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Grechenig, P; Hallmann, B; Eibinger, N; Koutp, A; Schroedter, R; Höfler, G; Puchwein, P.
Evaluation of the implementation of the minimally invasive emergency procedure REBOA via an open surgical approach in a teaching unit - a cadaveric study.
Arch Orthop Trauma Surg. 2025; 145(1): 200 Doi: 10.1007/s00402-025-05786-z
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Führende Autor*innen der Med Uni Graz
Grechenig Peter Franz
Co-Autor*innen der Med Uni Graz
Eibinger Nicolas
Hallmann Barbara
Höfler Gerald
Koutp Amir
Puchwein Paul
Schroedter René
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Abstract:
INTRODUCTION: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is an increasingly used trauma resuscitation procedure. The purpose of this study is to evaluate the open surgical technique in a cardiac arrest model. MATERIALS AND METHODS: Thirty-one fresh cadavers were included in the study. 46 times the open arterial cutdown for the emergency procedure REBOA were performed and evaluated by physicians from a level I. trauma center. RESULTS: For open arterial cutdown time from skin incision to blocking the balloon in averaged 340.6 s (SD: 136.6; range: 178-600) and the balloon was correctly positioned and blocked 37 times (80.4%; 37/46) and failed 9 times (19.6%; 9/46). CONCLUSIONS: This study vividly demonstrates that in patients in severe shock or cardiac arrest condition, the open surgical puncture for the implications of the REBOA catheter is a good and safe alternative to the percutaneous ultrasound-targeted technique. LEVEL OF EVIDENCE: Level V, Cadaveric Study.
Find related publications in this database (using NLM MeSH Indexing)
Humans - administration & dosage
Cadaver - administration & dosage
Resuscitation - education, methods
Balloon Occlusion - methods
Aorta - surgery
Endovascular Procedures - methods, education
Minimally Invasive Surgical Procedures - methods, education
Heart Arrest - surgery
Male - administration & dosage
Female - administration & dosage

Find related publications in this database (Keywords)
REBOA
resuscitative endovascular balloon occlusion of the aorta
emergency procedure
teaching unit
open arterial cutdown
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