Resuscitative Endovascular Balloon Occlusion of the Aorta for Refractory Out-of-Hospital Non-Traumatic Cardiac Arrest - A Case Report.
Carlo ConiglioLorenzo GamberiniCristian LupiPiergiorgio CavalloMarco TartaglioneValentina ChiariniGiovanni GordiniPublished in: Prehospital and disaster medicine (2019)
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.
Keyphrases
- cardiac arrest
- cardiopulmonary resuscitation
- spinal cord injury
- end stage renal disease
- aortic valve
- pulmonary artery
- ejection fraction
- aortic dissection
- coronary artery
- newly diagnosed
- coronary artery disease
- healthcare
- transcatheter aortic valve implantation
- chronic kidney disease
- adverse drug
- peritoneal dialysis
- aortic valve replacement
- prognostic factors
- heart failure
- aortic stenosis
- computed tomography
- magnetic resonance
- contrast enhanced
- brain injury
- blood brain barrier
- patient reported