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. 2020 Aug;54(2):218-223.
doi: 10.1097/SHK.0000000000001500.

Feasibility and Clinical Outcome of Reboa in Patients with Impending Traumatic Cardiac Arrest

David Thomas McGreevy  1 , Fikri M Abu-Zidan  2 , Mitra Sadeghi  1 , Artai Pirouzram  1 , Asko Toivola  1 , Per Skoog  3 , Koji Idoguchi  4 , Yuri Kon  5 , Tokiya Ishida  6 , Yosuke Matsumura  7   8 , Junichi Matsumoto  9 , Viktor Reva  10   11 , Mariusz Maszkowski  12 , Adam Bersztel  12 , Eva-Corina Caragounis  13 , Mårten Falkenberg  14 , Lauri Handolin  15 , George Oosthuizen  16 , Endre Szarka  17 , Vassil Manchev  18 , Tongporn Wannatoop  18 , Sung Wook Chang  19 , Boris Kessel  20 , Dan Hebron  20 , Gad Shaked  21 , Miklosh Bala  22 , Federico Coccolini  23 , Luca Ansaloni  23 , Carlos A Ordoñez  24 , Emanuel M Dogan  1 , James E Manning  25 , Peter Hibert-Carius  26 , Thomas Larzon  1 , Kristofer F Nilsson  1 , Tal Martin Hörer  1
Affiliations

Feasibility and Clinical Outcome of Reboa in Patients with Impending Traumatic Cardiac Arrest

David Thomas McGreevy et al. Shock. 2020 Aug.

Abstract

Background: Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) may improve Systolic Blood Pressure (SBP) in hypovolemic shock. It has, however, not been studied in patients with impending traumatic cardiac arrest (ITCA). We aimed to study the feasibility and clinical outcome of REBOA in patients with ITCA using data from the ABOTrauma Registry.

Methods: Retrospective and prospective data on the use of REBOA from 16 centers globally were collected. SBP was measured both at pre- and post-REBOA inflation. Data collected included patients' demography, vascular access technique, number of attempts, catheter size, operator, zone and duration of occlusion, and clinical outcome.

Results: There were 74 patients in this high-risk patient group. REBOA was performed on all patients. A 7-10Fr catheter was used in 66.7% and 58.5% were placed on the first attempt, 52.1% through blind insertion and 93.2% inflated in Zone I, 64.8% for a period of 30 to 60 min, 82.1% by ER doctors, trauma surgeons, or vascular surgeons. SBP significantly improved to 90 mm Hg following the inflation of REBOA. 36.6% of the patients survived.

Conclusions: Our study has shown that REBOA may be performed in patients with ITCA, SBP can be elevated, and 36.6% of the patients survived if REBOA placement is successful.

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