Indication of Resuscitative Endovascular Balloon Occlusion of the Aorta in Trauma Patients

Authors

  • Kenichiro Ishida Osaka Medical Center
  • Satomi Seno Department of Emergency and Critical Care Center, Saiseikai Yokohamashi Tobu Hospital, Yokohama, Japan.
  • Takaaki Maruhashi Department of Emergency and Critical Care Medicine, Kitasato University school of Medicine, Sagamihara, Kanagawa, Japan
  • Yosuke Matsumura Department of Intensive Care, Chiba Emergency Medical Center, Chiba city, Chiba, Japan

Keywords:

Resuscitative endovascular balloon occlusion of the aorta, Trauma, Hemorrhagic shock, Indication

Abstract

In trauma bays, resuscitation as a bridge to definitive hemorrhage control to avoid cardiac arrest is challenging. Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a resuscitation procedure for refractory hemorrhagic shock.

The REBOA procedure itself is simple compared to other endovascular procedures, such as angioembolization or stent graft placement. However, adequate REBOA implementation requires a complete understanding of its potential risks and simulation training.

We should be aware that REBOA is not a hemostatic device, but a bridge to definitive hemorrhage control; furthermore, it is not a magical device that can improve the critical situation in trauma resuscitation.

For appropriate use, we herein describe the indication of REBOA in trauma resuscitation based on existing evidence.

Downloads

Additional Files

Published

2022-05-20

Issue

Section

Narrative Review Article