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Place the Sheath: Emergent 7 French Femoral Sheath Placement is Low Risk During Initial Trauma Resuscitation


  • Alexis L Cralley University of Colorado
  • Margot DeBot
  • Jamie Hadley
  • Fredric Pieracci
  • Barry K Platnick
  • Eric Campioin
  • Ernest E Moore
  • Mitchell J Cohen
  • Charles J Fox
  • Ryan A Lawless



Trauma Resuscitation, Emergent Common Femoral Artery Access, Resuscitative Endovascular Balloon Occlusion of the Aorta, Endovascular Resuscitation Complications


Background: We hypothesized that emergent placement of 7 French (Fr) common femoral artery (CFA) sheaths during trauma resuscitation for potential resuscitative endovascular balloon occlusion of the aorta (REBOA) carries a low complication rate.
Methods: Trauma patients at a Level I trauma center with emergent CFA access from January 2016 through to December 2020 were reviewed. CFA access was categorized as (1) 7 Fr sheath plus REBOA (REBOA) and (2) 7 Fr sheath without REBOA (Sheath). Outcomes included mortality and vascular complications.
Results: 157 patients underwent emergent CFA access. Sixty-nine (43.9%) patients had a 7 Fr CFA sheath, and 88 (56.1%) progressed to REBOA. The mortality rate was similar (Sheath 30.4% vs. REBOA 34.1%, p = 0.63). The REBOA cohort had a significantly higher complication rate (22.7%) compared to the Sheath cohort (4.3%, p = 0.001).
Conclusions: Emergent 7 Fr CFA sheath placement during trauma resuscitation is low risk, suggesting empiric sheath placement is warranted in potential REBOA candidates.




How to Cite

Cralley, A. L., DeBot, M., Hadley, J., Pieracci, F., Platnick, B. K., Campioin, E., Moore, E. E., Cohen, M. J., Fox, C. J., & Lawless, R. A. (2023). Place the Sheath: Emergent 7 French Femoral Sheath Placement is Low Risk During Initial Trauma Resuscitation. Journal of Endovascular Resuscitation and Trauma Management.



Original Article