A comparison of Selective Aortic Arch Perfusion and Resuscitative Endovascular Balloon Occlusion of the Aorta for the management of hemorrhage-induced traumatic cardiac arrest: A translational model in large swine

Creator

Barnard, Ed B. G.
- Other Affiliation: Air Force Trauma and Resuscitation Research Program; Joint Base San Antonio-Lackland
Manning, James E.
- Affiliation: School of Medicine, Department of Emergency Medicine
Smith, Jason E.
- Other Affiliation: Emergency Department; Derriford Hospital
Rall, Jason M.
- ORCID: 0000-0001-7538-2099
- Other Affiliation: Air Force Trauma and Resuscitation Research Program; Joint Base San Antonio-Lackland
Cox, Jennifer M.
- Other Affiliation: Air Force Trauma and Resuscitation Research Program; Joint Base San Antonio-Lackland
Ross, James D.
- Other Affiliation: Air Force Trauma and Resuscitation Research Program; Joint Base San Antonio-Lackland

Abstract

Survival rates remain low after hemorrhage-induced traumatic cardiac arrest (TCA). Noncompressible torso hemorrhage (NCTH) is a major cause of potentially survivable trauma death. Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) at the thoracic aorta (Zone 1) can limit subdiaphragmatic blood loss and allow for IV fluid resuscitation when intrinsic cardiac activity is still present. Selective Aortic Arch Perfusion (SAAP) combines thoracic aortic balloon hemorrhage control with intra-aortic oxygenated perfusion to achieve return of spontaneous circulation (ROSC) when cardiac arrest has occurred.

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