Resuscitative endovascular balloon occlusion of the aorta: current evidence

Lesley A Osborn, Megan L Brenner, Samuel J Prater, Laura J Moore, Lesley A Osborn, Megan L Brenner, Samuel J Prater, Laura J Moore

Abstract

Resuscitative endovascular balloon occlusion of the aorta (REBOA) has recently gained popularity as a minimally invasive alternative to open aortic cross-clamping in the management of patients with non-compressible hemorrhage arising below the diaphragm. The purpose of this review is to provide a description of the technical aspects of REBOA use along with an overview of the current animal and clinical data regarding its use.

Keywords: REBOA; hemorrhagic shock; resuscitation.

Conflict of interest statement

Disclosure Megan L Brenner is a Clinical Advisory Board Member of Prytime Medical Inc. The authors report no other conflicts of interest in this work.

Figures

Figure 1
Figure 1
Aortic zones of occlusion from Stannard A, Eliason JL, Rasmussen TE. Resuscitative endovascular balloon occlusion of the aorta (REBOA) as an adjunct for hemorrhagic shock. J Trauma, vol 71, issue 6, pages 1869–1872.
Figure 2
Figure 2
REBOA algorithm from Brenner M, Hoehn M, Pasley J, Dubose J, Stein D, Scalea T. Basic endovascular skills for trauma course: bridging the gap between endovascular techniques and the acute care surgeon. J Trauma Acute Care Surg, vol 77, issue 2, pages 286–291. Abbreviations: CXR, chest X-ray; FAST, focused assessment with sonography for trauma; REBOA, resuscitative endovascular balloon occlusion of the aorta.
Figure 3
Figure 3
X-ray imaging of Zone 1 REBOA. Abbreviation: REBOA, resuscitative endovascular balloon occlusion of the avorta.
Figure 4
Figure 4
X-ray imaging of Zone 3 REBOA. Abbreviation: REBOA, resuscitative endovascular balloon occlusion of the aorta.

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Source: PubMed

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