Place the Sheath: Emergent 7 French Femoral Sheath Placement is Low Risk During Initial Trauma Resuscitation

Background: We hypothesized that emergent placement of 7 French (Fr) common femoral artery (CFA) sheaths during trauma resuscitation for potential resuscitative endovascular balloon occlusion of the aorta (REBOA) carries a low complication rate. Methods: Trauma patients at a Level I trauma center wi...

Full description

Saved in:
Bibliographic Details
Published in:Journal of Endovascular Resuscitation and Trauma Management 2023-01, Vol.6 (3), p.127-133
Main Authors: Cralley, Alexis L, DeBot, Margot, Hadley, Jamie, Pieracci, Fredric, Platnick, Barry K, Campion, Eric, Moore, Ernest E, Cohen, Mitchell J, Fox, Charles J, Lawless, Ryan A
Format: Article
Language:English
Subjects:
Emergent Common Femoral Artery Access
Endovascular Resuscitation Complications
Resuscitative Endovascular Balloon Occlusion of the Aorta
Trauma Resuscitation
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites
container_end_page 133
container_issue 3
container_start_page 127
container_title Journal of Endovascular Resuscitation and Trauma Management
container_volume 6
creator Cralley, Alexis L
DeBot, Margot
Hadley, Jamie
Pieracci, Fredric
Platnick, Barry K
Campion, Eric
Moore, Ernest E
Cohen, Mitchell J
Fox, Charles J
Lawless, Ryan A
description Background: We hypothesized that emergent placement of 7 French (Fr) common femoral artery (CFA) sheaths during trauma resuscitation for potential resuscitative endovascular balloon occlusion of the aorta (REBOA) carries a low complication rate. Methods: Trauma patients at a Level I trauma center with emergent CFA access from January 2016 through to December 2020 were reviewed. CFA access was categorized as (1) 7 Fr sheath plus REBOA (REBOA) and (2) 7 Fr sheathwithout REBOA (Sheath). Outcomes included mortality and vascular complications.  Results: 157 patients underwent emergent CFA access. Sixty-nine (43.9%) patients had a 7 Fr CFA sheath, and 88 (56.1%) progressed to REBOA. The mortality rate was similar (Sheath 30.4% vs. REBOA 34.1%, p = 0.63). The REBOA cohort had a significantly higher complication rate (22.7%) compared to the Sheath cohort (4.3%, p = 0.001). Conclusions: Emergent 7 Fr CFA sheath placement during trauma resuscitation is low risk, suggesting empiric sheath placement is warranted in potential REBOA candidates.
doi_str_mv 10.26676/jevtm.269
format article
fullrecord <record><control><sourceid>publicera_doaj_</sourceid><recordid>TN_cdi_crossref_primary_10_26676_jevtm_269</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_ce883ee69c01480b90d992501d5693e6</doaj_id><sourcerecordid>article/16480</sourcerecordid><originalsourceid>FETCH-LOGICAL-c288t-fc04879aafe158d784c9173df6513102653ece52fbce315fec94c011bc49fb633</originalsourceid><addsrcrecordid>eNpNkF1LwzAUhosoOOZu_AW5E4Rq0rRp451Mp4OBMid4F9L0dE3tx0hSxX9v7MbwKm8Oz3kO5wTBJcE3EWMpu63hy7U-85NgEmFMw4Tyj9N_-TyYWVtj_6Uk4oxNgua1kQqQqwC9VSBddYceWzBb6BxK0cJApyq0gLY3sjkQaGxp_wht0ar_RmttP9HDYHS3RctOO-3ZjZFDK9Ea7GCVdtLpvrsIzkrZWJgd3mnwvnjczJ_D1cvTcn6_ClWUZS4sFY6zlEtZAkmyIs1ixUlKi5IlhBIcsYSCgiQqcwWUJCUoHitMSK5iXuaM0mmw3HuLXtZiZ3QrzY_opRZjoTdbIY3TqgGhIMsoAONeEGc457jgPEowKRLGKTDvut67lOmtNVAefQSL8exiPLvP3MNXe3g35I1WYKSo-8F0ftnjRML8HPoL1-aEKw</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Place the Sheath: Emergent 7 French Femoral Sheath