PMID- 30594315
OWN - NLM
STAT- MEDLINE
DCOM- 20190625
LR  - 20190625
IS  - 1879-0267 (Electronic)
IS  - 0020-1383 (Linking)
VI  - 50
IP  - 2
DP  - 2019 Feb
TI  - Migration of Aortic Occlusion Balloons in an in vitro model of the human 
      circulation.
PG  - 286-291
LID - S0020-1383(18)30760-5 [pii]
LID - 10.1016/j.injury.2018.12.026 [doi]
AB  - BACKGROUND: Aortic Occlusion Balloons (AOB) are used for hemorrhage control in 
      hemodynamically unstable patients. Stability of an AOB is essential for reliable 
      aortic occlusion. The primary aim of this study is to determine whether different 
      types of AOB migrate after total, intermittent or partial occlusion in a porcine 
      aorta positioned in an in vitro model. MATERIALS AND METHODS: A porcine thoracic 
      aortic section was positioned in a model of the human circulation. Primary and 
      secondary migration was tested in Cook Coda 2-9.0-35-120-32 and 2-10-35-140-46, 
      Cook Medical, USA; Rescue balloon Tokai RB-167080-E, Tokai Medical Products, 
      Japan; Reliant AB46, Medtronic, USA; Russian prototype AOB; ER-REBOA, Prytime 
      Medical Devices, USA; LeMaitre 28 and 45 Aortic Occlusion Catheter, LeMaitre 
      Vascular, USA. These AOB were tested in hypotensive, normotensive and 
      hypertensive scenarios. Migration in total occlusion, intermittent occlusion and 
      partial occlusion was recorded for all AOB. RESULTS: Limited primary migration 
      occurred in all AOB after total occlusion. The Cook Coda 2-9.0-35-120-32 balloon 
      showed maximal migration in 1 test cycle. No migration occurred during 
      intermittent occlusion. Kinking occurs in various degrees but does not seem to 
      prevent a successful occlusion of the aorta. No migration occurred during partial 
      occlusion except in the Russian prototype AOB. In a partial occlusion scenario, 
      distal perfusion occurred only with 5 ml remaining in all balloon types. 
      CONCLUSIONS: All AOB were successful in full aortic occlusion. Limited primary 
      migration occurred in all AOB after total occlusion only the Cook Coda 
      2-9.0-35-120-32 balloon showed maximal migration once. No migration occurred 
      during intermittent occlusion, during partial occlusion only the Russian 
      prototype AOB migrated. Stiffness and size of the catheter are important factors 
      in preventing migration and kinking.
CI  - Copyright (c) 2018 Elsevier Ltd. All rights reserved.
FAU - Borger van der Burg, B L S
AU  - Borger van der Burg BLS
AD  - Department of Surgery, Alrijne Hospital, Leiderdorp, the Netherlands. Electronic 
      address: blsborgervanderburg@alrijne.nl.
FAU - Van Schaik, J
AU  - Van Schaik J
AD  - Department of Surgery, Leiden University Medical Center, Leiden, the Netherlands.
FAU - Brouwers, J J W M
AU  - Brouwers JJWM
AD  - Department of Surgery, Leiden University Medical Center, Leiden, the Netherlands.
FAU - Wong, C Y
AU  - Wong CY
AD  - Department of Surgery, Alrijne Hospital, Leiderdorp, the Netherlands.
FAU - Rasmussen, T E
AU  - Rasmussen TE
AD  - Uniformed Services University, Bethesda, MD, United States.
FAU - Hamming, J F
AU  - Hamming JF
AD  - Department of Surgery, Leiden University Medical Center, Leiden, the Netherlands.
FAU - Hoencamp, R
AU  - Hoencamp R
AD  - Department of Surgery, Alrijne Hospital, Leiderdorp, the Netherlands; Department 
      of Surgery, Leiden University Medical Center, Leiden, the Netherlands; Defense 
      Healthcare Organization, Ministry of Defense, Utrecht, the Netherlands.
LA  - eng
PT  - Journal Article
DEP - 20181219
PL  - Netherlands
TA  - Injury
JT  - Injury
JID - 0226040
SB  - IM
MH  - Animals
MH  - Aorta, Thoracic/anatomy & histology/*pathology
MH  - Balloon Occlusion/*adverse effects/instrumentation
MH  - Disease Models, Animal
MH  - *Foreign-Body Migration/prevention & control
MH  - Hemorrhage/*prevention & control
MH  - Humans
MH  - In Vitro Techniques
MH  - Male
MH  - Materials Testing/*methods
MH  - Swine
OTO - NOTNLM
OT  - Aortic occlusion balloon
OT  - Migration
OT  - Model
OT  - REBOA
EDAT- 2018/12/31 06:00
MHDA- 2019/06/27 06:00
CRDT- 2018/12/31 06:00
PHST- 2018/09/22 00:00 [received]
PHST- 2018/11/17 00:00 [revised]
PHST- 2018/12/18 00:00 [accepted]
PHST- 2018/12/31 06:00 [pubmed]
PHST- 2019/06/27 06:00 [medline]
PHST- 2018/12/31 06:00 [entrez]
AID - S0020-1383(18)30760-5 [pii]
AID - 10.1016/j.injury.2018.12.026 [doi]
PST - ppublish
SO  - Injury. 2019 Feb;50(2):286-291. doi: 10.1016/j.injury.2018.12.026. Epub 2018 Dec 
      19.