Case Series of Zone III Resuscitative Endovascular Balloon Occlusion of the Aorta in Traumatic Shock Patients
Purpose There is increasing evidence in the literature regarding resuscitative endovascular balloon occlusion of the aorta (REBOA) globally, but few cases have been reported in Korea. We aimed to describe our experience of successful Zone III REBOA and to discuss its algorithm, techniques, and relat...
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| Format: | Article |
| Language: | English |
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Korean Society of Traumatology
2020-09-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://www.jtraumainj.org/upload/pdf/jti-2020-0031.pdf |
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| _version_ | 1832544012786991104 |
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| author | Byungchul Yu Gil Jae Lee Kang Kook Choi Min A Lee Jihun Gwak Youngeun Park Jung Nam Lee |
| author_facet | Byungchul Yu Gil Jae Lee Kang Kook Choi Min A Lee Jihun Gwak Youngeun Park Jung Nam Lee |
| author_sort | Byungchul Yu |
| collection | DOAJ |
| description | Purpose There is increasing evidence in the literature regarding resuscitative endovascular balloon occlusion of the aorta (REBOA) globally, but few cases have been reported in Korea. We aimed to describe our experience of successful Zone III REBOA and to discuss its algorithm, techniques, and related complications. Methods We reviewed consecutive cases who survived from hypovolemic shock after Zone III REBOA placement for 4 years. We reviewed patients’ baseline characteristics, physiological status, procedural data, and outcomes. Results REBOA was performed in 44 patients during the study period, including 10 patients (22.7%) who underwent Zone III REBOA, of whom seven (70%) survived. Only one patient was injured by a penetrating mechanism and survived after cardiopulmonary resuscitation. All patients underwent interventions to stop bleeding immediately after REBOA placement. Conclusions This case series suggests that Zone III REBOA is a safe and feasible procedure that could be applied to traumatic shock patients with normal FAST findings who receive a chest X-ray examination at the initial resuscitation. |
| format | Article |
| id | doaj-art-b391baaecf4349ceae6500ff12876632 |
| institution | Kabale University |
| issn | 1738-8767 2287-1683 |
| language | English |
| publishDate | 2020-09-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-b391baaecf4349ceae6500ff128766322025-02-03T11:12:23ZengKorean Society of TraumatologyJournal of Trauma and Injury1738-87672287-16832020-09-0133316216910.20408/jti.2020.00311030Case Series of Zone III Resuscitative Endovascular Balloon Occlusion of the Aorta in Traumatic Shock PatientsByungchul Yu0Gil Jae Lee1Kang Kook Choi2Min A Lee3Jihun Gwak4Youngeun Park5Jung Nam Lee6 Department of Trauma Surgery, Gachon University Gil Medical Center, Incheon, Korea Department of Trauma Surgery, Gachon University Gil Medical Center, Incheon, Korea Department of Trauma Surgery, Gachon University Gil Medical Center, Incheon, Korea Department of Trauma Surgery, Gachon University Gil Medical Center, Incheon, Korea Department of Trauma Surgery, Gachon University Gil Medical Center, Incheon, Korea Department of Trauma Surgery, Gachon University Gil Medical Center, Incheon, Korea Department of Trauma Surgery, Gachon University Gil Medical Center, Incheon, KoreaPurpose There is increasing evidence in the literature regarding resuscitative endovascular balloon occlusion of the aorta (REBOA) globally, but few cases have been reported in Korea. We aimed to describe our experience of successful Zone III REBOA and to discuss its algorithm, techniques, and related complications. Methods We reviewed consecutive cases who survived from hypovolemic shock after Zone III REBOA placement for 4 years. We reviewed patients’ baseline characteristics, physiological status, procedural data, and outcomes. Results REBOA was performed in 44 patients during the study period, including 10 patients (22.7%) who underwent Zone III REBOA, of whom seven (70%) survived. Only one patient was injured by a penetrating mechanism and survived after cardiopulmonary resuscitation. All patients underwent interventions to stop bleeding immediately after REBOA placement. Conclusions This case series suggests that Zone III REBOA is a safe and feasible procedure that could be applied to traumatic shock patients with normal FAST findings who receive a chest X-ray examination at the initial resuscitation.http://www.jtraumainj.org/upload/pdf/jti-2020-0031.pdftraumatrauma centersshock, hemorrhagicintra-aortic balloon occlusion |
| spellingShingle | Byungchul Yu Gil Jae Lee Kang Kook Choi Min A Lee Jihun Gwak Youngeun Park Jung Nam Lee Case Series of Zone III Resuscitative Endovascular Balloon Occlusion of the Aorta in Traumatic Shock Patients Journal of Trauma and Injury trauma trauma centers shock, hemorrhagic intra-aortic balloon occlusion |
| title | Case Series of Zone III Resuscitative Endovascular Balloon Occlusion of the Aorta in Traumatic Shock Patients |
| title_full | Case Series of Zone III Resuscitative Endovascular Balloon Occlusion of the Aorta in Traumatic Shock Patients |
| title_fullStr | Case Series of Zone III Resuscitative Endovascular Balloon Occlusion of the Aorta in Traumatic Shock Patients |
| title_full_unstemmed | Case Series of Zone III Resuscitative Endovascular Balloon Occlusion of the Aorta in Traumatic Shock Patients |
| title_short | Case Series of Zone III Resuscitative Endovascular Balloon Occlusion of the Aorta in Traumatic Shock Patients |
| title_sort | case series of zone iii resuscitative endovascular balloon occlusion of the aorta in traumatic shock patients |
| topic | trauma trauma centers shock, hemorrhagic intra-aortic balloon occlusion |
| url | http://www.jtraumainj.org/upload/pdf/jti-2020-0031.pdf |
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