Location is everything: The hemodynamic effects of REBOA in Zone 1 versus Zone 3 of the aorta.

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Abstract

Resuscitative endovascular balloon occlusion of the aorta (REBOA) is an emerging technology to augment proximal blood pressure during the resuscitation of patients with noncompressible torso hemorrhage. Currently, placement choice, supraceliac (Zone 1) versus infrarenal (Zone 3) aorta, depends on injury patterns, but remains a highly debated topic. We sought to compare the proximal hemodynamic support provided by Zone 1 versus Zone 3 REBOA placement and the degree of hemodynamic instability upon reperfusion following intervention.

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Journal

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

Title: The journal of trauma and acute care surgery

Publisher: Ovid Technologies (Wolters Kluwer Health)

ISSN (Electronic): 2163-0763

ISSN (Print): 2163-0755

Publication date (Electronic): Jul 2018

Volume: 85

Issue: 1

Affiliations

[1 ] From the Clinical Investigation Facility, David Grant USAF Medical Center, Travis Air Force Base, California (E.M.T., G.L.H., M.A.S., A.J.D., E.S.D., E.R.F., L.P.N., J.K.G., T.K.W); Department of General Surgery, David Grant USAF Medical Center, Travis Air Force Base, California (E.M.T., A.J.D., E.S.D.); Department of Surgery, University of California Davis Medical Center, Sacramento, California (E.M.T., M.A.S., A.J.D., E.S.D., J.J.D.); Heart, Lung, and Vascular Center, David Grant USAF Medical Center, Travis Air Force Base, California (M.A.S., J.J.D., T.K.W.); Department of Surgery, University of Maryland Medical Center, Baltimore, Maryland (J.J.D.); Department of Surgery, Emory University Hospital, Atlanta, Georgia (L.P.N.); Department of Surgery, Wake Forest Baptist Medical Center, Winston-Salem, North Carolina (T.K.W.); Department of Emergency Medicine, University of California Davis Medical Center, Sacramento, California (M.A.J.).

Article

Publisher Item ID: 01586154-201807000-00015

DOI: 10.1097/TA.0000000000001858

PubMed ID: 29965941

SO-VID: e86e1d5c-7c77-49cd-b99b-c0c215f2c4de

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