Journal of EndoVascular Resuscitation and Trauma Management最新文献_第6页

Contemporary Management of Axillosubclavian Arterial Injuries Using Data from the AAST PROOVIT Registry 使用AAST provit登记处数据的当代腋窝锁骨下动脉损伤管理

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Journal of EndoVascular Resuscitation and Trauma Management Pub Date : 2021-10-03 DOI: 10.26676/jevtm.v5i2.201

Grahya Guntur, J. Dubose, Tiffany K. Bee, T. Fabian, J. Morrison, D. Skarupa, K. Inaba, Rishi Kundi, T. Scalea, D. Feliciano

{"title":"Contemporary Management of Axillosubclavian Arterial Injuries Using Data from the AAST PROOVIT Registry","authors":"Grahya Guntur, J. Dubose, Tiffany K. Bee, T. Fabian, J. Morrison, D. Skarupa, K. Inaba, Rishi Kundi, T. Scalea, D. Feliciano","doi":"10.26676/jevtm.v5i2.201","DOIUrl":"https://doi.org/10.26676/jevtm.v5i2.201","url":null,"abstract":"Background: Endovascular repair has emerged as a viable repair option for axillosubclavian arterial injuries in select patients; however, further study of contemporary outcomes is warranted. \u0000Methods: The American Association for the Surgery of Trauma (AAST) PROspective Observational Vascular Injury Treatment (PROOVIT) registry was used to identify patients with axillo-subclavian arterial injuries from 2013 – 2019. Demographics and outcomes were compared between patients undergoing endovascular repair versus open repair. \u0000Results: 167 patients were identified, with intervention required in 107 (64.1%). Among these, 24 patients underwent open damage control surgery (primary amputation = 3, ligation = 17, temporary vascular shunt = 4). The remaining 83 patients (91.6% male; mean age 26.0 ± 16) underwent either endovascular repair (36, 43.4%) or open repair (47, 56.6%). Patients managed with definitive endovascular or open repair had similar demographics and presentation, with the only exception that endovascular repair was more commonly employed for traumatic pseudoaneurysms (p=0.004). Endovascular repair was associated with lower 24-hour transfusion requirements (p=0.012), but otherwise the two groups were similar with regards to in-hospital outcomes. \u0000Conclusion: Endovascular repair is now employed in > 40% of axillo-subclavian arterial injuries undergoing repair at initial operation and is associated with lower 24 hour transfusion requirements, but otherwise outcomes are comparable to open repair.","PeriodicalId":41233,"journal":{"name":"Journal of EndoVascular Resuscitation and Trauma Management","volume":"1 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2021-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42233191","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: 1

A Practical Approach to Introducing Pre-Hospital Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA), the Problems Encountered and Lessons Learned 介绍院前复苏血管内球囊阻断主动脉(REBOA)的实用方法、遇到的问题和经验教训

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Journal of EndoVascular Resuscitation and Trauma Management Pub Date : 2021-10-03 DOI: 10.26676/jevtm.v5i2.207

M. Chana, Z. Perkins, R. Lendrum, Samy Sadek

{"title":"A Practical Approach to Introducing Pre-Hospital Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA), the Problems Encountered and Lessons Learned","authors":"M. Chana, Z. Perkins, R. Lendrum, Samy Sadek","doi":"10.26676/jevtm.v5i2.207","DOIUrl":"https://doi.org/10.26676/jevtm.v5i2.207","url":null,"abstract":"Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) is an endovascular procedure which utilises a catheter based balloon device to achieve aortic occlusion. The aim of this resuscitative measure is to improve blood pressure proximal to the occlusion site and therefore preserve cardiac and cerebral perfusion in order to prevent cardiac arrest; additionally there is a relative reduction in arterial inflow to the site of injury. Endovascular techniques are gaining acceptance for the in-hospital management of haemorrhage, however their use in pre-hospital care is still limited. This is due to a number of factors including the technical challenges, training and skill sets of pre-hospital care teams and the potential for harm of REBOA, particularly with extended balloon occlusion times. However, non compressible torso haemorrhage is associated with a mortality of approximately 50% and a significant proportion of these deaths occur in the pre-hospital phase of care. In the exsanguinating patient, resuscitative thoracotomy (RT) with direct aortic compression is often the only means to control haemorrhage. This resuscitative measure is now an established pre-hospital intervention which has significantly improved outcomes in the context of penetrating trauma, particularly thoracic injury. In the context of blunt injury and subdiaphragmatic haemorrhage, however, the outcomes from pre-hospital resuscitative thoracotomy remain poor. We present our initial technique for successfully introducing REBOA for the pre-hospital management of exsanguinating pelvic or groin heamorrhage following trauma, our indications for REBOA and comment on the problems and limitations encountered as well the lessons learned. ","PeriodicalId":41233,"journal":{"name":"Journal of EndoVascular Resuscitation and Trauma Management","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2021-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48459447","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: 1

