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Journal of EndoVascular Resuscitation and Trauma Management最新文献

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Prone Zone 3 REBOA Rescue for Postoperative Hemorrhagic After Sacrococcygeal Tumor Resection 骶尾骨肿瘤切除术后出血的3区REBOA抢救
IF 0.4
Journal of EndoVascular Resuscitation and Trauma Management Pub Date : 2023-01-31 DOI: 10.26676/jevtm.268
T. York, Sonia Ajmera, Waseem Lutfi, Sophie Su, John M. Chandler, Matthew J. Michaels, J. Schuster, E. Zager, Kristen L. Weber, Benjamin Braslow, N. Martin, C. Sharoky, N. Malhotra, Jeremy W. Cannon
{"title":"Prone Zone 3 REBOA Rescue for Postoperative Hemorrhagic After Sacrococcygeal Tumor Resection","authors":"T. York, Sonia Ajmera, Waseem Lutfi, Sophie Su, John M. Chandler, Matthew J. Michaels, J. Schuster, E. Zager, Kristen L. Weber, Benjamin Braslow, N. Martin, C. Sharoky, N. Malhotra, Jeremy W. Cannon","doi":"10.26676/jevtm.268","DOIUrl":"https://doi.org/10.26676/jevtm.268","url":null,"abstract":"In this report, we describe a 41-year-old man who underwent resection of a large chordoma. During his post-operative recovery, he experienced delayed-onset non-compressive pelvic hemorrhage in the surgical resection bed resulting in nerve root compression. Zone 3 REBOA was prepositioned intra-operatively prior to placing the patient in the prone position for hematoma evacuation and exploration for surgical hemostasis. The balloon was completely inflated to facilitate exposure to the site of hemorrhage in this patient with a high risk for neurologic injury during this operative re-exploration.","PeriodicalId":41233,"journal":{"name":"Journal of EndoVascular Resuscitation and Trauma Management","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48217380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prolonged Partial REBOA: A Practice Paradigm for Managing Hemorrhage from Abdominal Gunshot Wounds 延长部分REBOA:处理腹部枪伤出血的实践范例
IF 0.4
Journal of EndoVascular Resuscitation and Trauma Management Pub Date : 2023-01-26 DOI: 10.26676/jevtm.273
J. Zebley, Alex I. Halpern, Mary Matecki, Michael Napolitano, S. Sarin, B. Sarani
{"title":"Prolonged Partial REBOA: A Practice Paradigm for Managing Hemorrhage from Abdominal Gunshot Wounds","authors":"J. Zebley, Alex I. Halpern, Mary Matecki, Michael Napolitano, S. Sarin, B. Sarani","doi":"10.26676/jevtm.273","DOIUrl":"https://doi.org/10.26676/jevtm.273","url":null,"abstract":"Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a valuable tool for management of life-threateningtruncal hemorrhage. However, prolonged use of REBOA is limited by the ischemia that it causes distalto the occlusion. Partial REBOA (pREBOA) is a developing technique to inflate the balloon partially to allow for avariable degree of distal blood flow and mitigate some of the complications of prolonged occlusion of the aortawhile also ameliorating ongoing blood loss. We describe a case of a patient who presented with a gunshot woundto the right upper quadrant of the abdomen with significant liver, kidney, and colon injuries. The patient was successfullytreated with pREBOA for 20 hours without ischemic sequalae. This is the longest reported use of prolongedpREBOA and suggests that this technique may offer a means for hemorrhage control in the pre-/intra- andpostoperative settings..","PeriodicalId":41233,"journal":{"name":"Journal of EndoVascular Resuscitation and Trauma Management","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46271821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Place the Sheath: Emergent 7 French Femoral Sheath Placement is Low Risk During Initial Trauma Resuscitation 放置鞘管：急诊7法国股动脉鞘管放置在创伤复苏初期风险较低
IF 0.4
Journal of EndoVascular Resuscitation and Trauma Management Pub Date : 2023-01-20 DOI: 10.26676/jevtm.269
