force Health Protection; JCA_1.4_Force Support; JCA_1.2.5_Lessons Learned; JCA_1.2_Force Preparation; JCA_1_Force Support; JCA_5_Command and Control; JCA_6_Net Centric; JCA_5.3_Planning; JCA_6.4.1_Secure Information Exchange; JCA_1.2.3_Educating; JCA_3.2_Engagement; JCA_8_Building Partnerships
Communities of Interest:
No COI(s) Identified
Descriptor(s):
*HEMORRHAGIC SHOCK, *OBSTRUCTION(PHYSIOLOGY), AORTA, BALLOONS, CARDIOPULMONARY RESUSCITATION, CARDIOVASCULAR DISEASES, CLINICAL MEDICINE, FEASIBILITY STUDIES, FLUOROSCOPY, MORTALITY RATE, PATIENTS, PULMONARY ARTERIES, RADIOGRAPHY, STATISTICAL ANALYSIS, SURVIVABILITY, SWINE, TRAUMA, WOUNDS AND INJURIES
Field(s)/Group(s):
Anatomy and Physiology, Medicine and Medical Research
Keyword(s):
*REBOA(RESUSCITATIVE ENDOVASCULAR OCCLUSION OF AORTA), SBP(SYSTOLIC BLOOD PRESSURE)
Report Date:
2013 Jul 01
Creation Date:
2015 May 11