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Case Series of Zone III Resuscitative Endovascular Balloon Occlusion of the Aorta in Traumatic Shock Patients

Journal of Trauma and Injury 2020년 33권 3호 p.162 ~ 169
유병철, 이길재, 최강국, 이민아, Gwak Ji-Hun, 박영은, 이정남,
소속 상세정보
유병철 ( Yu Byung-Chul ) - Gachon University Gil Medical Center Department of Trauma Surgery
이길재 ( Lee Gil-Jae ) - Gachon University Gil Medical Center Department of Trauma Surgery
최강국 ( Choi Kang-Kook ) - Gachon University Gil Medical Center Department of Trauma Surgery
이민아 ( Lee Min-A ) - Gachon University Gil Medical Center Department of Trauma Surgery
 ( Gwak Ji-Hun ) - Gachon University Gil Medical Center Department of Trauma Surgery
박영은 ( Park Young-Eun ) - Gachon University Gil Medical Center Department of Trauma Surgery
이정남 ( Lee Jung-Nam ) - Gachon University Gil Medical Center Department of Trauma Surgery

Abstract


Purpose: There is increasing evidence in the literature regarding resuscitative endovascular balloon occlusion of the aorta (REBOA) globally, but few cases have been reported in Korea. We aimed to describe our experience of successful Zone III REBOA and to discuss its algorithm, techniques, and related complications.

Methods: We reviewed consecutive cases who survived from hypovolemic shock after Zone III REBOA placement for 4 years. We reviewed patients’ baseline characteristics, physiological status, procedural data, and outcomes.

Results: REBOA was performed in 44 patients during the study period, including 10 patients (22.7%) who underwent Zone III REBOA, of whom seven (70%) survived. Only one patient was injured by a penetrating mechanism and survived after cardiopulmonary resuscitation. All patients underwent interventions to stop bleeding immediately after REBOA placement.

Conclusions: This case series suggests that Zone III REBOA is a safe and feasible procedure that could be applied to traumatic shock patients with normal FAST findings who receive a chest X-ray examination at the initial resuscitation.

키워드

Trauma; Trauma centers; Shock, hemorrhagic; Intra-aortic balloon occlusion

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