Alexis L. Cralley, M. Debot, Jamie Hadley, F. Pieracci, Barry Platnick, Eric Campioin, Ernest E. Moore, Mitchell J Cohen, C. Fox, R. Lawless
{"title":"Place the Sheath: Emergent 7 French Femoral Sheath Placement is Low Risk During Initial Trauma Resuscitation","authors":"Alexis L. Cralley, M. Debot, Jamie Hadley, F. Pieracci, Barry Platnick, Eric Campioin, Ernest E. Moore, Mitchell J Cohen, C. Fox, R. Lawless","doi":"10.26676/jevtm.269","DOIUrl":"https://doi.org/10.26676/jevtm.269","url":null,"abstract":"Background: We hypothesized that emergent placement of 7 French (Fr) common femoral artery (CFA) sheathsduring trauma resuscitation for potential resuscitative endovascular balloon occlusion of the aorta (REBOA) carries alow complication rate.Methods: Trauma patients at a Level I trauma center with emergent CFA access from January 2016 through toDecember 2020 were reviewed. CFA access was categorized as (1) 7 Fr sheath plus REBOA (REBOA) and (2) 7 Fr sheathwithout REBOA (Sheath). Outcomes included mortality and vascular complications.Results: 157 patients underwent emergent CFA access. Sixty-nine (43.9%) patients had a 7 Fr CFA sheath, and 88(56.1%) progressed to REBOA. The mortality rate was similar (Sheath 30.4% vs. REBOA 34.1%, p = 0.63). The REBOAcohort had a significantly higher complication rate (22.7%) compared to the Sheath cohort (4.3%, p = 0.001).Conclusions: Emergent 7 Fr CFA sheath placement during trauma resuscitation is low risk, suggesting empiricsheath placement is warranted in potential REBOA candidates.","PeriodicalId":41233,"journal":{"name":"Journal of EndoVascular Resuscitation and Trauma Management","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48731928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Why Don’t Trauma Surgeons use Resuscitative Endovascular Balloon Occlusion of the Aorta: Evidence, Holy Grail or Fear? 为什么创伤外科医生不使用复苏性血管内球囊闭塞主动脉：证据、圣杯还是恐惧？
IF 0.4
Journal of EndoVascular Resuscitation and Trauma Management Pub Date : 2023-01-10 DOI: 10.26676/jevtm.263
M. Khan, B. Kessel
{"title":"Why Don’t Trauma Surgeons use Resuscitative Endovascular Balloon Occlusion of the Aorta: Evidence, Holy Grail or Fear?","authors":"M. Khan, B. Kessel","doi":"10.26676/jevtm.263","DOIUrl":"https://doi.org/10.26676/jevtm.263","url":null,"abstract":"","PeriodicalId":41233,"journal":{"name":"Journal of EndoVascular Resuscitation and Trauma Management","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42341535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Percutaneous Imaging Guided Puncture and Embolization of Visceral Pseudoaneurysms 经皮影像引导下的内脏假性动脉瘤穿刺栓塞
IF 0.4
Journal of EndoVascular Resuscitation and Trauma Management Pub Date : 2023-01-10 DOI: 10.26676/jevtm.265
A. Ierardi, Jacopo Tintori, Anas Shehab, M. Papa, G. Carrafiello
{"title":"Percutaneous Imaging Guided Puncture and Embolization of Visceral Pseudoaneurysms","authors":"A. Ierardi, Jacopo Tintori, Anas Shehab, M. Papa, G. Carrafiello","doi":"10.26676/jevtm.265","DOIUrl":"https://doi.org/10.26676/jevtm.265","url":null,"abstract":"Background: Visceral pseudoaneurysms (PSAs) are usually treated endovascularly. No official guidelines existregarding the correct management when this management option fails. The aim of this study is to assess the efficacyand safety of percutaneous imaging guided puncture of visceral PSAs in patients where intra-arterial embolizationwas unsuccessful or unfeasible.Methods: Five patients with visceral artery pseudoaneurysms (VAPAs) were enrolled in the study. The diagnosis wasmade using a 64-slice multi-detector computed tomography (MDCT) scanner and all patients were previously consideredunsuitable for the procedure or underwent the procedure unsuccessfully; all patients had anemia with hemoglobinloss greater than 2 g/dL in the last 24 hours. A 22-gauge Chiba needle was used to get percutaneous access to thelesion, where N-butyl cyanoacrylate (NBCA) and