Aortic balloon occlusion (REBOA) in pelvic ring injuries: preliminary results of the ABO Trauma Registry

Updates in Surgery
Federico CoccoliniTal Martin Hörer

Abstract

EndoVascular and Hybrid Trauma Management (EVTM) has been recently introduced in the treatment of severe pelvic ring injuries. This multimodal method of hemorrhage management counts on several strategies such as the REBOA (resuscitative endovascular balloon occlusion of the aorta). Few data exist on the use of REBOA in patients with a severely injured pelvic ring. The ABO (aortic balloon occlusion) Trauma Registry is designed to capture data for all trauma patients in hemorrhagic shock where management includes REBOA placement. Among all patients included in the ABO registry, 72 patients presented with severe pelvic injuries and were the population under exam. 66.7% were male. Mean and median ISS were respectively 43 and 41 (SD ± 13). Isolated pelvic injuries were observed in 12 patients (16.7%). Blunt trauma occurred in 68 patients (94.4%), penetrating in 2 (2.8%) and combined in 2 (2.8%). Type of injury: fall from height in 15 patients (23.1%), traffic accident in 49 patients (75.4%), and unspecified impact in 1 patient (1.5%). Femoral access was gained pre-hospital in 1 patient, in emergency room in 43, in operating room in 12 and in angio-suite in 16. REBOA was positioned in zone 1 in 59 patients (81,9%), in zone 2 in 1 (1,...Continue Reading

References

May 4, 2016·Journal of the American College of Surgeons·Rachel M RussoTimothy K Williams
Oct 22, 2016·The Journal of Trauma and Acute Care Surgery·M Austin JohnsonUNKNOWN EVAC Study Group
Jan 25, 2017·World Journal of Emergency Surgery : WJES·Federico CoccoliniLuca Ansaloni
May 19, 2017·The Journal of Trauma and Acute Care Surgery·Todd W CostantiniUNKNOWN AAST Pelvic Fracture Study Group
Sep 2, 2017·Emergency Medicine Journal : EMJ·Yosuke MatsumuraUNKNOWN DIRECT-IABO Investigators
Nov 15, 2017·Emergency Medicine Clinics of North America·Steven Skitch, Paul T Engels
Feb 15, 2018·The Journal of Trauma and Acute Care Surgery·Nicole Townsend ChristianFredric M Pieracci

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Citations

Oct 14, 2020·World Journal of Emergency Surgery : WJES·Ramiro Manzano-NunezUNKNOWN AAST-AORTA Investigators and the ABOTrauma Registry Group
Nov 25, 2020·World Journal of Emergency Surgery : WJES·Peter Hilbert-CariusUNKNOWN ABOTrauma Registry research group
Nov 24, 2020·Journal of the American College of Surgeons·Tyler J LoftusR Stephen Smith
Jan 31, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·David T McGreevyTal M Hörer
Nov 17, 2020·Journal of Clinical Orthopaedics and Trauma·Julia R ColemanCyril Mauffrey

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