Aortic Occlusion
Conditions
Brief summary
Aortic occlusion (AO) for trauma has traditionally been accomplished by supra-diaphragmatic clamping of the descending thoracic aorta via emergent thoracotomy or as an initial step during laparotomy.
Detailed description
An evolution in endovascular technologies, however, has provided additional means by which to achieve AO. Expanding experience with the utilization of balloon occlusion in the setting of abdominal aortic rupture due to chronic vascular disease has demonstrated the potential of these new technologies. Discussion of the employment of endovascular AO in the realm of trauma has led to the description of this approach and the demonstration of its effectiveness in animal models of severe hemorrhage. The purpose of the present study is to prospectively examine the modern utilization of AO in the acute resuscitation of trauma and acute care surgery patients in shock.
Interventions
PROCEDUREutilization of AO in the acute resuscitation of trauma and acute care surgery patients in shock.
AO to facilitate the acute resuscitation of trauma and acute care surgery patients in shock.
Sponsors
Methodist Health System
Study design
Observational model
CASE_ONLY
Time perspective
OTHER
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Inclusion criteria
* All adult (age ≥ 18 years) trauma and acute care surgery patients treated with resuscitative AO (via open or endovascular means) in the acute phases after injury * Transient or refractory hypotension (systolic blood pressure \<90mmHg) with a positive abdominal focused abdominal sonography in trauma (FAST) scan, severe pelvic fracture(s), or neither with persistent hypotension without obvious source * Chest x-ray without evidence of thoracic aortic injury * Subject treatment includes internal aortic cross-clamp or would have likely benefited from an internal aortic cross-clamp
Exclusion criteria
* Subject \< 18 years of age * Prisoner * Evidence of cardiac, thoracic aortic, or great vessel injury identified in primary survey, FAST scan, and/or x-rays * Any open/exsanguinating upper extremity wound
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Demographics | 01 July 2015 through 31st December 2024 | Age in years |
| Demographics- Gender | 01 July 2015 through 31st December 2024 | Male or Female |
| Demographics-Height | 01 July 2015 through 31st December 2024 | Height measured in Inches |
| Demographics- Weight | 01 July 2015 through 31st December 2024 | Weight measured in pounds |
| Injury Data | 01 July 2015 through 31st December 2024 | Mechanism classification - Penetrating, Blunt or Non-trauma Hemorrhage |
| Injury Mechanism Type | 01 July 2015 through 31st December 2024 | Gunshot wound, Motor vehicle accident, stab wound, fall |
| Body Region | 01 July 2015 through 31st December 2024 | Head/Neck, Chest, Abdomen, pelvis or Extremities |
Countries
United States
Outcome results
None listed