Hostname: page-component-586b7cd67f-r5fsc Total loading time: 0 Render date: 2024-11-24T14:01:21.737Z Has data issue: false hasContentIssue false
  • English
  • Français

Resuscitative Endovascular Balloon Occlusion of the Aorta for Refractory Out-of-Hospital Non-Traumatic Cardiac Arrest – A Case Report

Published online by Cambridge University Press:  09 September 2019

Carlo Coniglio ,
Lorenzo Gamberini Open the ORCID record for Lorenzo Gamberini [Opens in a new window] ,
Cristian Lupi ,
Piergiorgio Cavallo ,
Marco Tartaglione ,
Valentina Chiarini  and
Giovanni Gordini
Carlo Coniglio
Affiliation:
Department of Anesthesia, Intensive Care and Prehospital Emergency, Maggiore Hospital Carlo Alberto Pizzardi, Bologna, Italy
Lorenzo Gamberini*
Affiliation:
Department of Anesthesia, Intensive Care and Prehospital Emergency, Maggiore Hospital Carlo Alberto Pizzardi, Bologna, Italy
Cristian Lupi
Affiliation:
Department of Anesthesia, Intensive Care and Prehospital Emergency, Maggiore Hospital Carlo Alberto Pizzardi, Bologna, Italy
Piergiorgio Cavallo
Affiliation:
Department of Anesthesia, Intensive Care and Prehospital Emergency, Maggiore Hospital Carlo Alberto Pizzardi, Bologna, Italy
Marco Tartaglione
Affiliation:
Department of Anesthesia, Intensive Care and Prehospital Emergency, Maggiore Hospital Carlo Alberto Pizzardi, Bologna, Italy
Valentina Chiarini
Affiliation:
Department of Anesthesia, Intensive Care and Prehospital Emergency, Maggiore Hospital Carlo Alberto Pizzardi, Bologna, Italy
Giovanni Gordini
Affiliation:
Department of Anesthesia, Intensive Care and Prehospital Emergency, Maggiore Hospital Carlo Alberto Pizzardi, Bologna, Italy
*
Correspondence: Lorenzo Gamberini, MD Department of Anesthesia Intensive Care and Emergency Medical Services Carlo Alberto Pizzardi Hospital Largo Nigrisoli 2 – 40133 Bologna, Italy E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a percutaneous transfemoral balloon technique used in select centers for resuscitation and temporary hemostasis of bleeding patients. Several animal studies demonstrated that its application in non-traumatic cardiac arrest could enhance cerebral and coronary perfusion during cardiopulmonary resuscitation (CPR); despite this, there are few reports of its application in humans. This is a case report of REBOA application during a refractory out-of-hospital cardiac arrest in a 50-year-old man where Advanced Cardiac Life Support (ACLS) alone was unable to maintain a stable return of spontaneous circulation (ROSC) and Extracorporeal Cardiac Life Support (ECLS) was not available.

Keywords

Advanced Cardiac Life Supportcardiopulmonary resuscitationendovascular procedures
Type
Case Report
Information
Prehospital and Disaster Medicine , Volume 34 , Issue 5 , October 2019 , pp. 566 - 568
Copyright
© World Association for Disaster and Emergency Medicine 2019 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Brenner, M, Moore, L, Teeter, W, et al. Exclusive clinical experience with a lower profile device for resuscitative endovascular balloon occlusion of the aorta (REBOA). Am J Surg. 2019;217(6):1126–1129.10.1016/j.amjsurg.2018.11.029CrossRefGoogle Scholar
Gray, S, Dieudonne, B. Resuscitative endovascular balloon occlusion of the aorta as an adjunct in a patient with neurogenic shock. Cureus. 2018;10(9):e3375.Google Scholar
Dogan, EM, Beskow, L, Calais, F, Hörer, TM, Axelsson, B, Nilsson, KF. Resuscitative endovascular balloon occlusion of the aorta in experimental cardiopulmonary resuscitation – aortic occlusion level matters. SHOCK. 2019;52(1):67–74.10.1097/SHK.0000000000001236CrossRefGoogle ScholarPubMed
Manzano-Nunez, R, Orlas, CP, Herrera-Escobar, JP, et al. A meta-analysis of the incidence of complications associated with groin access after the use of resuscitative endovascular balloon occlusion of the aorta in trauma patients. J Trauma Acute Care Surg. 2018;85(3):626–634.Google ScholarPubMed
Deakin, CD, Barron, DJ. Hemodynamic effects of descending aortic occlusion during cardiopulmonary resuscitation. Resuscitation. 1996;33(1):49–52.10.1016/S0300-9572(96)00992-6CrossRefGoogle ScholarPubMed
Aslanger, E, Golcuk, E, Oflaz, H, et al. Intra-aortic balloon occlusion during refractory cardiac arrest. A case report. Resuscitation. 2009;80(2):281–283.10.1016/j.resuscitation.2008.10.017CrossRefGoogle Scholar
Daley, J, Morrison, JJ, Sather, J, Hile, L. The role of resuscitative endovascular balloon occlusion of the aorta (REBOA) as an adjunct to ACLS in non-traumatic cardiac arrest. Am J Emerg Med. 2017;35(5):731–736.10.1016/j.ajem.2017.01.010CrossRefGoogle ScholarPubMed
Ouweneel, DM, Schotborgh, JV, Limpens, J, et al. Extracorporeal life support during cardiac arrest and cardiogenic shock: a systematic review and meta-analysis. Intensive Care Med. 2016;42(12):1922–1934.10.1007/s00134-016-4536-8CrossRefGoogle ScholarPubMed
Johnson, MA, Neff, LP, Williams, TK, et al. Partial resuscitative balloon occlusion of the aorta (P-REBOA): clinical technique and rationale. J Trauma Acute Care Surg. 2016;81(5):S133–S137.10.1097/TA.0000000000001146CrossRefGoogle ScholarPubMed