American journal of surgery · 2026
Non-compressible torso hemorrhage control with intravascular ultrasound guided resuscitative endovascular balloon occlusion.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Rogalska Anna Maria, Cuneo Micaela, Goei Christopher, Flinn Patterson Ashley, Rall Jason, Combs Stephanie S, Hart Theodore G, Causey Marlin Wayne
Аннотация
INTRODUCTION: We sought to determine the feasibility of REBOA placement under intravascular ultrasound (IVUS) guidance and to determine flow dynamics while undergoing aortic occlusion of non-compressible torso hemorrhage (NCTH) secondary to aortic branch vessel injury.
METHODS: Ten Sus scrofa swine underwent laparotomy to create an artificial arteriovenous shunt between a mesenteric vessel and the IVC to simulate ongoing hemorrhage with auto-resuscitation. An IVUS catheter was advanced to the level of injury. A full- or partial-REBOA was then deployed proximally under IVUS guidance. Continuous hemodynamic data were collected.
RESULTS: All devices were placed successfully using IVUS. Comparing full- and partial-REBOA, femoral pressures were decreased (34% vs. 95%), and carotid pressures were increased (276% vs. 144%). Shunt flow was 26% of baseline for full-REBOA and 75% for partial-REBOA.
CONCLUSION: Endovascular localization and treatment of hemorrhage has potential to advance combat casualty care through delivery of interventional approaches in a mobile technique with IVUS.
METHODS: Ten Sus scrofa swine underwent laparotomy to create an artificial arteriovenous shunt between a mesenteric vessel and the IVC to simulate ongoing hemorrhage with auto-resuscitation. An IVUS catheter was advanced to the level of injury. A full- or partial-REBOA was then deployed proximally under IVUS guidance. Continuous hemodynamic data were collected.
RESULTS: All devices were placed successfully using IVUS. Comparing full- and partial-REBOA, femoral pressures were decreased (34% vs. 95%), and carotid pressures were increased (276% vs. 144%). Shunt flow was 26% of baseline for full-REBOA and 75% for partial-REBOA.
CONCLUSION: Endovascular localization and treatment of hemorrhage has potential to advance combat casualty care through delivery of interventional approaches in a mobile technique with IVUS.