Resuscitative Endovascular Balloon Occlusion of the Aorta Impact on Adult Trauma Patients with Pelvic Fractures Requiring Embolization
Location
LSU Health Sciences Center - New Orleans
Event Website
https://www.medschool.lsuhsc.edu/genetics/2023_medical_student_research_poster_symposium.aspx
Presentation Date
23-10-2023 8:29 AM
Description
Introduction: Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) is an emergent procedure for the treatment of non-compressible torso hemorrhages (NCTH). The REBOA device is intended to be used as an adjunct to achieve hemostasis, only temporarily controlling blood flow. An embolization procedure, typically using Gel-Foam or coils, provides more definitive cessation of blood loss in hemorrhagic patients. The primary objective of this study was to compare the outcomes of adult trauma patients presenting with pelvic fractures requiring embolization who were treated with (PER) or without REBOA (PE). Methods: A retrospective chart review of adult patients presenting to a Level 1 trauma center with pelvic fractures and subsequent embolization over a six-year period was conducted. These patients were then grouped based on REBOA recipient status. Demographic data, injury mechanism, and Injury Severity Score (ISS) were recorded. ED presentation statistics, as well as exploratory laparotomy (ex-lap) and embolization procedure metrics were collected. Complications including acute kidney injury (AKI), ischemia, thrombus formation, amputation, and mortality were recorded. Univariate analyses of corresponding data between PER and PE was performed with significance determined by p
Recommended Citation
Langlois, Adam J., "Resuscitative Endovascular Balloon Occlusion of the Aorta Impact on Adult Trauma Patients with Pelvic Fractures Requiring Embolization" (2023). Medical Student Research Poster Symposium. 61.
https://digitalscholar.lsuhsc.edu/sommrd/2023MSRD/Posters/61
Resuscitative Endovascular Balloon Occlusion of the Aorta Impact on Adult Trauma Patients with Pelvic Fractures Requiring Embolization
LSU Health Sciences Center - New Orleans
Introduction: Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) is an emergent procedure for the treatment of non-compressible torso hemorrhages (NCTH). The REBOA device is intended to be used as an adjunct to achieve hemostasis, only temporarily controlling blood flow. An embolization procedure, typically using Gel-Foam or coils, provides more definitive cessation of blood loss in hemorrhagic patients. The primary objective of this study was to compare the outcomes of adult trauma patients presenting with pelvic fractures requiring embolization who were treated with (PER) or without REBOA (PE). Methods: A retrospective chart review of adult patients presenting to a Level 1 trauma center with pelvic fractures and subsequent embolization over a six-year period was conducted. These patients were then grouped based on REBOA recipient status. Demographic data, injury mechanism, and Injury Severity Score (ISS) were recorded. ED presentation statistics, as well as exploratory laparotomy (ex-lap) and embolization procedure metrics were collected. Complications including acute kidney injury (AKI), ischemia, thrombus formation, amputation, and mortality were recorded. Univariate analyses of corresponding data between PER and PE was performed with significance determined by p
https://digitalscholar.lsuhsc.edu/sommrd/2023MSRD/Posters/61
Comments
Mentor: Dr. Alison Smith LSUHSC, Department of Surgery