Placement is Low Risk During Initial Trauma Resuscitation</title><source>Directory of Open Access Journals (Open Access)</source><creator>Cralley, Alexis L ; DeBot, Margot ; Hadley, Jamie ; Pieracci, Fredric ; Platnick, Barry K ; Campion, Eric ; Moore, Ernest E ; Cohen, Mitchell J ; Fox, Charles J ; Lawless, Ryan A</creator><creatorcontrib>Cralley, Alexis L ; DeBot, Margot ; Hadley, Jamie ; Pieracci, Fredric ; Platnick, Barry K ; Campion, Eric ; Moore, Ernest E ; Cohen, Mitchell J ; Fox, Charles J ; Lawless, Ryan A</creatorcontrib><description>Background: We hypothesized that emergent placement of 7 French (Fr) common femoral artery (CFA) sheaths during trauma resuscitation for potential resuscitative endovascular balloon occlusion of the aorta (REBOA) carries a low complication rate. Methods: Trauma patients at a Level I trauma center with emergent CFA access from January 2016 through to December 2020 were reviewed. CFA access was categorized as (1) 7 Fr sheath plus REBOA (REBOA) and (2) 7 Fr sheathwithout REBOA (Sheath). Outcomes included mortality and vascular complications.  Results: 157 patients underwent emergent CFA access. Sixty-nine (43.9%) patients had a 7 Fr CFA sheath, and 88 (56.1%) progressed to REBOA. The mortality rate was similar (Sheath 30.4% vs. REBOA 34.1%, p = 0.63). The REBOA cohort had a significantly higher complication rate (22.7%) compared to the Sheath cohort (4.3%, p = 0.001). Conclusions: Emergent 7 Fr CFA sheath placement during trauma resuscitation is low risk, suggesting empiric sheath placement is warranted in potential REBOA candidates.</description><identifier>ISSN: 2003-539X</identifier><identifier>ISSN: 2002-7567</identifier><identifier>EISSN: 2003-539X</identifier><identifier>DOI: 10.26676/jevtm.269</identifier><language>eng</language><publisher>Universitetssjukhuset Örebro</publisher><subject>Emergent Common Femoral Artery Access ; Endovascular Resuscitation Complications ; Resuscitative Endovascular Balloon Occlusion of the Aorta ; Trauma Resuscitation</subject><ispartof>Journal of Endovascular Resuscitation and Trauma Management, 2023-01, Vol.6 (3), p.127-133</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,864,27924,27925</link.rule.ids></links><search><creatorcontrib>Cralley, Alexis L</creatorcontrib><creatorcontrib>DeBot, Margot</creatorcontrib><creatorcontrib>Hadley, Jamie</creatorcontrib><creatorcontrib>Pieracci, Fredric</creatorcontrib><creatorcontrib>Platnick, Barry K</creatorcontrib><creatorcontrib>Campion, Eric</creatorcontrib><creatorcontrib>Moore, Ernest E</creatorcontrib><creatorcontrib>Cohen, Mitchell J</creatorcontrib><creatorcontrib>Fox, Charles J</creatorcontrib><creatorcontrib>Lawless, Ryan A</creatorcontrib><title>Place the Sheath: Emergent 7 French Femoral Sheath Placement is Low Risk During Initial Trauma Resuscitation</title><title>Journal of Endovascular Resuscitation and Trauma Management</title><description>Background: We hypothesized that emergent placement of 7 French (Fr) common femoral artery (CFA) sheaths during trauma resuscitation for potential resuscitative endovascular balloon occlusion of the aorta (REBOA) carries a low complication rate. Methods: Trauma patients at a Level I trauma center with emergent CFA access from January 2016 through to December 2020 were reviewed. CFA access was categorized as (1) 7 Fr sheath plus REBOA (REBOA) and (2) 7 Fr sheathwithout REBOA (Sheath). Outcomes included mortality and vascular complications.  