Resuscitative endovascular balloon occlusion of the aorta: Difference between revisions
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==Overview== | ==Overview== | ||
*Hemorrhage is a leading cause of trauma-related mortality | *Hemorrhage is a leading cause of trauma-related mortality<ref>Tieu BH et al. Coagulopathy: Its pathophysiology and treatment in the injured patient. World J Surg. 2007;31:1055–64</ref> | ||
*REBOA has been proposed as a less invasive alternative to resuscitative thoracotomy | *REBOA has been proposed as a less invasive alternative to resuscitative thoracotomy | ||
*Research is ongoing, but has yet to demonstrate a mortality benefit<ref name="Morrison">Morrison JJ, Galgon RE, Jansen JO, et al. A systematic review of the use of resuscitative endovascular balloon occlusion of the aorta in the management of hemorrhagic shock. J Trauma Acute Care Surg. 2016 Feb;80(2):324-34.</ref> | *Research is ongoing, but has yet to demonstrate a mortality benefit<ref name="Morrison">Morrison JJ, Galgon RE, Jansen JO, et al. A systematic review of the use of resuscitative endovascular balloon occlusion of the aorta in the management of hemorrhagic shock. J Trauma Acute Care Surg. 2016 Feb;80(2):324-34.</ref> | ||
===REBOA Zones=== | |||
*'''Zone 1:''' From left subclavian artery to the celiac trunk | |||
*'''Zone 2:''' From the celiac trunk to the lowest renal artery | |||
*'''Zone 3: From lowest renal artery to the aortic bifurcation''' | |||
==Indications== | ==Indications== | ||
Revision as of 20:12, 17 May 2016
Overview
- Hemorrhage is a leading cause of trauma-related mortality[1]
- REBOA has been proposed as a less invasive alternative to resuscitative thoracotomy
- Research is ongoing, but has yet to demonstrate a mortality benefit[2]
REBOA Zones
- Zone 1: From left subclavian artery to the celiac trunk
- Zone 2: From the celiac trunk to the lowest renal artery
- Zone 3: From lowest renal artery to the aortic bifurcation
Indications
- Non-compressible truncal hemorrhage
- Traumatic cardiac arrest
Contraindications
Equipment Needed
Procedure
Complications
See Also
External Links
References
- ↑ Tieu BH et al. Coagulopathy: Its pathophysiology and treatment in the injured patient. World J Surg. 2007;31:1055–64
- ↑ Morrison JJ, Galgon RE, Jansen JO, et al. A systematic review of the use of resuscitative endovascular balloon occlusion of the aorta in the management of hemorrhagic shock. J Trauma Acute Care Surg. 2016 Feb;80(2):324-34.