lipiodol or coils and onyx were subsequently injected.Results: Four patients received a mixture of NBCA and lipiodol in a 1:2 ratio (80%, n = 4), and only one participantreceived coils and onyx. Primary clinical success was 100% and embolization was not repeated in any cases. Nolife-threatening secondary conditions or major complications were observed throughout the follow-up period; in onepatient an asymptomatic embolic agent migration was reported. Secondary clinical success was also obtained in thecurrent study. None of the remaining four participants experienced re-bleeding episodes or any procedure-relatedproblems.Conclusions: Percutaneous embolization of visceral PSAs is a safe and effective treatment alternative that should beconsidered when the trans-arterial method cannot be used.","PeriodicalId":41233,"journal":{"name":"Journal of EndoVascular Resuscitation and Trauma Management","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43393570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Prospective Meta-Analysis (PMA) Could Harmonize the Studies Focusing on Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) 一项前瞻性荟萃分析(PMA)可以协调关注复苏性血管内球囊阻塞主动脉(REBOA)的研究。
IF 0.4
Journal of EndoVascular Resuscitation and Trauma Management Pub Date : 2023-01-06 DOI: 10.26676/jevtm.261
M. Taghrir, R. Borazjani, D. McGreevy, Shahram Paydar, S. Mohseni
{"title":"A Prospective Meta-Analysis (PMA) Could Harmonize the Studies Focusing on Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA)","authors":"M. Taghrir, R. Borazjani, D. McGreevy, Shahram Paydar, S. Mohseni","doi":"10.26676/jevtm.261","DOIUrl":"https://doi.org/10.26676/jevtm.261","url":null,"abstract":"With the rapid development of novel surgical devices such as Resuscitative Endovascular Balloon Occlusion of theAorta (REBOA) and the eagerness of clinicians to use them, there is a risk that their usage in clinical practice exceedsthe evidence-based principles required for their introduction. This might be truer in the fields, such as trauma surgery,where the patient population and the disease (injury) burden are very heterogeneous and time-sensitive,and thus not fitting for the more gold standard investigation methods. The studies that are currently being publishedconsidering the use of REBOA in clinical settings have significant limitations and raise concerns in terms of the risk ofbiases that might influence the gold-standard evidence-based synthesis. This paper elaborates on the merits of aProspective Meta-Analysis (PMA) in reducing such biases.","PeriodicalId":41233,"journal":{"name":"Journal of EndoVascular Resuscitation and Trauma Management","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43876796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Transcatheter Arterial Embolization for Blunt Hepatic Trauma in a Preschooler 经导管动脉栓塞治疗学龄前儿童钝性肝外伤
IF 0.4
Journal of EndoVascular Resuscitation and Trauma Management Pub Date : 2022-09-04 DOI: 10.26676/jevtm.v6i2.253
T. Sugiyama, K. Hashimoto, Ryutaro Usuki, Yusuke Mori, T. Ishida, Tadanobu Tameta, H. Kobayashi, K. Shinohara
{"title":"Transcatheter Arterial Embolization for Blunt Hepatic Trauma in a Preschooler","authors":"T. Sugiyama, K. Hashimoto, Ryutaro Usuki, Yusuke Mori, T. Ishida, Tadanobu Tameta, H. Kobayashi, K. Shinohara","doi":"10.26676/jevtm.v6i2.253","DOIUrl":"https://doi.org/10.26676/jevtm.v6i2.253","url":null,"abstract":"","PeriodicalId":41233,"journal":{"name":"Journal of EndoVascular Resuscitation and Trauma Management","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41407712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Technical Considerations for the Use of REBOA in the Management of Placenta Accreta Spectrum REBOA在胎盘增生谱管理中的技术考虑
IF 0.4
Journal of EndoVascular Resuscitation and Trauma Management Pub Date : 2022-09-04 DOI: 10.26676/jevtm.v6i2.236
