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dc.contributor.authorSlim, Naim
dc.contributor.authorWest, C T
dc.contributor.authorRees, Paul
dc.contributor.authorBrassett, C
dc.contributor.authorGaunt, M
dc.date.accessioned2021-12-21T13:30:01Z
dc.date.available2021-12-21T13:30:01Z
dc.date.issued2021-12
dc.identifier.citationSlim , N , West , C T , Rees , P , Brassett , C & Gaunt , M 2021 , ' The REBOA window : a cadaveric study delineating the optimum site for austere cannulation of the femoral artery for resuscitative endovascular balloon occlusion of the aorta ' , BMJ Military Health , vol. 167 , no. 6 , pp. 383-386 . https://doi.org/10.1136/bmjmilitary-2019-001383en
dc.identifier.issn2633-3767
dc.identifier.otherPURE: 266760512
dc.identifier.otherPURE UUID: 9a15ecb1-85f9-4d3d-91f1-d9e568faeb21
dc.identifier.otherORCID: /0000-0002-6560-6332/work/70234035
dc.identifier.otherScopus: 85120627991
dc.identifier.otherWOS: 000727746300003
dc.identifier.urihttp://hdl.handle.net/10023/24552
dc.description.abstractIntroduction Haemorrhage is the major cause of early mortality following traumatic injury. Patients suffering from non-compressible torso haemorrhage are more likely to suffer early death. Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) can be effective in initial resuscitation; however, establishing swift arterial access is challenging, particularly in a severe shock. This is made more difficult by anatomical variability of the femoral vessels. Methods The femoral vessels were characterised in 81 cadaveric lower limbs, measuring specifically the distance from the inferior border of the inguinal ligament to the distal part of the origin of the profunda femoris artery (PFA), and from the distal part of the origin of the PFA to where the femoral vein lies posterior to and is completely overlapped by the femoral artery. Results The femoral vein lay deep to the femoral artery at a mean distance of 105 mm from the inferior border of the inguinal ligament. The PFA arose from the femoral artery at a mean distance of 51.1 mm from the inguinal ligament. From the results, it is predicted that the PFA originates from the common femoral artery approximately 24 mm from the inguinal ligament, and the femoral vein is completely overlapped by the femoral artery by 67.7 mm distal from the inguinal ligament, in 95% of subjects. Conclusions Based on the results, proposed is an ‘optimal access window’ of up to 24 mm inferior to the inguinal ligament for common femoral arterial catheterisation for pre-hospital REBOA, or more simply within one finger breadth.
dc.language.isoeng
dc.relation.ispartofBMJ Military Healthen
dc.rightsCopyright © Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ. This work has been made available online in accordance with publisher policies or with permission. Permission for further reuse of this content should be sought from the publisher or the rights holder. This is the author created accepted manuscript following peer review and may differ slightly from the final published version. The final published version of this work is available at https://doi.org/10.1136/bmjmilitary-2019-001383.en
dc.subjectRC Internal medicineen
dc.subjectU Military Scienceen
dc.subjectI-PWen
dc.subjectNISen
dc.subject.lccRCen
dc.subject.lccUen
dc.titleThe REBOA window : a cadaveric study delineating the optimum site for austere cannulation of the femoral artery for resuscitative endovascular balloon occlusion of the aortaen
dc.typeJournal articleen
dc.description.versionPostprinten
dc.contributor.institutionUniversity of St Andrews.School of Medicineen
dc.contributor.institutionUniversity of St Andrews.Population and Behavioural Science Divisionen
dc.identifier.doihttps://doi.org/10.1136/bmjmilitary-2019-001383
dc.description.statusPeer revieweden


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