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

摘要: EndoVascular and Hybrid Trauma Management (EVTM) has been recently introduced in the treatment of severe pelvic ring injuries. This multimodal method hemorrhage management counts on several strategies such as REBOA (resuscitative endovascular balloon occlusion aorta). Few data exist use patients with a severely injured ring. The ABO (aortic occlusion) Registry is designed to capture for all trauma hemorrhagic shock where includes placement. Among included registry, 72 presented injuries were population under exam. 66.7% male. Mean median ISS respectively 43 41 (SD ± 13). Isolated observed 12 (16.7%). Blunt occurred 68 (94.4%), penetrating 2 (2.8%) combined (2.8%). Type injury: fall from height 15 (23.1%), traffic accident 49 (75.4%), unspecified impact 1 patient (1.5%). Femoral access was gained pre-hospital patient, emergency room 43, operating angio-suite 16. positioned zone 59 (81,9%), (1,4%) 3 (16,7%). Aortic partial/periodical 35 (48,6%) total 37 (51,4%). associated morbidity rate: 11.1%. Overall mortality rate 54.2% early (≤ 24 h) 44.4%. In univariate analysis, factors related are lower pH values (p = 0.03), higher base deficit (p = 0.021), longer INR (p = 0.012), minor increase systolic blood pressure after inflation (p = 0.03) aortic (p = 0.008). None these resulted significant multivariate analysis. hemodynamically unstable management, viable option when utilized experienced centers bridge other treatments; its might be, however, accompanied severe-to-lethal complications.