Novel interventions for non-compressible torso hemorrhage: Secondary considerations in consequences of aortic occlusion

Alicia M. Bonanno, James D. Ross

Research output: Contribution to journalArticlepeer-review

Abstract

Non-compressible torso hemorrhage in trauma remains a leading cause of death in austere environments. Advance-ments for treatment include resuscitative endovascular balloon occlusion of the aorta (REBOA), selective aortic arch perfusion (SAAP), and external compression approaches (junctional tourniquets and abdominal aortic tourniquets), which have provided several promising avenues. However, the application of these devices carries the risk of distal ischemia and the consequences associated with reperfusion injury. This review aims to look at these novel interventions and the physiologic burden associated with them. Following a review of these new advents, we will evaluate the possible solutions to reverse the physiologic penalties.

Original languageEnglish (US)
Pages (from-to)103-110
Number of pages8
JournalJournal of Endovascular Resuscitation and Trauma Management
Volume2
Issue number3
DOIs
StatePublished - 2018

Keywords

  • Cytosorbants
  • Junctional Tourniquets
  • Non-Compressible Torso Hemorrhage
  • REBOA
  • Selective Aortic Arch Perfusion

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine
  • Emergency Medicine
  • Surgery

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