Á. Nieto-Calvache, F. Rodríguez, C. Ordoñez, Adriana Cardona Astaiza, J. P. Carbonell, L. M. Vergara-Galliadi, Stiven Ernesto Sinisterra-Díaz, Adriana Messa Bryon
{"title":"Technical Considerations for the Use of REBOA in the Management of Placenta Accreta Spectrum","authors":"Á. Nieto-Calvache, F. Rodríguez, C. Ordoñez, Adriana Cardona Astaiza, J. P. Carbonell, L. M. Vergara-Galliadi, Stiven Ernesto Sinisterra-Díaz, Adriana Messa Bryon","doi":"10.26676/jevtm.v6i2.236","DOIUrl":"https://doi.org/10.26676/jevtm.v6i2.236","url":null,"abstract":"Introduction: In recent years, the use of resuscitative endovascular balloon occlusion of the aorta (REBOA) has become popular to prevent or treat massive bleeding due to placenta accreta spectrum (PAS). \u0000Objective: There are multiple variations in REBOA use in this context and although the experience of vascular surgeons is extensive with aortic balloons, there are particularities in the management of these devices in the obstetric population that deserve to be discussed. \u0000Methods: We discuss some technical considerations or “lessons learned” in our center that may be useful for other groups starting to use REBOA in PAS \u0000Conclusion: Although REBOA is a useful strategy to prevent or treat massive bleeding due to PAS, its incorporation into management protocols must be carried out in a programmed and supervised manner.","PeriodicalId":41233,"journal":{"name":"Journal of EndoVascular Resuscitation and Trauma Management","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42887470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Resuscitative Endovascular Balloon Occlusion of the Aorta as a Bridge to Organ Donation after Blunt Trauma 钝性创伤后主动脉球囊闭塞作为器官捐献的桥梁
IF 0.4
Journal of EndoVascular Resuscitation and Trauma Management Pub Date : 2022-09-04 DOI: 10.26676/jevtm.v6i2.211
Joshua J. Sumislawski, Dylan P Foley, Ernest E. Moore, H. Moore
{"title":"Resuscitative Endovascular Balloon Occlusion of the Aorta as a Bridge to Organ Donation after Blunt Trauma","authors":"Joshua J. Sumislawski, Dylan P Foley, Ernest E. Moore, H. Moore","doi":"10.26676/jevtm.v6i2.211","DOIUrl":"https://doi.org/10.26676/jevtm.v6i2.211","url":null,"abstract":"FIGURES Solid organ transplantation is limited worldwide by a shortage of donor organs. Trauma patients with unsurvivable injuries comprise a large portion of potential organ donors, but many of them die from cardiovascular collapse before donation can be pursued. We report the use of resuscitative endovascular balloon occlusion of the aorta (REBOA) to stabilize a deteriorating blunt trauma patient who was ultimately able to donate multiple organs and tissues. Survival to organ donation is a tangible and beneficial outcome of REBOA.","PeriodicalId":41233,"journal":{"name":"Journal of EndoVascular Resuscitation and Trauma Management","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46894895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Successfully Stifling Retroperitoneal and Pelvic Exsanguination by Resuscitative Endovascular Balloon Occlusion of the Aorta in a Rural Setting 通过复苏血管内球囊阻断主动脉成功抑制腹膜后和盆腔出血
IF 0.4
Journal of EndoVascular Resuscitation and Trauma Management Pub Date : 2022-09-04 DOI: 10.26676/jevtm.v6i2.232
Maximilian Bonnici, Jennifer Knight Davis
{"title":"Successfully Stifling Retroperitoneal and Pelvic Exsanguination by Resuscitative Endovascular Balloon Occlusion of the Aorta in a Rural Setting","authors":"Maximilian Bonnici, Jennifer Knight Davis","doi":"10.26676/jevtm.v6i2.232","DOIUrl":"https://doi.org/10.26676/jevtm.v6i2.232","url":null,"abstract":"","PeriodicalId":41233,"journal":{"name":"Journal of EndoVascular Resuscitation and Trauma Management","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46312933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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