Available balloon occlusion. Medical search. Frequent questions

Notably, these responses are most apparent with more proximal zone I occlusion vs. zone III occlusion. (openanesthesia.org)
This study was performed to evaluate the safety and feasibility of a novel approach combining proximal balloon occlusion and distal aspiration to prevent distal thrombembolic complications. (bmj.com)
Methods Patients with ischemic stroke meeting the following inclusion criteria were eligible: occlusion in the anterior circulation, neurothrombectomy using a balloon catheter for proximal flow arrest, and an intermediate catheter for distal aspiration. (bmj.com)
Conclusions A combination of proximal internal carotid artery occlusion using a balloon catheter and distal aspiration through an intermediate catheter represents a safe and efficient adjunct to mechanical thrombectomy with stent retrievers. (bmj.com)
Univariate analysis revealed that proximal level of balloon occlusion, intratumoral lower CT values immediately after treatment and BO-CTHA findings were significantly correlated with poor TE (p = 0.034, 0.037, and 0.003, respectively). (springeropen.com)
The method involves angiographic placement of permanent balloons or coils in the carotid siphon region proximal to the ophthalmic artery. (medscape.com)
In one series, 22 patients were treated by placing 2 permanent balloons just proximal to the ophthalmic artery and embolizing the internal carotid artery (ICA) down to the level of the carotid bifurcation with liquid biological adhesive (Histoacryl). (medscape.com)
A randomized porcine study of hemorrhagic shock comparing end-tidal carbon dioxide targeted and proximal systolic blood pressure targeted partial resuscitative endovascular balloon occlusion of the aorta in the mitigation of metabolic injury. (oru.se)
To reduce the potential for vessel damage the inflated diameter of the Peripheral Cutting Balloon Device should not exceed a 1.1:1 ratio of the diameter of the vessel just proximal and distal to the stenosis. (bostonscientific.com)

Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a minimally invasive procedure performed during resuscitation of critically injured trauma patients. (wikipedia.org)
REBOA is performed by gaining access to the common femoral artery and inserting a small endovascular catheter with an inflatable balloon within the aorta. (wikipedia.org)
The adjustable catheter design of the REBOA device allows for variable positioning of the occluding balloon within the aorta based on the suspected source of bleeding. (wikipedia.org)
This case report describes resuscitative endovascular balloon occlusion (REBOA) of the aorta in a patient with life-threatening iatrogenic bleeding of the right common iliac artery during elective dorsal lumbar spine surgery. (frontiersin.org)
REBOA is an emergency procedure for temporary intra-aortic balloon occlusion being increasingly reported and published since its inauguration in 1954. (frontiersin.org)
In case of ongoing CPR, we recommend surgical groin incision, open puncture of the pulseless common femoral artery, and aortic balloon inflation in REBOA zone I. Hereby, fast access and CPR optimization for heart and brain perfusion are maintained. (frontiersin.org)
Resuscitative endovascular balloon occlusion of the aorta (REBOA) is an emergency procedure for temporary intra-aortic balloon occlusion being increasingly reported and published since its inauguration by Hughes ( 1 ). (frontiersin.org)
Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a tool to temporarily halt exsanguination in trauma patients with noncompressible torso or pelvic injuries. (openanesthesia.org)
Anesthesiologists may play a critical role during the deflation phase of the REBOA balloon. (openanesthesia.org)
REBOA involves inserting a balloon catheter through the femoral artery and advancing it to the aorta, where the balloon is typically inflated under fluoroscopic guidance in specific zones (see below) depending on the type of injury (Figure 1 and Table 1). (openanesthesia.org)
Resuscitative endovascular balloon occlusion of the aorta (REBOA) as an adjunct for hemorrhagic shock. (openanesthesia.org)
The American Association for the Surgery of Trauma's Aortic Occlusion for Resuscitation in Trauma and Acute Care Surgery (AORTA) registry recently compared the effectiveness of REBOA to open aortic occlusion (AO) in 114 patients across 8 trauma centers. (openanesthesia.org)
Background: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a hemorrhage control and resuscitative adjunct that has been demonstrated to improve central perfusion during hemorrhagic shock. (usuhs.edu)
Materials and methods: Anesthetized female Yorkshire swine (Sus scrofa, weight 70-90 kg) underwent a 35% blood volume-controlled hemorrhage followed by thoracic aortic balloon occlusion of 30 (30-REBOA, n = 6), 60 (60-REBOA, n = 8), and 90 min (90-REBOA, n = 6). (usuhs.edu)
There was a trend toward greater vasopressor use (P = 0.183) and increased incidence of acute respiratory distress syndrome (P = 0.052) across the groups.Background: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a hemorrhage control and resuscitative adjunct that has been demonstrated to improve central perfusion during hemorrhagic shock. (usuhs.edu)
Although resuscitative endovascular balloon occlusion of the aorta (REBOA) in various clinical settings was found to successfully elevate central blood pressure in hemorrhagic shock, this intervention is associated with high mortality and may represent a last-ditch option for trauma patients. (biomedcentral.com)
0.01) and the total occlusion time of REBOA was 80 ± 48 min. (biomedcentral.com)
Strong positive correlations were found between total occlusion time of REBOA and lactate concentration (Spearman's r =0.77), clinical Rockwall score (Spearman's r =0.80), and age (Spearman's r =0.88), respectively. (biomedcentral.com)
Correlations between total occlusion time and high lactate levels, clinical Rockall score, and age may be important for successful use of REBOA. (biomedcentral.com)
Retrograde endovascular balloon occlusion of the aorta (REBOA). (bmj.com)
Resuscitative endovascular balloon occlusion of the aorta (REBOA) is advocated for hemorrhage control in pelvic fracture patients in shock. (nih.gov)
He is leading various project on tools for bleeding management and resuscitation, as well as heading up research and clinical practice on aortic balloon occlusion (REBOA). (oru.se)
A porcine study of ultrasound-guided versus fluoroscopy-guided placement of endovascular balloons in the inferior vena cava (REBOVC) and the aorta (REBOA). (oru.se)

