Extending the golden hour: Partial resuscitative endovascular balloon occlusion of the aorta in a highly lethal swine liver injury model.

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Abstract

Combat-injured patients may require rapid and sustained support during transport; however, the prolonged aortic occlusion produced by conventional resuscitative endovascular balloon occlusion of the aorta (REBOA) may lead to substantial morbidity. Partial REBOA (P-REBOA) may permit longer periods of occlusion by allowing some degree of distal perfusion. However, the ability of this procedure to limit exsanguination is unclear. We evaluated the impact of P-REBOA on immediate survival and ongoing hemorrhage in a highly lethal swine liver injury model.

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Journal

Journal ID (iso-abbrev): J Trauma Acute Care Surg

Title: The journal of trauma and acute care surgery

ISSN (Electronic): 2163-0763

ISSN (Print): 2163-0755

Publication date (Electronic): Mar 2016

Volume: 80

Issue: 3

Affiliations

[1 ] From the Department of Surgery (R.M.R., T.K.W., J.M.G., L.P.N.), UC Davis Medical Center, Sacramento; Clinical Investigation Facility (R.M.R., T.K.W., J.K.G., C.M.L., L.P.N.), and Departments of Vascular and Endovascular Surgery (T.K.W., C.M.L.), Pathology (N.F.C.), and General Surgery (L.P.N.), David Grant USAF Medical Center, Travis Air Force Base, Fairfield, California; Department of Surgery (J.W.C.), Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania; and Academic Department of Military Surgery and Trauma (C.M.L.), Royal Centre for Defense Medicine, Birmingham, United Kingdom.

Article

DOI: 10.1097/TA.0000000000000940

PubMed ID: 26670114

SO-VID: 64414a91-274b-4f28-b48f-8ab1eb4da4d8

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