Hybrid Open and Endovascular Management of a Gunshot Wound to the Carotid Artery 颈动脉枪伤的血管内和开放式混合治疗

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Journal of EndoVascular Resuscitation and Trauma Management Pub Date : 2021-10-03 DOI: 10.26676/jevtm.v5i2.206

T. Lamb, P. Jetty, D. Roberts

引用次数: 0

Central Venous Occlusion Caused by a Collapsed Stent: Endovascular Treatment in an Emergency 支架塌陷引起的中心静脉阻塞:急诊血管内治疗

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Journal of EndoVascular Resuscitation and Trauma Management Pub Date : 2021-10-03 DOI: 10.26676/jevtm.v5i2.198

Antonio Catelli, Salvatore Stilo, M. Punzi, V. Villari

引用次数: 0

REBOA-Assisted Resuscitation in Non-Traumatic Cardiac Arrest due to Massive Pulmonary Embolism: A Case Report with Physiological and Practical Reflections REBOA辅助复苏治疗大面积肺栓塞引起的非创伤性心脏骤停：一例生理和实践反思

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Journal of EndoVascular Resuscitation and Trauma Management Pub Date : 2021-10-03 DOI: 10.26676/jevtm.v5i2.196

P. Rola, Philippe St-Arnaud, Karimov Timur, J. R. Brede

引用次数: 1

Zone III REBOA and the COBRA-OS™: Safety of Inadvertent Iliac Artery Device Deployment III区REBOA和COBRA-OS™: 无意中使用髂动脉装置的安全性

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Journal of EndoVascular Resuscitation and Trauma Management Pub Date : 2021-10-03 DOI: 10.26676/jevtm.v5i2.202

A. Power, Asha Parekh, Tyler S Beveridge, Adam M R Groh, Laura J Moore

{"title":"Zone III REBOA and the COBRA-OS™: Safety of Inadvertent Iliac Artery Device Deployment","authors":"A. Power, Asha Parekh, Tyler S Beveridge, Adam M R Groh, Laura J Moore","doi":"10.26676/jevtm.v5i2.202","DOIUrl":"https://doi.org/10.26676/jevtm.v5i2.202","url":null,"abstract":"Background: REBOA is an emerging technique in trauma. However, inadvertent iliac artery balloon inflation can lead to complications. This study aims to investigate the safety characteristics of the COBRA-OS™ compared to a 7 Fr commercially available device during purposeful iliac artery balloon overinflation. \u0000Methods: In vitro: the COBRA-OS™ was inflated in explanted porcine iliac arteries and intentionally overinflated until balloon or vessel rupture occurred. In vivo: the COBRA-OS™ and 7 Fr device were deployed in the iliac arteries and intentionally overinflated until rupture of the balloon or blood vessel. \u0000Results: In vitro: an average volume of 1mL was required for occlusion using the COBRA-OS™ and the mean balloon rupture volume was 32.5mL. The COBRA-OS™ partially migrated into the aorta in all cases. In vivo: the COBRA-OS™ and 7 Fr device occluded the iliac arteries with a mean volume of 3.5 mL. Overinflation resulted in no iliac ruptures with the COBRA-OS™ (mean balloon rupture volume = 10mL). Overinflation with the 7 Fr device resulted in 1 iliac rupture at 5mL. The other two 7 Fr devices had a mean balloon rupture volume of 5 mL. All COBRA-OS™ devices moved partially up into the aorta during inflation while all 7 Fr devices remained in the iliac artery. \u0000Conclusions: The COBRA-OS™ allows for significant overinflation when deployed in the common iliac artery of a porcine model due to its unique design. This ultimately may help to prevent balloon and blood vessel rupture during clinical use, however further studies are required.","PeriodicalId":41233,"journal":{"name":"Journal of EndoVascular Resuscitation and Trauma Management","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2021-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47910568","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: 1

Chimney Grafts in Acute Endovascular Aortic Repair Due to Ruptured Abdominal Aorta Aneurysm 烟囱移植在腹主动脉瘤破裂后急性血管内主动脉修复中的应用

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Journal of EndoVascular Resuscitation and Trauma Management Pub Date : 2021-10-03 DOI: 10.26676/jevtm.v5i2.200

T. Hörer

引用次数: 0

Non-Occlusive Mesenteric Ischemia After Resuscitative Endovascular Balloon Occlusion of the Aorta for Out-of-Hospital Cardiac Arrest due to Massive Gastrointestinal Bleeding 胃肠大出血导致院外心脏骤停的复苏性血管内球囊阻断主动脉后非闭塞性肠系膜缺血

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Journal of EndoVascular Resuscitation and Trauma Management Pub Date : 2021-06-04 DOI: 10.26676/jevtm.v40i(2).137

Shinsuke Tanizaki, Takeo Matsumoto, M. Murasaki, Minoru Hayashi, Shigenobu Maeda, H. Ishida

