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Clinical Use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in the Management of Hemorrhage Control: Where Are We Now?

  • Trauma Surgery (J Diaz, Section Editor)
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Abstract

Purpose of Review

Hemorrhagic shock remains the leading cause of potentially preventable death following traumatic injuries. Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) has demonstrated promising results in the control of non-compressible torso hemorrhage. The purpose of this review is to summarize the indications, procedural techniques, and complications of REBOA in order to help define practice management guidelines.

Recent Findings

Recent studies suggest that REBOA is advantageous in aiding hemodynamic stabilization as a bridge to definitive hemorrhage control. REBOA is a feasible option for non-compressible torso hemorrhage as well as traumatic cardiac arrest and has the potential to improve morbidity and mortality in select patient populations.

Summary

Despite favorable emerging data, varying results in the literature indicate the need for further high-quality reproducible data and multicenter trials to identify the ideal clinical scenarios for REBOA. This review discusses special considerations and future directions for next generation REBOA use.

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References

Papers of particular interest, published recently (last 3 years), have been highlighted as: • Of importance •• Of major importance

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Authors and Affiliations

  1. Department of Surgery, Florida Atlantic University Schmidt College of Medicine, 777 Glades Road BC-71, Boca Raton, FL, 33431, USA

    Amanda M. Marsh, Mario Rueda, Megan Morrow, Lawrence Lottenberg, Robert Borrego & Faris K. Azar

  2. R Adams Cowley Shock Trauma Center, University of Maryland Medical Center, Baltimore, MD, USA

    Richard Betzold, Mira Ghneim, Joseph J. DuBose & Jonathan J. Morrison

  3. Division of Trauma, Critical Care and Acute Care Surgery, St. Mary’s Medical Center, West Palm Beach, FL, USA

    Mario Rueda, Lawrence Lottenberg, Robert Borrego & Faris K. Azar

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  1. Amanda M. Marsh
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Contributions

All authors contributed to the study conception and design. AM and FA contributed to the literature search and drafting the first manuscript draft. RB, MG, MM, LL, MR, RB, JD and JM drafted and critically revised the final manuscript. RB, MM, and JM worked on the images and captions provided for the manuscript.

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Correspondence to Faris K. Azar.

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Amanda Marsh MD, Richard Betzold MD, Mira Ghneim MD, Lawrence Lottenberg MD, Mario Rueda MD, Megan Morrow MD, Robert Borrego MD, Joseph DuBose MD, and Faris Azar MD have no financial disclosures or conflicts of interest to report. Jonathan J. Morrison MD PhD is a member of the clinical advisory board of Prytime Medical Inc., a position which includes stock options.

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Marsh, A.M., Betzold, R., Rueda, M. et al. Clinical Use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in the Management of Hemorrhage Control: Where Are We Now?. Curr Surg Rep 9, 5 (2021). https://doi.org/10.1007/s40137-021-00285-7

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