Endovascular Resuscitation
Endovascular Resuscitation - Related Videos
09:47
A Rat Model of Ventricular Fibrillation and Resuscitation by Conventional Closed-chest Technique
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Cited by 26 •
2015
This article describes a rat model of electrically-induced ventricular fibrillation and resuscitation by chest compression, ventilation, and delivery of electrical shocks that simulates an episode of sudden cardiac arrest and conventional cardiopulmonary resuscitation. The model enables gathering insights on the pathophysiology of cardiac arrest and exploration of new resuscitation strategies.
06:30
Complete and Partial Resuscitative Endovascular Balloon Occlusion of the Aorta for Hemorrhagic Shock
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Cited by 4 •
2022
A commercial catheter was designed to facilitate true partial resuscitative endovascular balloon occlusion of the aorta (REBOA) and address the complications associated with complete aortic occlusion. Initial clinical reports indicate that partial REBOA improves transition to reperfusion, reduction of distal ischemia, and extension of safe occlusion time compared to complete occlusion.
08:51
A New Murine Model of Endovascular Aortic Aneurysm Repair
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Cited by 3 •
2013
Histological and biochemical modifications after aneurysm endograft exclusion are still unclear. We describe a new model of endograft implantation on a murine aneurysm. Through thrombus analysis with and without persistant circulating blood stream interface, and new endovascular biomaterials evaluation, this model will help to better understand endovascular aneurysm exclusion pathobiology.
10:25
Normothermic Cardiac Arrest and Cardiopulmonary Resuscitation: A Mouse Model of Ischemia-Reperfusion Injury
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Cited by 20 •
2011
A powerful model for perioperative and critical care related acute kidney injury is presented. Using whole body hypoperfusion induced by cardiac arrest it is possible to nearly replicate the histologic and functional changes of clinical AKI.
08:08
Simulator Training for Endovascular Neurosurgery
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Cited by 3 •
2020
Simulation of complex, high-risk procedures is critical to the education of medical trainees. A protocol for simulator-based endovascular neurosurgery training in a controlled academic environment is described. The protocol includes stepwise guidelines for trainees of varying levels, with a discussion of the advantages and limitations of this model.
FAQs
During REBOA, the balloon is positioned above the bleeding site and inflated to reduce blood flow toward the injured region. This redistribution helps preserve circulation to the heart and brain while limiting ongoing distal hemorrhage. The benefit depends on maintaining the balloon position and using occlusion only as a temporary bridge.
Occlusion can reduce blood flow to tissues downstream from the balloon, creating a risk of ischemic complications if it continues too long. For that reason, clinicians must balance the need to support central circulation against the need to restore distal perfusion. Rapid balloon deflation is required once definitive hemorrhage control becomes possible.
The strategy is most relevant when severe internal bleeding occurs in a location that cannot be controlled effectively with external compression, especially in critically injured patients. Its value is greatest when temporary circulatory support is needed while clinicians move toward surgical or interventional treatment of the underlying hemorrhage.
Imaging helps clinicians guide and assess intravascular device placement, while continuous clinical monitoring helps evaluate the response to temporary aortic occlusion. These safeguards are important because the intervention must support pressure for the heart and brain without prolonging reduced distal flow. Decisions about maintaining or deflating the balloon therefore depend on both positioning and patient status.
The procedure begins with arterial access, followed by advancement of a balloon catheter through the vasculature into the aorta. Clinicians inflate the balloon above the hemorrhage to obtain temporary control, then continue monitoring while definitive surgical or interventional hemorrhage control is pursued. Balloon deflation must occur rapidly when ongoing occlusion is no longer necessary.
It functions as a bridge rather than a final treatment. By temporarily reducing blood flow below the occlusion site, the approach may stabilize circulation long enough for surgical or interventional teams to address the bleeding source. This makes timing central: the device supports resuscitation only until definitive control can be achieved.
Endovascular resuscitation addresses the challenge of managing critically injured patients with noncompressible torso hemorrhage, where bleeding may be difficult to control immediately. Its use combines intravascular device placement, circulatory support, imaging, and close monitoring. The intended outcome is temporary stabilization while clinicians establish more durable control of internal bleeding.