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.

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Published

2022-05-20

Issue

Vol. 6 No. 1 (2022)

Section

Narrative Review Article