Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a minimally-invasive procedure performed during resuscitation of critically-injured trauma patients. REBOA is Resuscitative Endovascular Balloon Occlusion of the Aorta It involves placement of an endovascular balloon in the aorta to control haemorrhage and to augment afterload in traumatic arrest and haemorrhagic shock states REBOA is not without significant risk. Occlusion of the aorta results in tissue ischemia followed by reperfusion injury, predisposing to organ dysfunction and cardiovascular collapse.

Understanding the Context

In addition, several technical complications have been reported which impact lower limb perfusion. REBOA is a minimally invasive technique using a balloon catheter to temporarily occlude large vessels in support of hemorrhage control. Hemorrhage leads to cardiovascular collapse then death unless blood flow to the heart muscle and brain is maintained. Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a minimally invasive technique using a balloon catheter to temporarily occlude the aorta in support of hemorrhage control.

Key Insights

REBOA is a procedure in which a balloon-tipped catheter is used to occlude the distal aorta proximal to the level of bleeding. REBOA is a potential temporizing solution to traumatic non-compressible hemorrhage. The technology has evolved to the resuscitative endovascular balloon occlusion of the aorta (REBOA). In the trauma setting REBOA has been applied to mitigate blood loss from penetrating abdominal trauma, blunt abdominal trauma, pelvic fractures and lower extremity amputations. In this podcast, I discuss the new catheter from Prytime and then I interview Dr.

Final Thoughts

Joe DuBose, a trauma and vascular surgeon who performed the first ER REBOA placement that resulted in a survivor.