The angiographic follow-up outcomes showed that the SAC group had a higher complete occlusion rate and lower recurrence rate (88.2 vs. 67.1%, 5.4 vs. 15.2%, P = 0.001). (frontiersin.org)
Simultaneously, previous studies indicated that the stent-assisted coiling (SAC) technique was associated with a higher complete occlusion rate and lower recurrence rate at follow-up compared with coiling alone (CA) in ruptured intracranial aneurysms ( 7 , 8 ). (frontiersin.org)

We compare outcomes of endo-aortic balloon occlusion (EABO) vs external aortic clamping (EAC) in patients undergoing minimally invasive mitral valve surgery (MIMVS) in the Society of Thoracic Surgeons (STS) Adult Cardiac Surgery Database. (bostonsp.com)

Resuscitative endovascular balloon occlusion of the aorta is an emergency procedure to control life-threatening hemorrhage. (frontiersin.org)
Resuscitative Endovascular Balloon Occlusion of the Aorta - teknik til kontrol af blødninger. (vingmed.dk)
Patients who suffer superior vena cava tears (SVC) during lead extraction are more likely to survive when treatment includes an endovascular occlusion balloon, a late-breaking trial study presented at the Heart Rhythm Society's 38th Annual Scientific Sessions (10‒13 May, Chicago, USA) found. (cardiacrhythmnews.com)
An endovascular balloon has the potential to save lives during complications. (cardiacrhythmnews.com)
The remaining 26 cases were managed with open surgery without endovascular occlusion, and 13 (50%) survived to discharge. (cardiacrhythmnews.com)
mean age, 66 years) with: 1) acute symptomatic ICA occlusion within 6 hours of symptom onset or with mismatch of symptoms and an early infarct area, 2) National Institutes of Health Stroke Scale (NIHSS) score of 6 or more, and 3) attempted endovascular revascularization of the occluded ICA. (ajnr.org)
Effect of Resuscitative Endovascular Balloon Occlusion of the Aorta Volume on Outcomes: Data From the AAST AORTA Registry. (bvsalud.org)
For patients in whom medical and exercise therapy fail or those who have claudication symptoms that are lifestyle-limiting, surgical treatment includes either open bypass surgery or endovascular therapy (eg, stents, balloons, or atherectomy devices). (medscape.com)

