Emerging Endovascular Therapies for Non-Compressible Torso Hemorrhage

Rachel M. Russo, Lucas P. Neff, Michael Johnson, Timothy K. Williams

Research output: Contribution to journalReview article

24 Scopus citations

Abstract

Management of non-compressible torso hemorrhage (NCTH) remains a challenge despite continued advancements in trauma resuscitation. Resuscitative thoracotomy with aortic cross-clamping and recent advances in endovascular aortic occlusion, including resuscitative endovascular occlusion of the aorta, have finite durations of therapy due to the inherent physiologic stressors that accompany complete occlusion. Here, we attempt to illuminate the current state of aortic occlusion for trauma resuscitation including explanation of the deleterious consequences of complete occlusion, potential methods and limitations of existing technology to overcome these consequences, and a description of innovative methods to improve the resuscitation of NCTH. By explaining the complexity and potential deleterious effects of resuscitation augmented with aortic occlusion, our goal is to provide practitioners with a real-world perspective on current endovascular technology and to encourage the continued innovation required to overcome existing obstacles.

Original languageEnglish (US)
Pages (from-to)12-19
Number of pages8
JournalShock
Volume46
Issue number3S
DOIs
StatePublished - Sep 1 2016

Keywords

  • Critical care
  • prehospital
  • REBOA
  • shock
  • trauma

ASJC Scopus subject areas

  • Emergency Medicine
  • Critical Care and Intensive Care Medicine

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