1
|
Campagna GA, Cunningham ME, Hernandez JA, Chau A, Vogel AM, Naik-Mathuria BJ. The utility and promise of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in the pediatric population: An evidence-based review. J Pediatr Surg 2020; 55:2128-2133. [PMID: 32061369 DOI: 10.1016/j.jpedsurg.2020.01.052] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/07/2019] [Revised: 12/17/2019] [Accepted: 01/24/2020] [Indexed: 11/18/2022]
Abstract
Hemorrhage is the main cause of preventable death in both military and civilian trauma, and many of these patients die from non-compressible torso injuries. Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a minimally invasive method used for hemodynamic control of the hemorrhaging patient and has been compared to resuscitative thoracotomy (RT) with cross clamping of the aorta. REBOA has received a great deal of attention in recent years for its applicability and promise in adult trauma and non-trauma settings, but its utility in children is mostly unknown. The purpose of this review article is to summarize and consolidate what is currently known about the use of REBOA in children. Some of the challenges in implementing REBOA in children include small vascular anatomy and lack of outcomes data. Although the evidence is limited, there are established instances in the literature of children and adolescents who have undergone endovascular occlusion of the aorta for hemorrhage control with positive outcomes and survival rates equivalent to their adult counterparts. There is a need for further formal evaluation of REBOA in pediatric patients with prospective studies to look at the safety, feasibility and efficacy of the technique. STUDY TYPE: Narrative Literature Review LEVEL OF EVIDENCE: IV.
Collapse
Affiliation(s)
- Giovanni A Campagna
- Baylor College of Medicine, School of Medicine, 1 Baylor Plaza, Houston, TX, 77030, USA
| | - Megan E Cunningham
- Texas Children's Hospital, Michael E. DeBakey Department of Surgery, Division of Pediatric Surgery, 6701 Fannin St, Houston, TX, 77030, USA
| | - Jose A Hernandez
- Texas Children's Hospital, Department of Radiology, Division of Pediatric Interventional Radiology, 6701 Fannin St, Houston, TX, 77030, USA
| | - Alex Chau
- Texas Children's Hospital, Department of Radiology, Division of Pediatric Interventional Radiology, 6701 Fannin St, Houston, TX, 77030, USA
| | - Adam M Vogel
- Texas Children's Hospital, Michael E. DeBakey Department of Surgery, Division of Pediatric Surgery, 6701 Fannin St, Houston, TX, 77030, USA
| | - Bindi J Naik-Mathuria
- Texas Children's Hospital, Michael E. DeBakey Department of Surgery, Division of Pediatric Surgery, 6701 Fannin St, Houston, TX, 77030, USA.
| |
Collapse
|
2
|
Heo Y, Chang SW, Kim DH. Successful Damage Control Resuscitation with Resuscitative Endovascular Balloon Occlusion of the Aorta in a Pediatric Patient. JOURNAL OF TRAUMA AND INJURY 2020. [DOI: 10.20408/jti.2020.0012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
|
3
|
Gandolfo F. eReply. Re: Efforts to further enhance the safety of sternal re-opening in the paediatric age group. Interact Cardiovasc Thorac Surg 2013. [DOI: 10.1093/icvts/ivt202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
|
4
|
Assar O, Motamedi MK, Saleh DK. eComment. Balloon catheters in cardiac surgery. Interact Cardiovasc Thorac Surg 2013; 17:217-8. [PMID: 23785094 DOI: 10.1093/icvts/ivt190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- Omid Assar
- Atherosclerosis Research Center, Baqiyatallah University of Medical Science, Tehran, Iran
| | | | | |
Collapse
|
5
|
Ozyuksel A, Canturk E, Akcevin A, Turkoglu H. eComment. Efforts to further enhance the safety of sternal re-opening in the paediatric age group. Interact Cardiovasc Thorac Surg 2013; 17:218; discussion 218. [PMID: 23785095 DOI: 10.1093/icvts/ivt188] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Arda Ozyuksel
- Department of Cardiovascular Surgery, Medipol University, Istanbul, Turkey
| | | | | | | |
Collapse
|