Upon successful catheter placement, an occluding balloon may be inflated either within the descending thoracic aorta (Zone 1) or infrarenal abdominal aorta (Zone 3). (wikipedia.org)
Upon inflation of the occluding balloon, blood flow across the descending aorta is either partially or completely obstructed which subsequently stanches downstream bleeding. (wikipedia.org)
The balloon partially or completely occludes the aorta. (openanesthesia.org)

Management of acute symptomatic internal carotid artery (ICA) occlusion remains controversial. (ajnr.org)
Compared with studies regarding the effect of middle cerebral artery (MCA) occlusion, 1 there have only been a few studies regarding the efficacy of revascularization in patients with symptomatic acute internal carotid artery (ICA) occlusion. (ajnr.org)

16 In addition, the management of patients with acute symptomatic carotid artery occlusion remains controversial, though the angiographic finding of ICA occlusion reveals a spectrum of ICA occlusions, as well as a tandem lesion in the intracranial artery in addition to the level (below or above the ophthalmic artery) and type (atherosclerotic or embolic) of lesion. (ajnr.org)
The image below depicts a superficial femoral artery occlusion. (medscape.com)
This angiogram shows a superficial femoral artery occlusion on one side (with reconstitution of the suprageniculate popliteal artery) and superficial femoral artery stenosis on the other side. (medscape.com)

Of the 65 patients in whom permanent occlusion was effected by detachable balloon, there were nine instances of delayed cerebral events. (thejns.org)
In an early study of this technique, all 8 patients who underwent preoperative permanent occlusion tolerated it without sequelae. (medscape.com)
None of the 22 patients had an immediate complication from the permanent occlusion, although 2 patients developed progressive hemiplegia that began 24 hours later. (medscape.com)

An upper extremity arterial line must be inserted as soon as possible to help monitor hemodynamics associated with balloon inflation. (openanesthesia.org)
Inflation of the balloon may result in a dramatic increase in mean arterial pressures. (openanesthesia.org)
To clarify the hemodynamic changes under balloon occlusion of the hepatic artery and to identify predictors of the short-term therapeutic effect (TE) after balloon-occluded transcatheter arterial chemoembolization using miriplatin (B-TACE) for hepatocellular carcinoma (HCC). (springeropen.com)
The aim of the present study was to reveal the relationship between changes of arterial flow in HCC nodules under balloon occlusion and local TE by means of CTHA. (springeropen.com)
Subsequent stent restenosis or occlusion may require repeat catheter-based treatments (including balloon dilatation) of the arterial segment containing the stent. (medtronic.com)
To compare oncological results and safety profile of balloon micro-catheter trans-arterial chemoembolization (B-TACE) and drug-eluting-microsphere (DEM-TACE) in patients with hepatocellular-carcinoma (HCC). (terumo-europe.com)
The US FDA has approved the first drug-coated balloon (DCB) for the treatment of peripheral arterial vascular disease, the Lutonix 035 Drug Coated Balloon Percutaneous Transluminal Angioplasty Catheter (Lutonix DCB). (medscape.com)

1.5/15 mm chronic total occlusion angioplasty balloon was used to reach lesion. (hindawi.com)

In addition, the Onyx Frontier™ zotarolimus-eluting coronary stent system is indicated for treating de novo chronic total occlusions and non-left main bifurcation lesions utilizing the provisional bifurcation stenting technique. (medtronic.com)
An investigational drug-coated balloon (DCB) may offer clinical benefit in critical limb ischemia patients with below-the-knee (BTK) chronic total occlusions, preliminary results from the IN.PACT BTK study suggest. (medscape.com)

A coronary angiogram revealed total occlusion of the mid-left anterior descending (LAD) artery and a filling defect of the distal right coronary artery. (iasp-pain.org)
Successful recanalization (at or more than grade 2 distal residual occlusion) was obtained in 14 (42%) of 33 and good recovery (mRS ≤2) after 1 year in 11 (33%) of 33. (ajnr.org)

