Resuscitative endovascular balloon occlusion of the aorta during non-ST elevation myocardial infarction: A case report

Eleanor E. Curtis, Rachel M. Russo, Eric Nordsieck, Michael Johnson, Timothy K. Williams, Lucas P. Neff, Lisa Hile, Joseph M Galante, Joseph J. Dubose

Research output: Contribution to journalArticle

Abstract

Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a hemorrhage control technique that is increasingly being adopted for the management of noncompressible bleeding. In addition to limiting hemorrhage, REBOA increases blood flow to the heart, lungs, and brain. A small number of case reports and animal studies describe the use of REBOA to increase coronary perfusion during cardiopulmonary resuscitation. We report a case in which REBOA may have reversed ST-segment abnormalities during a Type II non-ST elevation myocardial infarction (NSTEMI) in a patient with previous trauma. We describe the presentation, course, and decision making that contributed to the use of REBOA in this case. Additionally, we will present a review of the literature on the effects of REBOA on coronary perfusion.

Original languageEnglish (US)
JournalTrauma (United Kingdom)
DOIs
StateAccepted/In press - Jan 1 2018

    Fingerprint

Keywords

  • ACLS
  • aortic balloon
  • cardiac arrest
  • REBOA

ASJC Scopus subject areas

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

Cite this