Resuscitative endovascular balloon occlusion of the aorta

Pronunciation
Other names
Medical specialty	Interventional radiology, Vascular surgery
Uses
Complications
Approach
Types
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Other options
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Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a procedure that involves placement of an endovascular balloon in the aorta to control bleeding, augment afterload and maintain blood pressure temporarily in traumatic hemorrhagic shock.<ref>Okada, Asami,

 Resuscitative endovascular balloon occlusion of the aorta as an adjunct for hemorrhagic shock due to uterine rupture: a case report, 
 Clinical Case Reports, 
 
 Vol. 5(Issue: 10),
 pp. 1565–1568,
 DOI: 10.1002/ccr3.1126,
 PMID: 29026545,
 PMC: 5628233,</ref> REBOA is considered a minimally-invasive alternative to thoracotomy with aortic cross-clamping (ACC).<ref>Brenner, M., 
 Use of Resuscitative Endovascular Balloon Occlusion of the Aorta for Proximal Aortic Control in Patients With Severe Hemorrhage and Arrest, 
 Journal of Vascular Surgery, 
 
 Vol. 67(Issue: 1),
 pp. 355–356,
 DOI: 10.1016/j.jvs.2017.11.028,
 
 
 
 Full text,</ref> 

Methods

The technique involves inserting a small balloon directly into the patient's aorta and inflating it. The balloon blocks the artery and temporarily stops the blood flow giving doctors time to operate. It maintains blood circulation in the brain and heart. However, the parts of the body below the balloon are cut off from the normal blood flow and this may result in short- or longer-term problems.<ref>,

 ISRCTN - ISRCTN16184981: The effectiveness and cost-effectiveness of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) for trauma, 
 , 
 
 
 
 DOI: 10.1186/ISRCTN16184981,
 
 
 
 Full text,
 Accessed on: 2018-02-25.</ref> This technique has been successfully used in operations to control non compressible torso hemorrhages in adults; but this has not been studied for children. <ref>Yamashiro K.J., Galganski L.A., Grayson J.K., et al Resuscitative endovascular balloon occlusion of the aorta in a pediatric swine model: Is 60 minutes too long?.   J. Trauma Acute Care Surg.. 2020;89(4):616-622. doi:10.1097/TA.0000000000002620</ref>

See also

• Balloon tamponade

References

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  Resuscitative endovascular balloon occlusion of the aorta