Resuscitative endovascular balloon occlusion of the aorta

Resuscitative endovascular balloon occlusion of the aorta
SpecialtyInterventional radiology, Vascular surgery

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.[1] REBOA is considered a minimally-invasive alternative to thoracotomy with aortic cross-clamping (ACC).[2]

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.[3] This technique has been successfully used in operations to control non-compressible torso hemorrhages in adults; but this has not been studied for children. [4]

See also

References

  1. ↑ Okada, Asami; Nakamoto, Osamu; Komori, Maya; Arimoto, Hideki; Rinka, Hiroshi; Nakamura, Hiroaki (2017-10-01). "Resuscitative endovascular balloon occlusion of the aorta as an adjunct for hemorrhagic shock due to uterine rupture: a case report". Clinical Case Reports. 5 (10): 1565–1568. doi:10.1002/ccr3.1126. ISSN 2050-0904. PMC 5628233. PMID 29026545.
  2. ↑ Brenner, M.; Teeter, W.; Hoehn, M.; Pasley, J.; Hu, P.; Yang, S. (2018-01-01). "Use of Resuscitative Endovascular Balloon Occlusion of the Aorta for Proximal Aortic Control in Patients With Severe Hemorrhage and Arrest". Journal of Vascular Surgery. 67 (1): 355–356. doi:10.1016/j.jvs.2017.11.028. ISSN 0741-5214.
  3. ↑ Cochran, Claire. "ISRCTN - ISRCTN16184981: The effectiveness and cost-effectiveness of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) for trauma". www.isrctn.com. doi:10.1186/ISRCTN16184981. Retrieved 2018-02-25.
  4. ↑ 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


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