Survival and neurologic outcomes following aortic occlusion for trauma and hemorrhagic shock in a hybrid operating room.

ABSTRACT:

Background

Outcomes following aortic occlusion for trauma and hemorrhagic shock are poor, leading some to question the clinical utility of aortic occlusion in this setting. This study evaluates neurologically intact survival following resuscitative endovascular balloon occlusion of the aorta (REBOA) versus resuscitative thoracotomy at a center with a dedicated trauma hybrid operating room with angiographic capabilities.

Methods

This retrospective cohort analysis compared patients who underwent zone 1 aortic occlusion via resuscitative thoracotomy (n = 13) versus REBOA (n = 13) for blunt or non-thoracic, penetrating trauma and refractory hemorrhagic shock (systolic blood pressure less than 90 mmHg despite volume resuscitation) at a level 1 trauma center with a dedicated traum

SUBMITTER: Balch JA 

PROVIDER: S-EPMC10035182 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature