Prophylactic use of resuscitative endovascular balloon occlusion of the aorta in women with abnormal placentation: A systematic review, meta-analysis, and case series

Ordóñez, Carlos A.; Manzano-Núñez, Ramiro; Parra, Michael W.; Rasmussen, Todd E.; NIETO, A.L. SOLANO; Herrera-Escobar, Juan P.; Fernández, P. Hernández; Naranjo, María Paula; García, Alberto; Carvajal, Javier; Burgos, Juan Manuel; Rodríguez, Fernando; Escobar-Vidarte, María Fernanda

doi:10.1097/ta.0000000000001821

Cited by 75 publications

(77 citation statements)

References 30 publications

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“…Among the studies described, the main benefits of REBOA use were hemorrhage control and elevation of arterial pressure, reducing blood transfusion requirements and allowing patients to reach definitive treatment of injuries [16][17][18][19][20][22][23][24]26,27,29 . We carried out the analysis of this study in a segmented way, considering two large groups:…”

Section: Resultsmentioning

confidence: 99%

“…It was also used to control hemorrhagic shock in pregnant women with MAP (n=4) and control postpartum hemorrhage (n=36) [23][24][25]27 . REBOA was effective in the stabilization of bleeding and in the elevation of systolic arterial pressure 23,24,26,27 . reported thrombotic occlusion of the femoral artery.…”

Section: Obstetric Hemorrhagementioning

confidence: 99%

“…The main indication for the use of REBOA in pregnant women with MAP is severe hypotension as a result of intra-operative hemorrhage. Two systematic reviews and case series describe the use of REBOA as a prophylactic measure in women with MAP during elective cesarean sections (n=787), to reduce blood loss and the volume transfused 25,26 .…”

Section: Obstetric Hemorrhagementioning

confidence: 99%

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Indicações e resultados para o uso expandido da oclusão ressuscitativa por balão endovascular da aorta - REBOA.

Júnior

Maurício

Costa

et al. 2019

Rev. Col. Bras. Cir.

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RESUMO A oclusão ressuscitativa por balão endovascular da aorta (REBOA) é utilizada para controlar hemorragias não compressíveis do tronco como uma opção menos invasiva e com menos distúrbios fisiológicos quando comparado à toracotomia de emergência com clampeamento da aorta. Isso permite a melhora dos parâmetros hemodinâmicos até que a cirurgia definitiva seja realizada. É utilizada no trauma como uma medida para prevenir o colapso hemodinâmico em pacientes que estão em choque hemorrágico grave, mantendo a perfusão do cérebro e do coração enquanto diminui o sangramento distal até que o controle da hemorragia possa ser realizado. As principais complicações relatadas são insuficiência renal aguda, amputações de membros inferiores e óbitos. O objetivo desse estudo foi avaliar a expansão do uso do REBOA em situações não traumáticas de outras áreas da medicina, assim como, avaliar os resultados obtidos até o momento. Uma pesquisa online do PubMed, Medline e SciELO foi realizada com o termo "REBOA" nos últimos cinco anos, e os artigos incluídos foram os 14 que descrevem especificamente o uso do REBOA para condições não traumáticas. Os resultados sugerem que o uso do REBOA levou a um melhor controle do sangramento e aumento da pressão arterial, reduzindo a necessidade de transfusão de sangue e permitindo que os pacientes sobrevivam ao tratamento definitivo das lesões. Concluindo, o uso expandido do REBOA para emergências não traumáticas parece ser eficaz, mas estudos prospectivos e protocolos bem estabelecidos devem ser desenvolvidos para maximizar os resultados.

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Section: Resultsmentioning

confidence: 99%

Section: Obstetric Hemorrhagementioning

confidence: 99%

Section: Obstetric Hemorrhagementioning

confidence: 99%

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Indicações e resultados para o uso expandido da oclusão ressuscitativa por balão endovascular da aorta - REBOA.

Júnior

Maurício

Costa

et al. 2019

Rev. Col. Bras. Cir.

