A Prospective Meta-Analysis (PMA) Could Harmonize the Studies Focusing on Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA)

Authors

  • Mohammad Hossein Taghrir Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
  • Roham Borazjani Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
  • David McGreevy Department of Cardiothoracic and Vascular Surgery, Orebro University Hospital, Orbro, Sweden; School of Medical Sciences, Orebro University, 702 81 Orebro, Sweden
  • Shahram Paydar Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
  • Shahin Mohseni School of Medical Sciences, Orebro University, Orebro, Sweden; Division of Trauma and Emergency Surgery, Department of Surgery, Orebro University Hospital, Orebro, Sweden

DOI:

https://doi.org/10.26676/jevtm.261

Keywords:

Surgery, Resuscitative Endovascular Balloon Occlusion of the Aorta, Prospective Meta-Analysis, Trauma, Wounds, Injuries

Abstract

With the rapid development of novel surgical devices such as Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) and the eagerness of clinicians to use them, there is a risk that their usage in clinical practice exceeds the evidence-based principles required for their introduction. This might be truer in the fields, such as trauma surgery, where the patient population and the disease (injury) burden are very heterogeneous and time-sensitive, and thus not fitting for the more gold standard investigation methods. The studies that are currently being published considering the use of REBOA in clinical settings have significant limitations and raise concerns in terms of the risk of biases that might influence the gold-standard evidence-based synthesis. This paper elaborates on the merits of a Prospective Meta-Analysis (PMA) in reducing such biases.

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Published

2023-01-06 — Updated on 2023-02-23

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How to Cite

Taghrir, M. H., Borazjani, R., McGreevy, D., Paydar, S., & Mohseni, S. (2023). A Prospective Meta-Analysis (PMA) Could Harmonize the Studies Focusing on Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA). Journal of Endovascular Resuscitation and Trauma Management, 6(3). https://doi.org/10.26676/jevtm.261 (Original work published January 6, 2023)

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Section

Letters to the Editor