Results: 157 patients underwent emergent CFA access. Sixty-nine (43.9%) patients had a 7 Fr CFA sheath, and 88 (56.1%) progressed to REBOA. The mortality rate was similar (Sheath 30.4% vs. REBOA 34.1%, p = 0.63). The REBOA cohort had a significantly higher complication rate (22.7%) compared to the Sheath cohort (4.3%, p = 0.001). Conclusions: Emergent 7 Fr CFA sheath placement during trauma resuscitation is low risk, suggesting empiric sheath placement is warranted in potential REBOA candidates.</description><subject>Emergent Common Femoral Artery Access</subject><subject>Endovascular Resuscitation Complications</subject><subject>Resuscitative Endovascular Balloon Occlusion of the Aorta</subject><subject>Trauma Resuscitation</subject><issn>2003-539X</issn><issn>2002-7567</issn><issn>2003-539X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNpNkF1LwzAUhosoOOZu_AW5E4Rq0rRp451Mp4OBMid4F9L0dE3tx0hSxX9v7MbwKm8Oz3kO5wTBJcE3EWMpu63hy7U-85NgEmFMw4Tyj9N_-TyYWVtj_6Uk4oxNgua1kQqQqwC9VSBddYceWzBb6BxK0cJApyq0gLY3sjkQaGxp_wht0ar_RmttP9HDYHS3RctOO-3ZjZFDK9Ea7GCVdtLpvrsIzkrZWJgd3mnwvnjczJ_D1cvTcn6_ClWUZS4sFY6zlEtZAkmyIs1ixUlKi5IlhBIcsYSCgiQqcwWUJCUoHitMSK5iXuaM0mmw3HuLXtZiZ3QrzY_opRZjoTdbIY3TqgGhIMsoAONeEGc457jgPEowKRLGKTDvut67lOmtNVAefQSL8exiPLvP3MNXe3g35I1WYKSo-8F0ftnjRML8HPoL1-aEKw</recordid><startdate>20230120</startdate><enddate>20230120</enddate><creator>Cralley, Alexis L</creator><creator>DeBot, Margot</creator><creator>Hadley, Jamie</creator><creator>Pieracci, Fredric</creator><creator>Platnick, Barry K</creator><creator>Campion, Eric</creator><creator>Moore, Ernest E</creator><creator>Cohen, Mitchell J</creator><creator>Fox, Charles J</creator><creator>Lawless, Ryan A</creator><general>Universitetssjukhuset Örebro</general><general>Örebro University</general><scope>IEMAZ</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>DOA</scope></search><sort><creationdate>20230120</creationdate><title>Place the Sheath: Emergent 7 French Femoral Sheath Placement is Low Risk During Initial Trauma Resuscitation</title><author>Cralley, Alexis L ; DeBot, Margot ; Hadley, Jamie ; Pieracci, Fredric ; Platnick, Barry K ; Campion, Eric ; Moore, Ernest E ; Cohen, Mitchell J ; Fox, Charles J ; Lawless, Ryan A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c288t-fc04879aafe158d784c9173df6513102653ece52fbce315fec94c011bc49fb633</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Emergent Common Femoral Artery Access</topic><topic>Endovascular Resuscitation Complications</topic><topic>Resuscitative Endovascular Balloon Occlusion of the Aorta</topic><topic>Trauma Resuscitation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cralley, Alexis L</creatorcontrib><creatorcontrib>DeBot, Margot</creatorcontrib><creatorcontrib>Hadley, Jamie</creatorcontrib><creatorcontrib>Pieracci, Fredric</creatorcontrib><creatorcontrib>Platnick, Barry K</creatorcontrib><creatorcontrib>Campion, Eric</creatorcontrib><creatorcontrib>Moore, Ernest E</creatorcontrib><creatorcontrib>Cohen, Mitchell J</creatorcontrib><creatorcontrib>Fox, Charles J</creatorcontrib><creatorcontrib>Lawless, Ryan A</creatorcontrib><collection>Publicera OA Journals</collection><collection>CrossRef</collection><collection>Directory of Open Access Journals (Open Access)</collection><jtitle>Journal