Aim of Study To evaluate the angiographic occlusion rate and the predictive factors of angiographic cure of spinal arteriovenous fistulae at 3 months or more after embolization. (bmj.com)
We reviewed clinical, imaging data, complications, angiographic immediate occlusion rate of the fistulae, and at 3 months or more after the embolization. (bmj.com)
The angiographic occlusion rate at 3 months or more was higher in the Onyx® 'combined' techniques treated group (87% versus 40%, p = 0.007). (bmj.com)
Conclusion Embolization of spinal arteriovenous fistulas with Onyx® using 'combined' techniques appears to be safe and associated with a higher rate of angiographic occlusion at 3 months than regular embolization with glue. (bmj.com)

The aim of this retrospective multicentric study was to compare the tumour response rates of Balloon-occluded Transarterial Chemoembolisation (B-TACE) to non-B-TACE using propensity score matching (PSM) in patients with hepatocellular carcinoma and to investigate the clinical benefit, such as lower rates of TACE re-intervention achieved using B-TACE. (springer.com)
Of 67 patients who underwent a formal occlusion test, eight with carotid artery aneurysms did not initially tolerate the occlusion test, and ischemic signs disappeared instantaneously with deflation and removal of the balloon. (thejns.org)
Researchers say future steps involve further characterisation of the demographics of patients not treated with the balloon, and more thorough analysis of the medical and surgical approaches. (cardiacrhythmnews.com)
Advanta V12 is the first to market balloon expandable, fully encapsulated stent that has served more than 850,000 patients. (getinge.com)
The Advanta V12/iCast studies treated patients with more severe disease (a greater number of TASC C & D lesions) and more severe symptoms (more Rutherford classification 4 & 5) compared to patients enrolled in clinical trials studying other covered balloon-expandable stents. (getinge.com)
We evaluated outcome predictors of a good recovery in patients with acute symptomatic ICA occlusion. (ajnr.org)
Active revascularization of acute symptomatic ICA occlusion resulted in good recovery in one third of patients after 1 year. (ajnr.org)
ICA occlusion of intravenous thrombolysis trials in patients with acute stroke have been based on the CT exclusion of hemorrhage 9 and on CT parenchymal evaluation 10 , 11 but have not pursued the exact cause or the level of occlusion. (ajnr.org)
The prognosis for patients with acute progressive stroke caused by carotid occlusion is known to be poor, with only 2%-12% good recovery. (ajnr.org)
Another 44% of patients had a mean sinus of Valsalva diameter greater than 30 mm and only about half of the occlusions involved implantation depths considered high. (medscape.com)

We report on the preoperative embolization of a carotid-body paraganglioma by temporary balloon occlusion and ethanol injection. (nih.gov)
They were transported to the emergency room where vascular control, including coil embolisation and internal carotid balloon occlusion, was performed in the neuroendovascular suite for safe removal of penetrating objects. (johnshopkins.edu)
Carotid resection is delayed by 2 weeks to allow for fixation of the coils and to avoid adverse hemodynamic effects from surgery during the vulnerable period immediately following occlusion. (medscape.com)
Permanent balloon occlusion may also be performed without surgery to manage impending carotid rupture. (medscape.com)
The Peripheral Cutting Balloon Device is not for use in the coronary arteries or carotid arteries. (bostonscientific.com)

However, studies on aneurysm occlusion, recurrence, and procedural complication rates of SAC treatment for ruptured tiny intracranial aneurysms were limited and heterogeneous ( 9 , 10 ). (frontiersin.org)

Balloon occlusion in zone I physiologically resembles the application of an aortic cross-clamp during a resuscitative thoracotomy. (openanesthesia.org)

these reversed immediately upon balloon deflation. (thejns.org)

The time from incision to balloon inflation was 3 min and 10 s. (bmj.com)
We performed repetitive long-inflation using a perfusion balloon and repeated thrombus aspiration. (iasp-pain.org)
Use only the recommended balloon inflation medium (e.g. - contrast medium). (bostonscientific.com)

