Place the Sheath: Emergent 7 French Femoral Sheath Placement is Low Risk During Initial Trauma Resuscitation
DOI:
https://doi.org/10.26676/jevtm.269Keywords:
Trauma Resuscitation, Emergent Common Femoral Artery Access, Resuscitative Endovascular Balloon Occlusion of the Aorta, Endovascular Resuscitation ComplicationsAbstract
Background: We hypothesized that emergent placement of 7 French (Fr) common femoral artery (CFA) sheaths during trauma resuscitation for potential resuscitative endovascular balloon occlusion of the aorta (REBOA) carries a low complication rate.
Methods: Trauma patients at a Level I trauma center with emergent CFA access from January 2016 through to December 2020 were reviewed. CFA access was categorized as (1) 7 Fr sheath plus REBOA (REBOA) and (2) 7 Fr sheathwithout REBOA (Sheath). Outcomes included mortality and vascular complications.
Results: 157 patients underwent emergent CFA access. Sixty-nine (43.9%) patients had a 7 Fr CFA sheath, and 88 (56.1%) progressed to REBOA. The mortality rate was similar (Sheath 30.4% vs. REBOA 34.1%, p = 0.63). The REBOA cohort had a significantly higher complication rate (22.7%) compared to the Sheath cohort (4.3%, p = 0.001).
Conclusions: Emergent 7 Fr CFA sheath placement during trauma resuscitation is low risk, suggesting empiric sheath placement is warranted in potential REBOA candidates.
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Journal of Endovascular Resuscitation and Trauma Management
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors of content published in the JEVTM retain the copyright to their works.
Articles in the JEVTM are published under the terms of a Creative Commons CC BY 4.0 license, which permits use, downloading, distribution, linking to and reproduction in any medium, provided the original work is properly cited.