{"title":"Non-Occlusive Mesenteric Ischemia After Resuscitative Endovascular Balloon Occlusion of the Aorta for Out-of-Hospital Cardiac Arrest due to Massive Gastrointestinal Bleeding","authors":"Shinsuke Tanizaki, Takeo Matsumoto, M. Murasaki, Minoru Hayashi, Shigenobu Maeda, H. Ishida","doi":"10.26676/jevtm.v40i(2).137","DOIUrl":"https://doi.org/10.26676/jevtm.v40i(2).137","url":null,"abstract":"Background: Resuscitative endovascular balloon occlusion of the aorta (REBOA) has been used as a method of controlling intra-abdominal bleeding in case of hemorrhagic shock and an adjunct to improve traditional advanced cardiac life support in nontraumatic cardiac arrest. Partial REBOA is proposed as an alternative method that regulates low volume continuous blood flow across the area of occlusion with the aim of minimizing ischemia-reperfusion injury. \u0000Case Presentation: An 82-year-old male suffered an out-of-hospital cardiac arrest due to massive gastric bleeding. He was initially resuscitated with partial REBOA but died of non-occlusive mesenteric ischemia (NOMI). The possible causes of NOMI were the patient’s age, the low flow state with prolonged cardiopulmonary resuscitation, the lower proximal-to-distal gradient of partial REBOA, and the longer time of total occlusion. \u0000Conclusion: Further studies may be required to determine the optimal distal pressure during partial REBOA to limit the burden of mesenteric ischemia.","PeriodicalId":41233,"journal":{"name":"Journal of EndoVascular Resuscitation and Trauma Management","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2021-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44895105","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

To Ultrasound or not to Ultrasound: A REBOA Femoral Access Analysis from the ABOTrauma and AORTA Registries 去超声还是不去超声：ABO创伤和AORTA登记处的REBOA股骨通路分析

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Journal of EndoVascular Resuscitation and Trauma Management Pub Date : 2021-06-04 DOI: 10.26676/jevtm.v40i(2).139

D. Tatum, J. Duchesne, D. McGreevy, K. Nilsson, Joseph E Dubose, Todd E. Rasmusse, M. Brenner, T. Jacome, T. Hörer

{"title":"To Ultrasound or not to Ultrasound: A REBOA Femoral Access Analysis from the ABOTrauma and AORTA Registries","authors":"D. Tatum, J. Duchesne, D. McGreevy, K. Nilsson, Joseph E Dubose, Todd E. Rasmusse, M. Brenner, T. Jacome, T. Hörer","doi":"10.26676/jevtm.v40i(2).139","DOIUrl":"https://doi.org/10.26676/jevtm.v40i(2).139","url":null,"abstract":"IntroductionResuscitative endovascular balloon occlusion of the aorta (REBOA) is becoming a standardizedadjunct in the management of non-compressible hemorrhage. Ultrasound (US)-guided femoralaccess has been taught as the best practice for femoral artery cannulation. However, there is lackof evidence to support its use in patients in extremis with severe hemorrhage. We hypothesizethat no differences in outcome will exist between US-guided in comparison to blindpercutaneous or cutdown access methods.MethodsThis was an international, multicenter retrospective review of all patients managed with REBOAfrom the ABOTrauma Registry and the AORTA database. REBOA characteristics and outcomeswere compared among puncture access methods. Significance was set at P < 0.05.ResultsThe cohort included 523 patients, primarily male (74%), blunt injured (77%) with median age 40(27 – 58), ISS 34 (25 – 45). Percutaneous using external landmarks/palpation was the mostcommon femoral puncture method (53%) used followed by US-guided (27.9%). There was nosignificant difference in overall complication rates (37.4% vs 34.9%; P = 0.615) or mortality(47.8% vs 50.3%; P = 0.599) between percutaneous and US-guided methods; however, access bycutdown was significantly associated with emergency department (ED) mortality (P = 0.004), 24hour mortality (P = 0.002), and in-hospital mortality (P = 0.007).ConclusionsIn patients with severe hemorrhage in need of REBOA placement, the percutaneous approachusing anatomic landmarks and palpation, when compared to ultrasound-guided femoral access, \u0000was used more frequently without an increase in complications, access attempts, or mortality.Surgical cutdown was associated with highest ED, 24-hour, and in-hospital mortality. \u0000Level of Evidence: Level III; Prognostic","PeriodicalId":41233,"journal":{"name":"Journal of EndoVascular Resuscitation and Trauma Management","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2021-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46397875","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: 2

ECMO in trauma patients requiring total pulmonectomy: Could this be a new approach in the era of hybrid management? ECMO在需要全肺切除术的创伤患者中的应用:这可能是混合管理时代的一种新方法吗?

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Journal of EndoVascular Resuscitation and Trauma Management Pub Date : 2021-06-04 DOI: 10.26676/jevtm.v40i(2).138

H. Raemen, M. Paran, M. Dudkiewicz, B. Kessel

引用次数: 0