About this trial
The investigators propose a multicenter randomized controlled trial in South Korea and Taiwan to observe the clinical effects of REBOA on nontraumatic out-of-hospital-cardiac-arrest (OHCA) patients. While REBOA has been traditionally used in trauma for hemorrhage control, it has also shown promising results in nontraumatic cardiac arrests by rerouting circulation to increase perfusion in the coronary and brain.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adult nontraumatic OHCA
Witnessed arrest
Arrival at ER from 9AM to 5PM (in South Korea) and 8AM to 8PM (in Taiwan)
Disqualifiers
age below 20 years old or over 80 years old,
traumatic cardiac arrest,
those with unwitnessed cardiac arrest,
pregnant patients,
Trial design
Parallel
Treatments tested in this trial
REBOA
DeviceResuscitative endovascular balloon occlusion of the aorta (REBOA)is a device composed of a catheter attached to an inflatable balloon. It is inserted through the common femoral artery and guided to the thoracic aorta.
Treatment groups
Trial outcomes
Primary outcomes
Number of Participants Who Achieved ROSC (return of spontaneous circulation)
Number of patients who achieves ROSC regardless of sustained time
Secondary outcomes
Number of Participants Who Achieved Sustained ROSC
Number of participants who achieves sustained ROSC (ROSC maintained more than 20 minutes)
Survival to Admission
Whether patients who achieve sustained ROSC survives until admission
Survival to Discharge
Whether patients survive until hospital discharge.
Neurological Outcome
The cerebral performance category (CPC) and modified Rankin Score (mRS) of each patient at 28 days, 3 months, and 6 months after achieving ROSC. CPC is measured on a scale of 1 to 5, with 1 being the best neurological performance, and 5 indicating brain death. MRS is measured on a scale of 0 to 6, with 0 indicating no neurological deficit, and 6 indicating death.
Sponsors and contacts
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Seoul National University Hospital
Lead sponsor
Far Eastern Memorial Hospital
Collaborator