of Endovascular Resuscitation and Trauma Management</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cralley, Alexis L</au><au>DeBot, Margot</au><au>Hadley, Jamie</au><au>Pieracci, Fredric</au><au>Platnick, Barry K</au><au>Campion, Eric</au><au>Moore, Ernest E</au><au>Cohen, Mitchell J</au><au>Fox, Charles J</au><au>Lawless, Ryan A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Place the Sheath: Emergent 7 French Femoral Sheath Placement is Low Risk During Initial Trauma Resuscitation</atitle><jtitle>Journal of Endovascular Resuscitation and Trauma Management</jtitle><date>2023-01-20</date><risdate>2023</risdate><volume>6</volume><issue>3</issue><spage>127</spage><epage>133</epage><pages>127-133</pages><issn>2003-539X</issn><issn>2002-7567</issn><eissn>2003-539X</eissn><abstract>Background: We hypothesized that emergent placement of 7 French (Fr) common femoral artery (CFA) sheaths during trauma resuscitation for potential resuscitative endovascular balloon occlusion of the aorta (REBOA) carries a low complication rate. Methods: Trauma patients at a Level I trauma center with emergent CFA access from January 2016 through to December 2020 were reviewed. CFA access was categorized as (1) 7 Fr sheath plus REBOA (REBOA) and (2) 7 Fr sheathwithout REBOA (Sheath). Outcomes included mortality and vascular complications.  Results: 157 patients underwent emergent CFA access. Sixty-nine (43.9%) patients had a 7 Fr CFA sheath, and 88 (56.1%) progressed to REBOA. The mortality rate was similar (Sheath 30.4% vs. REBOA 34.1%, p = 0.63). The REBOA cohort had a significantly higher complication rate (22.7%) compared to the Sheath cohort (4.3%, p = 0.001). Conclusions: Emergent 7 Fr CFA sheath placement during trauma resuscitation is low risk, suggesting empiric sheath placement is warranted in potential REBOA candidates.</abstract><pub>Universitetssjukhuset Örebro</pub><doi>10.26676/jevtm.269</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 2003-539X
ispartof Journal of Endovascular Resuscitation and Trauma Management, 2023-01, Vol.6 (3), p.127-133
issn 2003-539X
2002-7567
2003-539X
language eng
recordid cdi_crossref_primary_10_26676_jevtm_269
source Directory of Open Access Journals (Open Access)
subjects Emergent Common Femoral Artery Access
Endovascular Resuscitation Complications
Resuscitative Endovascular Balloon Occlusion of the Aorta
Trauma Resuscitation
title Place the Sheath: Emergent 7 French Femoral Sheath Placement is Low Risk During Initial Trauma Resuscitation
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-26T20%3A42%3A29IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-publicera_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Place%20the%20Sheath:%20Emergent%207%20French%20Femoral%20Sheath%20Placement%20is%20Low%20Risk%20During%20Initial%20Trauma%20Resuscitation&rft.jtitle=Journal%20of%20Endovascular%20Resuscitation%20and%20Trauma%20Management&rft.au=Cralley,%20Alexis%20L&rft.date=2023-01-20&rft.volume=6&rft.issue=3&rft.spage=127&rft.epage=133&rft.pages=127-133&rft.issn=2003-539X&rft.eissn=2003-539X&rft_id=info:doi/10.26676/jevtm.269&rft_dat=%3Cpublicera_doaj_%3Earticle/16480%3C/publicera_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c288t-fc04879aafe158d784c9173df6513102653ece52fbce315fec94c011bc49fb633%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_id=info:pmid/&rfr_iscdi=true