Gastroesophageal Resuscitative Occlusion of the Aorta (GROA)

Abstract

Natural Orifice Transluminal Endoscopic Surgery (NOTES) is an evolving surgical innovation, which allows for intra-cavitary surgeries to be performed with an endoscope passed through a natural orifice (mouth anus,vagina, urethra). It is the purpose of this proposal to leverage the concept of NOTES to develop a method of temporary aortic occlusion using an orally placed gastroesophageal device. This gastroesophageal resuscitative occlusion of the aorta (GROA) will be developed as a field bridge to more invasive and definitive means of control of non-compressible torso hemorrhage (NCTH) such as resuscitative endovascular balloon occlusion of the aorta (REBOA), angiography, and surgery.Hypothesis: The anatomical relationship between the esophagus and stomach to the descending thoracic and abdominal aorta will allow complete mechanical occlusion of the aorta through the stomach that can prolong short-term survival of severe NCTH.

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Document Details

Document Type
Technical Report
Publication Date
May 01, 2022
Accession Number
AD1216887

Entities

People

  • Brendan M. Mccracken
  • Kevin R. Ward
  • Mohamad H Tiba

Organizations

  • University of Michigan

Tags

DTIC Thesaurus Topics

  • Abdomen
  • Airway Management
  • Arteries
  • Blood
  • Cardiovascular Diseases
  • Cardiovascular Physiological Phenomena
  • Cardiovascular System
  • Chemistry
  • Health Services
  • Hemorrhage
  • Hemorrhagic Shock
  • Medical Personnel
  • Therapy
  • Veins
  • Wounds And Injuries
  • X-Ray Computed Tomography

Fields of Study

  • Medicine

Readers

  • Trauma Surgery or Emergency Medicine.