Automated balloon control in resuscitative endovascular balloon occlusion of the aorta (REBOA)

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dc.contributor.authorMcCarthy, Cormac
dc.contributor.authorKanterman, Ian
dc.contributor.authorTrauzettel, Fabian
dc.contributor.authorJaeger, Herman Alexander
dc.contributor.authorGoetz, Alice-Anne
dc.contributor.authorColvard, Benjamin
dc.contributor.authorSwanstrom, Lee
dc.contributor.authorCantillon-Murphy, Pádraig
dc.date.accessioned2018-12-13T14:32:12Z
dc.date.available2018-12-13T14:32:12Z
dc.date.issued2018-11-01
dc.date.updated2018-12-13T14:29:38Z
dc.description.abstractObjective: The goal of this work was to demonstrate technical feasibility of automated balloon pressure management during REBOA in the pre-clinical setting. Methods: This paper presents an intelligent balloon management device which automates the balloon inflation process, preventing the possibility of balloon over or under inflation, optimizes inflation pressure and if indicated, deflates automating partial REBOA to allow distal organ perfusion. Edwards TruWave pressure transducers are used to monitor the blood pressure proximal and distal to the balloon, as well as the internal balloon pressure. A faux PID controller, implemented on an Arduino platform, is used in a feedback control loop to allow a user defined mean arterial pressure setpoint to be reached, via a syringe driver which allows intelligent inflation and deflation of the catheter balloon. Results: Ex vivo testing on a vascular perfusion simulator provided the characteristic behavior of a fully occluded aorta, namely the decrease of distal pressure to zero. In vivo testing on live porcine models indicated that automated partial REBOA is achievable and by enabling partial occlusion may offer improved medical outcomes compared to manual control. Conclusion: Automated balloon pressure management of endovascular occlusion is feasible and can be successfully implemented without changes on current clinical workflows. Significance: With further development, automated balloon management may significantly improve clinical outcomes in REBOA.en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationMcCarthy, C., Kanterman, I., Trauzettel, F., Jaeger, H. A., Goetz, A., Colvard, B., Swanstrom, L. and Cantillon-Murphy, P. (2018) 'Automated Balloon Control in Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA)', IEEE Transactions on Biomedical Engineering, In Press, doi: 10.1109/TBME.2018.2878642en
dc.identifier.doi10.1109/TBME.2018.2878642
dc.identifier.endpage7en
dc.identifier.issn0018-9294
dc.identifier.journaltitleIEEE Transactions On Biomedical Engineeringen
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/7219
dc.language.isoenen
dc.publisherInstitute of Electrical and Electronics Engineers (IEEE)en
dc.relation.urihttps://ieeexplore.ieee.org/abstract/document/8519619
dc.rights© 2018 IEEE. Personal use of this material is permitted. Permission from IEEE must be obtained for all other uses, in any current or future media, including reprinting/republishing this material for advertising or promotional purposes, creating new collective works, for resale or redistribution to servers or lists, or reuse of any copyrighted component of this work in other works.en
dc.subjectBlood pressureen
dc.subjectBiomedical monitoringen
dc.subjectTestingen
dc.subjectCathetersen
dc.subjectArteriesen
dc.subjectSensorsen
dc.subjectMonitoringen
dc.subjectREBOAen
dc.subjectBalloon catheteren
dc.subjectInflationen
dc.subjectPartial REBOAen
dc.subjectFeedbacken
dc.subjectAutomationen
dc.subjectSyringeen
dc.subjectPressureen
dc.titleAutomated balloon control in resuscitative endovascular balloon occlusion of the aorta (REBOA)en
dc.typeArticle (peer-reviewed)en
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