The current status of REBOA in traumatic shock

Jacob Glaser, Megan Brenner

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Purpose of Review Hemorrhagic shock remains a major cause of potentially preventable death in civilian and military trauma. Balloon occlusion of the aorta has emerged as a viable technique to address non-compressible torso hemorrhage. The purpose of this review is to describe the current state of translational and clinical data on REBOA and help define its role in modern trauma algorithms. Recent Findings Recent findings suggest that REBOA is feasible in many clinical areas including prehospital. Robust animal data define a reasonable safety profile and current clinical data suggest that there are subset(s) of patients who may benefit from REBOA over traditional EDT and/or in conjunction with other resuscitation measures. Summary Although enthusiasm for the technique may have outpaced high-quality clinical data, ongoing efforts through multicenter trials seek to identify the ideal clinical scenario for REBOA. We also discuss future translational and clinical series for the next generation of REBOA.

Original languageEnglish
Article number23
JournalCurrent Surgery Reports
Volume5
Issue number10
DOIs
StatePublished - Oct 2017

Keywords

  • Aortic occlusion
  • Hemorrhage
  • PREBOA
  • Proximal control
  • REBOA
  • Shock
  • Trauma

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