No wire? No problem: Resuscitative endovascular balloon occlusion of the aorta (REBOA) can be performed effectively and more rapidly with a wire-free device

Introduction A wire-free device is available for REBOA providing aortic occlusion (AO) without lengthy platform guide-wires and large sheaths. Methods This was a retrospective, single-institution review of patients who received REBOA from May 2014-September 2017. Timing of procedural steps was measured in seconds (s) using time-stamped videography. Results 74 patients received REBOA; 29 with a platform guidewire, 12F sheath, and balloon catheter (W group), and 45 with a 7F sheath and wire-free device (WF group). Mean age (p=0.22) and ISS (p=0.80) were similar between groups. 59 patients received REBOA at Zone 1; 15 patients at Zone 3. There was no difference in median [IQR] time to common femoral artery (CFA) access between the WF (194[98,313]s) and W (193[126,280]s) groups (p=0.96). Both median time to AO after CFA access (WF:158[109,264]s vs. W:307[222,390]s, p

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