Evidence map›Paper›PMID 34332617›Full record

ArticleTrials2021

REBOARREST, resuscitative endovascular balloon occlusion of the aorta in non-traumatic out-of-hospital cardiac arrest: a study protocol for a randomised, parallel group, clinical multicentre trial.

Jostein Rødseth Brede, Arne Kristian Skulberg, Marius Rehn, Kjetil Thorsen, Pål Klepstad, Ida Tylleskär, Bjørn Farbu, Jostein Dale, Trond Nordseth, Rune Wiseth and 1 more

2 registry-linked trialsOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
9.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04596514 naactive not recruitingnot on this map

A Randomised Trial on Resuscitative Endovascular Balloon Occlusion of the Aorta in Non-traumatic Out of Hospital Cardiac Arrest

TypeinterventionalSponsorSt. Olavs HospitalRan2021 to 2026Enrolled200ConditionsCardiac ArrestArmsREBOA, usual procedure according to guidelines
NCT07573566 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Abdominal Aortic Tourniquet Application for Non-Traumatic Out-of-Hospital Cardiac Arrest

TypeinterventionalSponsorKlinikum Klagenfurt am WörtherseeRan2026 to 2027Enrolled5ConditionsCardiac Arrest (CA), Out-of-hospital Cardiac Arrest (OHCA), Asystole, Pulseless Electrical ActivityArmsAbdominal Aortic Junction Tourniquet in non-traumatic out-of-hospital cardiac arrest
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
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  5. Endovascular resuscitation: an expert practice review.Emergency medicine journal : EMJ · 2026
    Review
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  14. Balloon occlusion of the aorta during cardiac arrest -a death blow to the intestines?Scandinavian journal of trauma, resuscitation and emergency medicine · 2025
    Article
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  19. Current trends in the management of out of hospital cardiac arrest (OHCA).Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia · 2024
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Jostein Rødseth BredeDepartment of Emergency Medicine and Pre-Hospital Services, St. Olav's Hospital, Trondheim University Hospital, Prinsesse Kristinas Gate 3, 7030, Trondheim, Norway. Jostein.brede@norskluftambulanse.no.ORCID http://orcid.org/0000-0001-9497-1147
Arne Kristian SkulbergNorwegian Air Ambulance Foundation, Department of Research and Development, Oslo, Norway.
Marius RehnNorwegian Air Ambulance Foundation, Department of Research and Development, Oslo, Norway.
Kjetil ThorsenNorwegian Air Ambulance Foundation, Department of Research and Development, Oslo, Norway.
Pål KlepstadDepartment of Anesthesiology and Intensive Care Medicine, St. Olav's Hospital, Trondheim University Hospital, Prinsesse Kristinas Gate 3, 7030, Trondheim, Norway.
Ida TylleskärDepartment of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
Bjørn FarbuNorwegian Air Ambulance Foundation, Department of Research and Development, Oslo, Norway.
Jostein DaleDepartment of Emergency Medicine and Pre-Hospital Services, St. Olav's Hospital, Trondheim University Hospital, Prinsesse Kristinas Gate 3, 7030, Trondheim, Norway.
Trond NordsethDepartment of Anesthesiology and Intensive Care Medicine, St. Olav's Hospital, Trondheim University Hospital, Prinsesse Kristinas Gate 3, 7030, Trondheim, Norway.
Rune WisethDepartment of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
Andreas Jørstad KrügerDepartment of Emergency Medicine and Pre-Hospital Services, St. Olav's Hospital, Trondheim University Hospital, Prinsesse Kristinas Gate 3, 7030, Trondheim, Norway.
Norwegian University of Science and Technology · NOOslo University Hospital · NOStiftelsen Norsk Luftambulanse · NOSt Olav's University Hospital · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurvival after out-of-hospital cardiac arrest (OHCA) is poor and dependent on high-quality cardiopulmonary resuscitation. Resuscitative endovascular balloon occlusion of the aorta (REBOA) may be advantageous in non-traumatic OHCA due to the potential benefit of redistributing the cardiac output to organs proximal to the aortic occlusion. This theory is supported by data from both preclinical studies and human case reports.

methodsThis multicentre trial will enrol 200 adult patients, who will be randomised in a 1:1 ratio to either a control group that receives advanced cardiovascular life support (ACLS) or an intervention group that receives ACLS and REBOA. The primary endpoint will be the proportion of patients who achieve return of spontaneous circulation with a duration of at least 20 min. The secondary objectives of this trial are to measure the proportion of patients surviving to 30 days with good neurological status, to describe the haemodynamic physiology of aortic occlusion during ACLS, and to document adverse events. DISCUSSION: Results from this study will assess the efficacy and safety of REBOA as an adjunctive treatment for non-traumatic OHCA. This novel use of REBOA may contribute to improve treatment for this patient cohort.

trial registrationThe trial is approved by the Regional Committee for Medical and Health Research Ethics in Norway (reference 152504) and is registered at ClinicalTrials.gov (reference NCT04596514) and as Universal Trial Number WHO: U1111-1253-0322.

Indexed as

Balloon OcclusionCardiopulmonary ResuscitationEndovascular ProceduresOut-of-Hospital Cardiac ArrestShock, HemorrhagicAdultAortaHumansMulticenter Studies as TopicNorwayRandomized Controlled Trials as TopicResuscitationAdvanced cardiopulmonary resuscitation (ACLS)Aortic occlusionCardiac arrestCardiopulmonary resuscitation (CPR)Resuscitative endovascular balloon occlusion of the aorta (REBOA)Return of spontaneous circulation (ROSC)

Identifiers

PMID34332617
PMCPMC8325811
OpenAlexW3159279491

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.