One of these was a seizure leading to respiratory arrest and resuscitation 3 days following occlusion in a patient who had presented with seizures. (thejns.org)

The procedure utilizes an X-ray and a special dye to create detailed images of your arteries and a small balloon, which when inflated will temporarily block your artery. (cedars-sinai.org)
The Advanta V12 balloon expandable covered stent is indicated for restoring and improving the patency of the iliac and renal arteries. (getinge.com)

After normal trial balloon occlusion (TBO) and flow testing results, permanent balloon occlusion is a preoperative intervention that may reduce cerebral vascular accident (CVA) incidence over simple ligation in this clinical setting. (medscape.com)
2 , 17 We evaluated outcome of the acute symptomatic ICA occlusion and estimated how the clinical outcome differs according to the 14 prognostic factors associated with the clinical outcomes. (ajnr.org)

The Advanta V12 balloon expandable covered stent is not available in the U.S. (getinge.com)
Barty Medical would like to share a complex case of SFA in-stent occlusion treatment using HeetyTM Catheter Sheath in cross-over technique. (barty-medical.com)
Care should be taken to control the position of the guide catheter tip during stent delivery, deployment, and balloon withdrawal. (medtronic.com)
Use of the Cutting Balloon Device is contraindicated in situations where the Cutting Balloon Device would be passed through the struts of a previously placed stent as the deflated Cutting Balloon Device could become entangled in the stent. (bostonscientific.com)
The Cutting Balloon Device should be used before new stent placement. (bostonscientific.com)
If the guidewire has passed through the stent cell rather than down the axis of the stent, the deflated Cutting Balloon Device could become entangled in the stent. (bostonscientific.com)
Confirm wire position in two views before advancing the Cutting Balloon Device if crossing a previously placed stent. (bostonscientific.com)
When treating lesions at a bifurcation, the Cutting Balloon Device can be used prior to placing a stent, but should not be taken through the side cell of a stent to treat the side branch of a lesion at a bifurcation where a stent has been previously placed. (bostonscientific.com)

Another procedure, transcatheter device occlusion, can close abnormal openings or holes within the heart or blood vessels without surgery. (kidshealth.org)

For zone I deployment, transesophageal echocardiography may aid in balloon placement. (openanesthesia.org)
The balloon requires the placement of a guidewire before the procedure from the femoral vein to the right internal jugular or the right subclavian vein. (cardiacrhythmnews.com)

Carrillo said the wire must remain in the vein during balloon deployment, and the introducer sheath be secured in the femoral vein. (cardiacrhythmnews.com)
Resistance, kinking, or buckling in the introducer sheath may damage the atherotomes or balloon. (bostonscientific.com)

Edwards received notification that balloon rupture of this clamp occurred during a minimally invasive mitral valve replacement with a non-edwards device. (fda.gov)
Device evaluation: customer complaint of "balloon rupture" was confirmed. (fda.gov)
This can be accomplished by using the UPJ Occlusion Balloon Catheter or the NTrap ® Stone Entrapment and Extraction Device . (cookmedical.com)
The Peripheral Cutting Balloon Device is not intended for the expansion or delivery of stents. (bostonscientific.com)
Angioplasty with the Peripheral Cutting Balloon Device, because of its mechanism of action, may pose a greater risk of perforation than that observed with conventional PTA. (bostonscientific.com)
Only physicians who have received the appropriate training should use the Peripheral Cutting Balloon Device. (bostonscientific.com)

If the balloon bursts during a procedure, the heart would fill and warm, the operative site may be obscured and the procedure may need to convert to an open procedure. (fda.gov)

The aim of this study was to characterize the systemic inflammatory response associated and cardiopulmonary sequelae with 30, 60, and 90 min of balloon occlusion and shock on the release of interleukin 6 (IL-6) and tumor necrosis factor alpha. (usuhs.edu)

In order to increase the CR rate, in 2009, Balloon-occluded TACE (B-TACE) was introduced by Irie et al. (springer.com)

