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Merit of Zone III Resuscitative Endovascular Occlusion of the Aorta under Real-Time Fluoroscopy in Hybrid ER: A Case of REBOA in Traumatic Cardiac Arrest

  • Lee, Sung Do (Department of Emergency Medicine, Wonkwang University Hospital Regional Trauma Center) ;
  • Chung, Seungwoo (Department of Surgery, Hanyang University Hanmaeum Changwon Hospital) ;
  • Ki, Young Jun (Division of Acute Care Surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Seo, Sang Hyun (Department of Radiology, Wonkwang University Hospital Regional Trauma Center) ;
  • Park, Chan Yong (Department of Trauma Surgery, Wonkwang University Hospital)
  • Received : 2020.09.17
  • Accepted : 2020.09.24
  • Published : 2020.09.30

Abstract

Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a novel technique to maintain proximal arterial pressure. It is important to locate the balloon catheter correctly in performing REBOA but it is inaccurate to check the catheter position by external measurement. Even if the position of the catheter is initially confirmed by X-ray, it is difficult to determine the location of the catheter that changes according to various situations. We performed REBOA under real-time fluoroscopy and could maintain the catheter in correct position under various situations.

Keywords

References

  1. Ribeiro Junior MAF, Feng CYD, Nguyen ATM, Rodrigues VC, Bechara GEK, de-Moura RR, et al. The complications associated with resuscitative endovascular balloon occlusion of the aorta (REBOA). World J Emerg Surg 2018;13:20. https://doi.org/10.1186/s13017-018-0181-6
  2. Hoehn MR, Hansraj NZ, Pasley AM, Brenner M, Cox SR, Pasley JD, et al. Resuscitative endovascular balloon occlusion of the aorta for non-traumatic intra-abdominal hemorrhage. Eur J Trauma Emerg Surg 2019;45:713-8. https://doi.org/10.1007/s00068-018-0973-0
  3. Arndt L, Mir D, Nguyen J, Nezami N, Dariushnia SR, Findeiss LK, et al. The resuscitative endovascular balloon occlusion of aorta (REBOA) device-what radiologists need to know. Emerg Radiol 2019;26:691-4. https://doi.org/10.1007/s10140-019-01724-w
  4. Moore LJ, Brenner M, Kozar RA, Pasley J, Wade CE, Baraniuk MS, et al. Implementation of resuscitative endovascular balloon occlusion of the aorta as an alternative to resuscitative thoracotomy for noncompressible truncal hemorrhage. J Trauma Acute Care Surg 2015;79:523-30; discussion 530-2. https://doi.org/10.1097/TA.0000000000000809
  5. Brenner M, Bulger EM, Perina DG, Henry S, Kang CS, Rotondo MF, et al. Joint statement from the American College of Surgeons Committee on Trauma (ACS COT) and the American College of Emergency Physicians (ACEP) regarding the clinical use of resuscitative endovascular balloon occlusion of the aorta (REBOA). Trauma Surg Acute Care Open 2018;3:e000154. https://doi.org/10.1136/tsaco-2017-000154
  6. Zenoni S, Ibrahim J. Resuscitative endovascular balloon occlusion of the aorta (REBOA) [Internet]. Orlando: SurgicalCriticalCare 2018 [cited 2020 Sep 12]. Available from: http://www.surgicalcriticalcare.net/Guidelines/REBOA%202018.pdf.
  7. Pasley JCJ, Glaser J, Polk T, Morrison J, Brocker J, Mitchell B, et al. Joint trauma system clinical practice guideline (JTS CPG): resuscitative endovascular balloon occlusion of the aorta (REBOA) for hemorrhagic shock (CPG ID: 38) [Internet]. San Antonio: Joint Trauma System 2017 [cited 2020 Sep 12]. Available from: http://prytimemedical.com/wp-content/uploads/2017/07/REBOA_-CPG_FINAL.pdf.
  8. Stannard A, Eliason JL, Rasmussen TE. Resuscitative endovascular balloon occlusion of the aorta (REBOA) as an adjunct for hemorrhagic shock. J Trauma 2011;71:1869-72. https://doi.org/10.1097/TA.0b013e31823fe90c
  9. Matsumoto S, Funabiki T, Kazamaki T, Orita T, Sekine K, Yamazaki M, et al. Placement accuracy of resuscitative endovascular occlusion balloon into the target zone with external measurement. Trauma Surg Acute Care Open 2020;5:e000443. https://doi.org/10.1136/tsaco-2020-000443