The Current Status of REBOA in Traumatic Shock

AbstractPurpose of ReviewHemorrhagic 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 FindingsRecent 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.SummaryAlthough 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.

Source: Current Surgery Reports - August 7, 2017 Category: Surgery Source Type: research