Use of Intermittent Aortic Balloon Occlusion: Report from the ABO Trauma Registry

Authors

  • Johan Buitendag
  • Saffiya Variawa
  • Aashish Diayar
  • Pieter Snyders
  • Pieter Rademan
  • Nabeel Allopi
  • David Thomas McGreevy
  • Tal Martin Hörer
  • George Oosthuizen
  • ABO Trauma Registry Group

DOI:

https://doi.org/10.26676/jevtm.275

Keywords:

Intermittent REBOA, ABO Trauma Registry, Trauma Hemorrhage, Trauma

Abstract

Background: Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) is a helpful adjunct in the management of hemorrhagic shock due to bleeding in the abdomen or pelvis. Ischemia distal to the occlusion is a concern; intermittent aortic balloon inflation (i-REBOA) is a novel way to achieve decreased ischemia time.

Methods: This study was conducted using data from the multinational ABO Trauma Registry. All patients entered between January 2016 and December 2019 were included.

Results: The sample consisted of 157 patients. There were 57 patients in the i-REBOA group (36%) and 100 in the REBOA group (64%). The groups were similar in gender (P = 0.50), age (P = 0.17), mechanism of injury (P = 0.42), and injury severity score (P = 0.13). The levels of international normalized ratio (INR) (P < 0.01), activated partial thromboplastin time (aPTT) (P < 0.01) and lactate (P = 0.02) were higher in the i-REBOA group. Total balloon inflation times were longer in the i-REBOA group (P < 0.01). Major complication rates did not differ between groups. Mortality rates between groups were similar in the Emergency Department (ED) (3.8% for i-REBOA vs 10.1%; P = 0.17), within 24 hours (43.4% for i-REBOA vs 38.2%; P = 0.54), and at 30 days (63.6% for i-REBOA vs 48.4%; P = 0.07).

Conclusions: The data from this registry show that i-REBOA is currently being used and may allow for longer total balloon inflation times without higher morbidity or mortality rates.

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Published

2023-03-31

How to Cite

Buitendag, J., Variawa, S., Diayar, A., Snyders, P., Rademan, P., Allopi, N., … ABO Trauma Registry Group. (2023). Use of Intermittent Aortic Balloon Occlusion: Report from the ABO Trauma Registry. Journal of Endovascular Resuscitation and Trauma Management, 7(1), 8–14. https://doi.org/10.26676/jevtm.275

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Original Article

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