Percutaneous ultrasound-guided versus open cut-down access to femoral vessels for the placement of a REBOA catheter.
Journal
Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288
Informations de publication
Date de publication:
20 Apr 2024
20 Apr 2024
Historique:
received:
02
11
2023
accepted:
15
04
2024
medline:
21
4
2024
pubmed:
21
4
2024
entrez:
20
4
2024
Statut:
epublish
Résumé
Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) may be useful in treating exsanguinating trauma patients. This study seeks to compare rates of success, complications and time required for vascular access between ultrasound-guidance and surgical cut-down for femoral sheath insertion as a prospective observational case control study. Participating clinicians from either trauma surgery or anesthesiology were allocated to surgical cut-down or percutaneous ultrasound-guided puncture on a 1:1 ratio. Time spans to vessel identification, successful puncture, and balloon inflation were recorded. 80 study participants were recruited and allocated to 40 open cut-down approaches and 40 percutaneous ultrasound-guided approaches. REBOA catheter placement was successful in 18/40 cases (45%) using a percutaneous ultrasound guided technique and 33/40 times (83%) using the open cut-down approach (p < 0.001). Median times [in seconds] compared between percutaneous ultrasound-guided puncture and surgical cut-down were 36 (18-73) versus 117(56-213) for vessel visualization (p < 0.001), 136 (97-175) versus 183 (156-219) for vessel puncture (p < 0.001), and 375 (240-600) versus 288 (244-379) for balloon inflation (p = 0.08) overall. Access to femoral vessels for REBOA catheter placement is safer when performed by cut-down and direct visualization but can be performed faster by an ultrasound-guided technique when vessels can be identified clearly and rapidly.
Identifiants
pubmed: 38643229
doi: 10.1038/s41598-024-59778-x
pii: 10.1038/s41598-024-59778-x
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
9111Informations de copyright
© 2024. The Author(s).
Références
Hughes, C. W. Use of an intra-aortic balloon catheter tamponade for controlling intra-abdominal hemorrhage in man. Surgery 36, 65–68 (1954).
pubmed: 13178946
Ordoñez, C. A. et al. Damage control resuscitation: REBOA as the new fourth pillar. Colomb. Med. (Cali.) 51, 1–12 (2020).
Biffl, W. L., Fox, C. J. & Moore, E. E. The role of REBOA in the control of exsanguinating torso hemorrhage. J. Trauma Acute Care Surg. 78, 1054–1058 (2015).
doi: 10.1097/TA.0000000000000609
pubmed: 25909430
Cralley, A. L. et al. Zone 1 endovascular balloon occlusion of the aorta vs resuscitative thoracotomy for patient resuscitation after severe hemorrhagic shock. JAMA Surg. https://doi.org/10.1001/JAMASURG.2022.6393 (2022).
doi: 10.1001/JAMASURG.2022.6393
pmcid: 9856952
Castellini, G. et al. Resuscitative endovascular balloon occlusion of the aorta (REBOA) in patients with major trauma and uncontrolled haemorrhagic shock: A systematic review with meta-analysis. World J. Emerg. Surg. https://doi.org/10.1186/S13017-021-00386-9 (2021).
doi: 10.1186/S13017-021-00386-9
pubmed: 34384452
pmcid: 8358549
Joseph, B. et al. Nationwide analysis of resuscitative endovascular balloon occlusion of the aorta in civilian trauma. JAMA Surg. 154, 500 (2019).
doi: 10.1001/jamasurg.2019.0096
pubmed: 30892574
pmcid: 6584250
Ribeiro Junior, M. A. F. et al. The complications associated with resuscitative endovascular balloon occlusion of the aorta (REBOA). World J. Emerg. Surg. https://doi.org/10.1186/S13017-018-0181-6 (2018).
doi: 10.1186/S13017-018-0181-6
pubmed: 29774048
pmcid: 5948672
Romagnoli, A. et al. Time to aortic occlusion: It’s all about access. J. Trauma Acute Care Surg. 83, 1161–1164 (2017).
doi: 10.1097/TA.0000000000001665
pubmed: 29190256
Jansen, J. O. et al. Emergency department resuscitative endovascular balloon occlusion of the aorta in trauma patients with exsanguinating hemorrhage: The UK-REBOA randomized clinical trial. JAMA https://doi.org/10.1001/JAMA.2023.20850 (2023).
doi: 10.1001/JAMA.2023.20850
pubmed: 37824132
pmcid: 10570916
Davidson, A. J. et al. The pitfalls of resuscitative endovascular balloon occlusion of the aorta: Risk factors and mitigation strategies. J. Trauma Acute Care Surg. 84, 192–202 (2018).
