Intra-Aortic Balloon Occlusion to Salvage Patients With Life-Threatening Hemorrhagic Shocks From Pelvic Fractures
| العنوان: | Intra-Aortic Balloon Occlusion to Salvage Patients With Life-Threatening Hemorrhagic Shocks From Pelvic Fractures |
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| المؤلفون: | Christian Sengel, P. Declety, Jean François Payen, Thomas Martinelli, Frédéric Thony, Gilbert Ferretti, Jérôme Tonetti, Christophe Broux |
| المساهمون: | Service central de radiologie et d'imagerie médicale, CHU Grenoble-Hôpital Michallon, Service d'anesthésie-réanimation, Université Joseph Fourier - Grenoble 1 (UJF)-CHU Grenoble-Hôpital Michallon, CHU Grenoble, Université Joseph Fourier - Grenoble 1 (UJF)-CHU Grenoble, Neuro-imagerie fonctionnelle et métabolique (ANTE-INSERM U836, équipe 5), Grenoble Institut des Neurosciences (GIN), Université Joseph Fourier - Grenoble 1 (UJF)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Joseph Fourier - Grenoble 1 (UJF)-Institut National de la Santé et de la Recherche Médicale (INSERM), Dojat, Michel |
| المصدر: | Journal of Trauma Journal of Trauma, Lippincott, Williams & Wilkins, 2010, 68 (4), pp.942-8. ⟨10.1097/TA.0b013e3181c40579⟩ |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2010. |
| سنة النشر: | 2010 |
| مصطلحات موضوعية: | Male, medicine.medical_treatment, MESH: Aorta, Abdominal, Critical Care and Intensive Care Medicine, Fractures, Bone, Injury Severity Score, 0302 clinical medicine, Occlusion, Medicine, Aorta, Abdominal, 030212 general & internal medicine, Embolization, MESH: Treatment Outcome, MESH: Angiography, medicine.diagnostic_test, MESH: Pelvic Bones, Arterial Embolization, Angiography, Weather balloon, MESH: Salvage Therapy, 3. Good health, Survival Rate, Treatment Outcome, Anesthesia, MESH: Balloon Occlusion, Pelvic fracture, [SDV.NEU]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC], Female, Adult, medicine.medical_specialty, MESH: Survival Rate, MESH: Injury Severity Score, MESH: Blood Transfusion, Shock, Hemorrhagic, 03 medical and health sciences, Humans, Blood Transfusion, [SDV.NEU] Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC], Pelvic Bones, Retrospective Studies, Salvage Therapy, MESH: Shock, Hemorrhagic, MESH: Humans, business.industry, MESH: Fractures, Bone, MESH: Adult, MESH: Retrospective Studies, 030208 emergency & critical care medicine, Balloon Occlusion, medicine.disease, MESH: Male, Surgery, Blood pressure, business, MESH: Female |
| الوصف: | International audience; OBJECTIVE: The purpose of this study was to describe a blinded intra-aortic balloon occlusion (IABO) procedure in pelvic fractures (PF) for patients with critically uncontrollable hemorrhagic shock (CUHS). METHODS: Of 2,064 patients treated for PF, 13 underwent IABO during initial resuscitation to control massive pelvic bleeding leading to CUHS. Our IABO procedure consists of internal aortic occlusion without fluoroscopy, using a latex balloon inflated in the infrarenal aorta. Retrospectively collected data included demographics, fracture classification, additional injuries, blood transfusions, surgical interventions, angiographic procedure, physiologic parameters, and survival. RESULTS: All balloons were successfully placed, and a significant increase in systolic blood pressure (70 mm Hg, p = 0.001) was observed immediately after IABO. Twelve of 13 patients became transferrable. Angiography performed after IABO was positive for arterial injury in 92% of patients, and 9 patients benefitted from arterial embolization. Survival rate was 46% (6 of 13) and was inversely related to the length of inflation (p = 0.026) and the mean Injury Severity Score (p = 0.011). CONCLUSION: This IABO procedure can be life saving in the management of patients with CUHS from PF, permitting transport to angiography. However, the decision for such treatment must be as quickly as possible after trauma to reduce the time of occlusion. |
| وصف الملف: | application/pdf |
| تدمد: | 0022-5282 1529-8809 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::242b3c73c9ba7ba3d47ee0d4ac827b87 https://doi.org/10.1097/ta.0b013e3181c40579 |
| حقوق: | EMBARGO |
| رقم الأكسشن: | edsair.doi.dedup.....242b3c73c9ba7ba3d47ee0d4ac827b87 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 00225282 15298809 |
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