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Open Access 01-12-2017 | Review

Resuscitative Endovascular Balloon Occlusion of the Aorta in trauma: a systematic review of the literature

Authors: Emiliano Gamberini, Federico Coccolini, Beatrice Tamagnini, Costanza Martino, Vittorio Albarello, Marco Benni, Marcello Bisulli, Nicola Fabbri, Tal Martin Hörer, Luca Ansaloni, Carlo Coniglio, Marco Barozzi, Vanni Agnoletti

Published in: World Journal of Emergency Surgery | Issue 1/2017

Abstract

Aims

Resuscitative endovascular balloon occlusion of the aorta has been a hot topic in trauma resuscitation during these last years. The aims of this systematic review are to analyze when, how, and where this technique is performed and to evaluate preliminary results.

Methods

The literature search was performed on online databases in December 2016, without time limits. Studies citing endovascular balloon occlusion of the aorta in trauma were retrieved for evaluation.

Results

Sixty-one articles met the inclusion criteria and were selected for the systematic review. Overall, they included 1355 treated with aortic endovascular balloon occlusion, and 883 (65%) patients died after the procedure. In most of the included cases, a shock state seemed to be present before the procedure. Time of death and inflation site was not described in the majority of included studies. Procedure-related and shock-related complications are described. Introducer sheath size and comorbidity seems to play the role of risk factors.

Conclusions

Resuscitative endovascular balloon occlusion of the aorta is increasingly used in trauma victim resuscitation all over the world, to elevate blood pressure and limit fluid infusion, while other procedures aimed to stop the bleeding are performed. High mortality rate is probably due to the severity of the injuries. Time and place of balloon insertion, zone of balloon inflation, and inflation cutoff time are very heterogeneous.

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Title: Resuscitative Endovascular Balloon Occlusion of the Aorta in trauma: a systematic review of the literature
Authors: Emiliano Gamberini
Federico Coccolini
Beatrice Tamagnini
Costanza Martino
Vittorio Albarello
Marco Benni
Marcello Bisulli
Nicola Fabbri
Tal Martin Hörer
Luca Ansaloni
Carlo Coniglio
Marco Barozzi
Vanni Agnoletti
Publication date: 01-12-2017
Publisher: BioMed Central
Published in: World Journal of Emergency Surgery / Issue 1/2017
Electronic ISSN: 1749-7922
DOI: https://doi.org/10.1186/s13017-017-0153-2

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Resuscitative Endovascular Balloon Occlusion of the Aorta in trauma: a systematic review of the literature

Abstract

Aims

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Aims

Methods

Results

Conclusions

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