The Current Status of REBOA in Traumatic Shock
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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 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.
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.
KeywordsTrauma Hemorrhage Shock Proximal control Aortic occlusion REBOA pREBOA
Compliance with Ethics Guidelines
Conflict of interest
M.B. is a Clinical Advisory Board member for Prytime Medical Inc. J.G. declares no conflicts of interest relevant to this manuscript.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
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