Implementation of resuscitative endovascular balloon occlusion of the aorta at the Korean Regional Trauma Center
- Authors
- Park, Youngeun; Yu, Byungchul; Lee, Giljae; Lee, Jungnam; Choi, Kangkook; Han, Ahram
- Issue Date
- May-2021
- Publisher
- SAGE PUBLICATIONS LTD
- Keywords
- Resuscitation; resuscitative endovascular balloon occlusion of the aorta; trauma management
- Citation
- HONG KONG JOURNAL OF EMERGENCY MEDICINE, v.28, no.3, pp.129 - 134
- Journal Title
- HONG KONG JOURNAL OF EMERGENCY MEDICINE
- Volume
- 28
- Number
- 3
- Start Page
- 129
- End Page
- 134
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/2917
- DOI
- 10.1177/1024907919866563
- ISSN
- 1024-9079
- Abstract
- Background: Resuscitative endovascular balloon occlusion of the aorta is used as adjunctive management for a profound shock in some trauma centers. We report our early experience of resuscitative endovascular balloon occlusion of the aorta to describe the implementation and possible indications of resuscitative endovascular balloon occlusion of the aorta. Objective: This study was designed to investigate the feasibility and effectiveness of resuscitative endovascular balloon occlusion of the aorta based on our experience and share our implementation process by trauma surgeons in Korea. Methods: We performed a retrospective review of consecutive cases of resuscitative endovascular balloon occlusion of the aorta in profound shock due to noncompressible torso hemorrhage at a single Korean trauma center. Resuscitative endovascular balloon occlusion of the aorta was introduced and implemented with written protocol and endovascular training courses. Results: All cases (n = 24) were done for blunt mechanisms. Twelve cases (50%) were resuscitative endovascular balloon occlusion of the aorta in zone I, three cases (12.5%) were zone II, and nine cases (45%) in zone III. Mean pre-occlusion systolic blood pressure was 47 mm Hg and mean systolic blood pressure increase was 41.3 mm Hg. Twenty-one patients (87.5%) survived at trauma bay and seven patients (29.2%) survived and discharged without neurologic deficit. There were two complications directly related to the procedure. Conclusion: Resuscitative endovascular balloon occlusion of the aorta is a useful adjunctive skill for trauma surgeons, and a brief training course can help in the implementation of the procedure.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - 의과대학 > 의학과 > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/2917)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.