Resuscitative endovascular balloon occlusion of the aorta (REBOA): an updated review

Júnior, Marcelo Augusto Fontenelle Ribeiro; Brenner, Megan; Nguyen, Alexander T M; Feng, Celia Ya Dan; de-Moura, Raíssa Reis; Rodrigues, Vinícius C.; Prado, Renata L

doi:10.1590/0100-6991e-20181709

Cited by 15 publications

(12 citation statements)

References 41 publications

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“…One point we would like to discuss is the mentioned rate of complication [ 39 – 41 ]. With an overall rate of almost 14% and 8.5% major complications, it seems to be quite high.…”

Section: Discussionmentioning

confidence: 99%

Successfully REBOA performance: does medical specialty matter? International data from the ABOTrauma Registry

et al. 2020

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Background Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a minimally invasive procedure being increasingly utilized to prevent patients with non-compressible torso hemorrhage from exsanguination. The increased use of REBOA is giving rise to discussion about “Who is and who should be performing it?” Methods Data from the international ABO (aortic balloon occlusion) Trauma Registry from between November 2014 and April 2020 were analyzed concerning the question: By who, how, and where is REBOA being performed? The registry collects retrospective and prospective data concerning use of REBOA in trauma patients. Results During the study period, 259 patients had been recorded in the registry, 72.5% (n = 188) were males with a median (range) age of 46 (10-96) years. REBOA was performed in the ER in 50.5%, in the OR in 41.5%, and in the angiography suite in 8% of patients. In 54% of the patients REBOA was performed by surgeons (trauma surgeons 28%, vascular surgeons 22%, general surgeons 4%) and in 46% of the patients by non-surgeons (emergency physicians 31%, radiologists 9.5%, anesthetists 5.5%). Common femoral artery (CFA) access was achieved by use of external anatomic landmarks and palpation alone in 119 patients (51%), by cutdown in 57 patients (24%), using ultrasound in 49 patients (21%), and by fluoroscopy in 9 patients (4%). Significant differences between surgeons and non-surgeons were found regarding patient’s age, injury severity, access methods, place where REBOA was performed, location patients were taken to from the emergency room, and mortality. Conclusion A substantial number of both surgical and non-surgical medical disciplines are successfully performing REBOA to an almost equal extent. Surgical cutdown is used less frequently as access to the CFA compared with reports in older literature and puncture by use of external anatomic landmarks and palpation alone is used with a high rate of success. Instead of discussing “Who should be performing REBOA?” future research should focus on “Which patient benefits most from REBOA?”

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“…One point we would like to discuss is the mentioned rate of complication [ 39 – 41 ]. With an overall rate of almost 14% and 8.5% major complications, it seems to be quite high.…”

Section: Discussionmentioning

confidence: 99%

Successfully REBOA performance: does medical specialty matter? International data from the ABOTrauma Registry

et al. 2020

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“…There have been studies identifying REBOA as a favorite alternative such as one prospective study that compared the use of open thoracotomy and REBOA, and others in Japan that compared the use of aortic cross-clamping and REBOA [ 11 - 12 ]. However, the data is inconclusive, and more research is still needed to identify the effectiveness of REBOA [ 13 ]. REBOA carries a risk for irreversible organ damage, cardiac failure, and exacerbation of traumatic brain injury [ 14 - 15 ].…”

Section: Discussionmentioning

confidence: 99%

Deployment of a Resuscitative Endovascular Balloon Occlusion of the Aorta Device in a Case of Gunshot Wound Injury to a Horseshoe Kidney

Castaneda

Puckett

Leal

et al. 2018

Cureus

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A horseshoe kidney (HSK) is a urological malformation that is typically found incidentally after a traumatic injury due to its asymptomatic nature. We present a 25-year-old male with multiorgan injuries secondary to blunt abdominal trauma caused by a gunshot wound. We report the courses of action taken that led to the identification of the HSK and other associated intra-abdominal injuries and the subsequent surgical management. Resuscitative endovascular balloon occlusion of the aorta (REBOA) is an improving minimally invasive technique that was used to control hemorrhage in the early preoperative stages and during surgical repair of the injuries. Multiorgan injuries that involve an HSK are uncommon. Our interest in the case relies on the rarity and unique aspects of the injuries and the recovery of the patient following the use of REBOA.

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“…El manejo actual de la hemorragia no compresible del torso (Non Compressible Torso Hemorrhage, NCTH) es bastante invasivo. Para controlar la hemorragia intraabdominal, se practica una laparotomía, mientras que los pacientes que presentan o progresan a choque hemorrágico persistente, son candidatos a toracotomía abierta para pinzar la aorta y lograr la reanimación cardiovascular 3 .…”

Section: Introductionunclassified

Balón de reanimación endovascular de aorta para pacientes en riesgo de o en choque hemorrágico: experiencia en un centro de trauma de Latinoamérica

Meléndez¹,

Ordóñez

Parra³

et al. 2019

rev. colomb. cir.

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Resuscitative endovascular balloon occlusion of the aorta (REBOA): an updated review

Cited by 15 publications

References 41 publications

Successfully REBOA performance: does medical specialty matter? International data from the ABOTrauma Registry

Successfully REBOA performance: does medical specialty matter? International data from the ABOTrauma Registry

Deployment of a Resuscitative Endovascular Balloon Occlusion of the Aorta Device in a Case of Gunshot Wound Injury to a Horseshoe Kidney

Balón de reanimación endovascular de aorta para pacientes en riesgo de o en choque hemorrágico: experiencia en un centro de trauma de Latinoamérica

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