RecruitingNot ApplicableNCT07434726

In-hospital Cardiopulmonary Resuscitation With Balloon Occlusion of the Descending Aorta

CPReboa: In-hospital Cardiopulmonary Resuscitation With Balloon Occlusion of the Descending Aorta


Sponsor

Insel Gruppe AG, University Hospital Bern

Enrollment

98 participants

Start Date

Apr 14, 2026

Study Type

INTERVENTIONAL

Conditions

Summary

This study will test if a sustained Return of Spontaneous Circulation (ROSC) in patients with cardiac arrest is more frequent when patients receive advanced cardiac life support (ACLS) alone or when they receive ACLS plus a balloon occlusion of the thoracic aorta.


Eligibility

Min Age: 18 Years

Inclusion Criteria4

  • patients suffering from in hospital cardiac arrest (IHCA), including patients with out of hospital cardiac arrest (OHCA) and return of spontaneous circulation (ROSC), transported to the emergency department, where they suffer a second arrest (IHCA)
  • successful placement of a femoral artery introducer sheath
  • any electrical cardiac activity seen in the initial rhythm analysis
  • ongoing effort of resuscitation as determined by study-independent resuscitation lead

Exclusion Criteria9

  • IHCA in the operating room, on intensive care unit or in the cardiac catheter laboratory
  • hospital visitors suffering from cardiac arrest
  • asystole seen in the initial rhythm analysis
  • (presumed) age under 18 years
  • known "do not resuscitate"-order
  • known or obvious pregnancy
  • traumatic cardiac arrest
  • known aortic pathologies that render cannulation impossible
  • known allergies to radiographic contrast agents

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Interventions

DEVICEresuscitative endovascular occlusion of the aorta (REBOA)

Insertion of a balloon catheter through the common femoral artery, retrograde advancement of the catheter into the descending thoracic aorta, ballon occlusion of the aorta

OTHERAdvanced Cardiac Life Support (ACLS)

Advanced Cardiac Life Support (ACLS) as per American Heart Association (AHA) or European Resuscitation Council (ERC) standards


Locations(1)

Inselspital University Hospital Bern

Bern, Switzerland

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NCT07434726


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