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Review
. 2018 May 11:13:20.
doi: 10.1186/s13017-018-0181-6. eCollection 2018.

The complications associated with Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA)

Marcelo A F Ribeiro Junior  1 , Celia Y D Feng  2 , Alexander T M Nguyen  2 , Vinicius C Rodrigues  1 , Giovana E K Bechara  1 , Raíssa Reis de-Moura  1 , Megan Brenner  3
Affiliations
Review

The complications associated with Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA)

Marcelo A F Ribeiro Junior et al. World J Emerg Surg. .

Abstract

Non-compressible torso hemorrhage (NCTH) remains a significant cause of morbidity and mortality in the field of trauma and emergency medicine. In recent times, there has been a resurgence in the adoption of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) for patients who present with NCTH. Like all medical procedures, there are benefits and risks associated with the REBOA technique. However, in the case of REBOA, these complications are not unanimously agreed upon with varying viewpoints and studies. This article aims to review the current knowledge surrounding the complications of the REBOA technique at each step of its application.

Keywords: Abdomen; Complications; Hemorrhagic; Interventional; Multiple trauma; REBOA; Radiology; Shock.

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Conflict of interest statement

Ethics approval was not required for this review.Dr. Megan Brenner is a Clinical Advisory Board Member––Prytime Medical Inc. All other authors declare that they have no competing interests.Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
The aortic zones in relation to the REBOA procedure. Retrieved from Stannard, Eliason [8]
See this image and copyright information in PMC

References

    1. Qasim Z, Brenner M, Menaker J, Scalea T. Resuscitative Endovascular Balloon Occlusion of the Aorta. Resuscitation. 2015;96:275–279. doi: 10.1016/j.resuscitation.2015.09.003. - DOI - PubMed
    1. Kragh Jr JF, Jones JA, Walters TJ, Baer DG, Wade CE, Holcomb JB, et al. Battle casualty survival with emergency tourniquet use to stop limb bleeding. J Emerg Med. 2011;41(6):590–597. doi: 10.1016/j.jemermed.2009.07.022. - DOI - PubMed
    1. Morrison JJ, Rasmussen TE. Noncompressible torso hemorrhage: a review with contemporary definitions and management strategies. Surg Clin North Am. 2012;92(4):843–858. doi: 10.1016/j.suc.2012.05.002. - DOI - PubMed
    1. Seamon JM, Haut RE, Van Arendonk RK, Barbosa CR, Chiu JW, Dente SC, et al. An evidence-based approach to patient selection for emergency department thoracotomy: a practice management guideline from the Eastern Association for the Surgery of Trauma. J Trauma Acute Care Surg. 2015;79(1):159–173. doi: 10.1097/TA.0000000000000648. - DOI - PubMed
    1. Teeter WA, Matsumoto J, Idoguchi K, Kon Y, Orita T, Funabiki T, et al. Smaller introducer sheaths for REBOA may be associated with fewer complications. J Trauma Acute Care Surg. 2016;81(6):1039–1045. doi: 10.1097/TA.0000000000001143. - DOI - PubMed

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