We speculated that CTHA under balloon occlusion can provide useful information for the analysis of hemodynamic changes. (springeropen.com)

After dilatation, two 2.5/28 mm everolimus-eluted stents were implanted to the anomalous portion after balloon dilatation (Figures 6 and 7 ). (hindawi.com)

Zone II is thought to be a zone of no occlusion, and currently, there is no cited indication for zone II deployment. (openanesthesia.org)
The deployment of balloon catheters was positioned using ultrasonography guidance. (biomedcentral.com)

Acute myocardial infarction following sequential multi-vessel occlusion in a case of polycythemia vera. (iasp-pain.org)
Procedures done through cardiac catheterization - such as balloon angioplasty or valvuloplasty - can widen an obstructed blood vessel or valve. (kidshealth.org)

The rupture occurred while the surgeon was checking the mitral valve, far from sharp instruments and from the balloon. (fda.gov)

The Peripheral Cutting Balloon catheters are indicated for Percutaneous Transluminal Angioplasty (PTA) of obstructive lesions of synthetic or native arteriovenous dialysis fistulae. (bostonscientific.com)

Obviously, preven- treatment with mechanical ventila- selective occlusion of the affected tion is better than treatment. (who.int)

Examination for treatment selection included assessment of the circle of Willis by compression angiography and xenon blood flow studies, with the ultimate evaluation being test occlusion under systemic heparinization with the balloon temporarily placed in the desired position. (thejns.org)
Effective treatment for more severe disease consists of balloon commissurotomy, surgical commissurotomy, or valve replacement. (msdmanuals.com)

2 - 5 Acute ICA occlusions are more resistant than MCA occlusions to administration of intravenous tissue plasminogen activator (tPA). (ajnr.org)
mean age, 66 years) who experienced the following: 1) acute symptomatic ICA occlusion within 6 hours of symptom onset or with mismatch of symptoms and early infarct area, 2) initial National Institutes of Health Stroke Scale (NIHSS) ≥6, and 3) attempted intraarterial revascularization, were enrolled in this study. (ajnr.org)

The balloon occlusion test is a way to see whether one artery can be temporarily or permanently blocked without significantly affecting the level of blood in your brain. (cedars-sinai.org)
A compliant balloon (Bridge Occlusion Balloon, Spectranetics), specially devised for use in the SVC is designed to provide haemostasis and a clear surgical field for repair, significantly reducing the rate of blood loss, stabilising the patient, and allowing the physician more time to develop a plan of action. (cardiacrhythmnews.com)
Balloon use significantly increased the likelihood of survival during the study period (p=0.013). (cardiacrhythmnews.com)
For subgroup analysis, LVIS stents were associated with a significantly higher rate of complete occlusion ( P = 0.014) and a lower rate of intraprocedural rupture ( p = 0.021). (frontiersin.org)

Results A total of 45 embolization procedures were performed: 30 procedures using glue, 15 using Onyx® by ' pressure cooker ' or ' balloon pressure ' techniques. (bmj.com)

Outcomes are optimized if zone III occlusion times are 30-60 minutes or less. (openanesthesia.org)

Anatomy10

Organisms2

Diseases25

Chemicals and Drugs4

Analytical, Diagnostic and Therapeutic Techniques and Equipment32

Phenomena and Processes10

Health Care5

Proximal9

REBOA23

Complete occlusion rate2

Aortic balloon occlusion1

Endovascular8

Aorta3

Internal caroti2

Artery occlusion3

Permanent occlusion3

Arterial7

Angioplasty balloon1

Chronic total2

Distal2

Angiographic4

Patients10

Carotid5

Complication rates1

Resuscitative1

Deflation1

Inflation3

Resuscitation1

Arteries2

Clinical2

Stent8

Transcatheter1

Placement2

Sheath2

Device6

Procedure1

Sequelae1

TACE1

Hemodynamic Changes1

Dilatation1

Deployment2

Vessel2

Mitral1

Fistulae1

Selective1

Treatment2

Acute2

Significantly4

Total1

Outcomes1