Cardiac Arrest Resuscitation Technique Gaining Interest

Selective Aortic Arch Perfusion (SAAP), a technique first described at UNC for treating cardiac arrest due to traumatic hemorrhage or non-traumatic medical causes (acute sudden death), has attracted international interest.

Cardiac Arrest Resuscitation Technique Gaining Interest click to enlarge Selective Aortic Arch Perfusion

 SAAP involves inserting an aortic balloon catheter from a femoral artery to the thoracic aorta to allow for resuscitative perfusion of the heart and brain during cardiac arrest.

James Manning, director, Department of Emergency Medicine Resuscitation Research Laboratories, began work on SAAP at UNC in 1989 but the idea seemed rather far-fetched at that time.

However, advances in endovascular surgery and extracorporeal life support have made the idea of SAAP more realistic. The Emergency Medicine Resuscitation Research Laboratory is collaborating with the US Air Force 59th Wing Clinical Research Division on a two-year, S1.34 million research project to advance the SAAP resuscitation technique toward clinical trial investigation.

The growing interest in SAAP has led to 12 international and 10 national lectures, including:

  • Sir John Marnoch Lecture, Aberdeen, Scotland
  • Royal College of Surgeons of Edinburgh, “Research in Injury of Conflict” conference
  • Keynote address for “Traumatic Cardiac Arrest – New Hope?” Melbourne, Australia
  • Seattle Citywide Resuscitation Rounds
  • Douglas Chamberlain Lecture, London Trauma Conference & Cardiac Arrest Symposium
  • 2nd Auxiliary Surgical Group (WWII) Memorial Lecture, Walter Reed Military Medical Center