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The Current Status of REBOA in Traumatic Shock

  • Trauma Surgery (J. Diaz, Section Editor)
  • Published:
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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.

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Authors and Affiliations

  1. Uniformed Services University School of Medicine, Naval Medical Research Unit San Antonio, 3650 Chambers Pass, San Antonio, TX, USA

    Jacob Glaser

  2. Division of Trauma/Surgical Critical Care, RA Cowley Shock Trauma Center, Division of Vascular Surgery, University of Maryland School of Medicine, Baltimore, MD, USA

    Megan Brenner

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Correspondence to Jacob Glaser.

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M.B. is a Clinical Advisory Board member for Prytime Medical Inc. J.G. declares no conflicts of interest relevant to this manuscript.

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Glaser, J., Brenner, M. The Current Status of REBOA in Traumatic Shock. Curr Surg Rep 5, 23 (2017). https://doi.org/10.1007/s40137-017-0186-1

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