Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA)

  • Chrissy Guidry
  • Elizabeth R. BenjaminEmail author


  • REBOA is an endovascular balloon system, which can be used in the emergency room, operating room, or intensive care unit, usually in trauma patients, for temporary bleeding control in the abdomen or pelvis (Fig. 19.1).

  • The REBOA device is inserted using a transfemoral approach, and the balloon is inflated in the lower thoracic or abdominal aorta to establish temporary aortic occlusion and hemorrhage control, acting like an internal aortic cross-clamp.

  • REBOA is used to bridge a patient to definitive treatment in the operating room or the interventional radiology suite.

  • REBOA can be placed within a few minutes.

  • REBOA is contraindicated in patients in cardiac arrest. In these cases a resuscitative thoracotomy with cross-clamp of the aorta and internal cardiac massage should be performed. The procedure is also contraindicated for intrathoracic bleeding and in cases with clinical or radiological suspicion of blunt thoracic aortic injury.

  • REBOA produces distal ischemia and may cause ischemic damage to the kidneys, bowel, and liver if the occlusion is prolonged. Ideally, zone I occlusion should not last longer than 30 min.

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Division of Trauma, Emergency Surgery and Surgical Critical CareUniversity of Southern CaliforniaLos AngelesUSA

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