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“…It has therefore been discussed in recent years as a possible lifesaving procedure and has been mentioned in numerous published studies, metaanalyses and guidelines [3 bleeding in patients with ruptured aortic aneurysms. REBOA has also been successfully used to reduce blood loss during elective pelvis and liver surgery, following rupture of a splenic artery aneurysm, for postpartum hemorrhage in clinical as well as out-of-hospital settings, and even in a combat environment [20][21][22][23][24][25][26][27][28].…”

Section: Introductionmentioning

confidence: 99%

Resuscitative endovascular balloon occlusion of the aorta

Kulla

Popp

Knapp

2019

Current Opinion in Anaesthesiology

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Purpose of review Hemorrhage is the major cause of early death in severely injured patients. In civilian emergency medical services, the majority of life-threatening bleedings are found in noncompressible body regions (e.g. abdomen and pelvis). Resuscitative endovascular balloon occlusion of the aorta (REBOA) has therefore been discussed in recent years as a possible lifesaving procedure and numerous studies, meta-analyses and guidelines have been published. In this review, the data situation of REBOA in the management of bleeding trauma patients is discussed and practical implementation is depicted. Recent findings The typical indication for REBOA is a traumatic life-threatening hemorrhage below the diaphragm in patients unresponsive or only transiently responsive to the usual conservative therapeutic measures. REBOA appears to be a safe and effective procedure to reduce blood loss and stabilize the patient's hemodynamic status. However, surgical hemostasis has to be achieved within 30-60 min after occlusion of the aorta. Data on clear advantages of REBOA over resuscitative thoracostomy are inconclusive. Summary REBOA could play an important role in the management of the severely bleeding patient in the future. Together with transfusion and therapy of coagulation disorders, REBOA may be an additional tool in the anesthetist's hands for trauma management in interprofessional care concepts.

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“…In patients with uncontrollable peripartum hemorrhaging, REBOA may also play a crucial role in bridging management and defini tive bleeding control, which may contribute to decreased mor bidity and mortality. 2,8,9 According to previous literature, 2,810 the prophylactic use of REBOA has been reported as a feasible and effective procedure for controlling hemorrhaging for a pregnant woman with abnormal placentation undergoing cesarean delivery.…”

mentioning

confidence: 99%

Intraoperative Use of Resuscitative Endovascular Balloon Occlusion of the Aorta for Hemorrhage Control in Woman with Placenta Percreta Involving the Bladder

Chang

Seon

et al. 2019

Perinatology

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A 42-year-old woman with irregular uterine contractions and a history of two prior cesarean sections was admitted. At 35 weeks of gestation, preterm labor with vaginal bleeding led to a cesarean section. During placenta removal it was revealed to be a percreta and uncontrollable massive bleeding ensued. Intraoperative resuscitative endovascular balloon occlusion of the aorta (REBOA) was performed, which has been used as a resuscitative adjunct for trauma patients with noncompressible torso hemorrhage and a hysterectomy was successfully completed. Gauze packing for temporary abdominal closure and angio-embolization were performed to further control bleeding. The packed gauze was removed 2 days later and the patient recovered uneventfully. To the best of our knowledge, this is the first reported case in South Korean literature of the successful application of a REBOA as a salvage treatment for hemorrhage control, and REBOA could be a life-saving procedure for patients with peripartum hemorrhaging.

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Prophylactic use of resuscitative endovascular balloon occlusion of the aorta in women with abnormal placentation: A systematic review, meta-analysis, and case series

Abstract: Therapeutic study, level V; Systematic Review, level IV.

Cited by 75 publications

References 30 publications

Indicações e resultados para o uso expandido da oclusão ressuscitativa por balão endovascular da aorta - REBOA.

Indicações e resultados para o uso expandido da oclusão ressuscitativa por balão endovascular da aorta - REBOA.

Resuscitative endovascular balloon occlusion of the aorta

Intraoperative Use of Resuscitative Endovascular Balloon Occlusion of the Aorta for Hemorrhage Control in Woman with Placenta Percreta Involving the Bladder

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