doi: 10.1097/TA.0000000000001711
pubmed: 29266052
Balceniuk, M. D. et al. Regional variation in usage of ultrasound-guided femoral access in the vascular quality initiative. Ann. Vasc. Surg. 72, 544–551 (2021).
doi: 10.1016/j.avsg.2020.08.156
pubmed: 32949742
Schmidt, G. A. et al. Ultrasound-guided vascular access in critical illness. Intens. Care Med. 45, 434–446 (2019).
doi: 10.1007/s00134-019-05564-7
Reva, V. A. et al. Ultrasound-guided versus blind vascular access followed by REBOA on board of a medical helicopter in a hemorrhagic ovine model. Injury 52, 175–181 (2021).
doi: 10.1016/j.injury.2020.09.053
pubmed: 33004204
Von Elm, E. et al. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: Guidelines for reporting observational studies. Epidemiology 18, 800–804 (2007).
doi: 10.1097/EDE.0b013e3181577654
Mantica, G. et al. Reporting characteristics of cadaver training and surgical studies: The CACTUS guidelines. Int. J. Surg. 101, 106619. https://doi.org/10.1016/J.IJSU.2022.106619 (2022).
doi: 10.1016/J.IJSU.2022.106619
pubmed: 35429658
du Bose, J. J. et al. The AAST prospective aortic occlusion for resuscitation in trauma and acute care surgery (AORTA) registry: Data on contemporary utilization and outcomes of aortic occlusion and resuscitative balloon occlusion of the aorta (REBOA). J. Trauma Acute Care Surg. 81, 409–419 (2016).
doi: 10.1097/TA.0000000000001079
Maiga, A. W. et al. Systematic review to evaluate algorithms for REBOA use in trauma and identify a consensus for patient selection. Trauma Surg. Acute Care Open 7, e000984 (2022).
doi: 10.1136/tsaco-2022-000984
pubmed: 36578977
pmcid: 9791466
Laverty, R. B. et al. Life over limb: Arterial access-related limb ischemic complications in 48-hour REBOA survivors. J. Trauma Acute Care Surg. 92, 723–728 (2022).
doi: 10.1097/TA.0000000000003440
pubmed: 34789696
Hörer, T. Resuscitative endovascular balloon occlusion of the aorta (REBOA) and endovascular resuscitation and trauma management (EVTM): A paradigm shift regarding hemodynamic instability. Eur. J. Trauma Emerg. Surg. 44, 487–489 (2018).
doi: 10.1007/s00068-018-0983-y
pubmed: 30084088
Matsumura, Y. et al. Early arterial access for resuscitative endovascular balloon occlusion of the aorta is related to survival outcome in trauma. J. Trauma Acute Care Surg. 85, 507–511 (2018).
doi: 10.1097/TA.0000000000002004
pubmed: 30142104
Cralley, A. L. et al. Predicting success of resuscitative endovascular occlusion of the aorta: Timing supersedes variable techniques in predicting patient survival. J. Trauma Acute Care Surg. 91, 473–479 (2021).
doi: 10.1097/TA.0000000000003307
pubmed: 34086662
Low, R. B., Longmore, W., Rubinstein, R., Flores, L. & Wolvek, S. Preliminary report on the use of the percluder® occluding aortic balloon in human beings. Ann. Emerg. Med. 15, 1466–1469 (1986).
doi: 10.1016/S0196-0644(86)80945-3
pubmed: 3777619
Matsumura, Y., Matsumoto, J., Kondo, H., Idoguchi, K. & Funabiki, T. Partial occlusion, conversion from thoracotomy, undelayed but shorter occlusion: Resuscitative endovascular balloon occlusion of the aorta strategy in Japan. Eur. J. Emerg. Med. 25, 348–354 (2018).
doi: 10.1097/MEJ.0000000000000466
pubmed: 28328730
Global health estimates: Leading causes of death. https://www.who.int/data/gho/data/themes/mortality-and-global-health-estimates/ghe-leading-causes-of-death (Accessed 23 May2023).
Pfeifer, R., Teuben, M., Andruszkow, H., Barkatali, B. M. & Pape, H. C. Mortality patterns in patients with multiple trauma: A systematic review of autopsy studies. PLoS One 11, e0148844 (2016).
doi: 10.1371/journal.pone.0148844
pubmed: 26871937
pmcid: 4752312
Hilbert-Carius, P. et al. Successfully REBOA performance: Does medical specialty matter? International data from the ABOTrauma Registry. World J. Emerg. Surg. https://doi.org/10.1186/S13017-020-00342-Z (2020).
doi: 10.1186/S13017-020-00342-Z
pubmed: 33228705
pmcid: 7685615