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Published in: World Journal of Emergency Surgery 1/2018

Open Access 01-12-2018 | Review

The complications associated with Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA)

Authors: Marcelo A. F. Ribeiro Junior, Celia Y. D. Feng, Alexander T. M. Nguyen, Vinicius C. Rodrigues, Giovana E. K. Bechara, Raíssa Reis de-Moura, Megan Brenner

Published in: World Journal of Emergency Surgery | Issue 1/2018

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Abstract

Non-compressible torso hemorrhage (NCTH) remains a significant cause of morbidity and mortality in the field of trauma and emergency medicine. In recent times, there has been a resurgence in the adoption of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) for patients who present with NCTH. Like all medical procedures, there are benefits and risks associated with the REBOA technique. However, in the case of REBOA, these complications are not unanimously agreed upon with varying viewpoints and studies. This article aims to review the current knowledge surrounding the complications of the REBOA technique at each step of its application.
Literature
1.
go back to reference Qasim Z, Brenner M, Menaker J, Scalea T. Resuscitative Endovascular Balloon Occlusion of the Aorta. Resuscitation. 2015;96:275–9.CrossRefPubMed Qasim Z, Brenner M, Menaker J, Scalea T. Resuscitative Endovascular Balloon Occlusion of the Aorta. Resuscitation. 2015;96:275–9.CrossRefPubMed
2.
go back to reference Kragh Jr JF, Jones JA, Walters TJ, Baer DG, Wade CE, Holcomb JB, et al. Battle casualty survival with emergency tourniquet use to stop limb bleeding. J Emerg Med. 2011;41(6):590–7.CrossRef Kragh Jr JF, Jones JA, Walters TJ, Baer DG, Wade CE, Holcomb JB, et al. Battle casualty survival with emergency tourniquet use to stop limb bleeding. J Emerg Med. 2011;41(6):590–7.CrossRef
3.
go back to reference Morrison JJ, Rasmussen TE. Noncompressible torso hemorrhage: a review with contemporary definitions and management strategies. Surg Clin North Am. 2012;92(4):843–58.CrossRefPubMed Morrison JJ, Rasmussen TE. Noncompressible torso hemorrhage: a review with contemporary definitions and management strategies. Surg Clin North Am. 2012;92(4):843–58.CrossRefPubMed
4.
go back to reference Seamon JM, Haut RE, Van Arendonk RK, Barbosa CR, Chiu JW, Dente SC, et al. An evidence-based approach to patient selection for emergency department thoracotomy: a practice management guideline from the Eastern Association for the Surgery of Trauma. J Trauma Acute Care Surg. 2015;79(1):159–73.CrossRefPubMed Seamon JM, Haut RE, Van Arendonk RK, Barbosa CR, Chiu JW, Dente SC, et al. An evidence-based approach to patient selection for emergency department thoracotomy: a practice management guideline from the Eastern Association for the Surgery of Trauma. J Trauma Acute Care Surg. 2015;79(1):159–73.CrossRefPubMed
5.
go back to reference Teeter WA, Matsumoto J, Idoguchi K, Kon Y, Orita T, Funabiki T, et al. Smaller introducer sheaths for REBOA may be associated with fewer complications. J Trauma Acute Care Surg. 2016;81(6):1039–45.CrossRefPubMed Teeter WA, Matsumoto J, Idoguchi K, Kon Y, Orita T, Funabiki T, et al. Smaller introducer sheaths for REBOA may be associated with fewer complications. J Trauma Acute Care Surg. 2016;81(6):1039–45.CrossRefPubMed
6.
go back to reference Biffl WL, Fox CJ, Moore EE. The role of REBOA in the control of exsanguinating torso hemorrhage. J Trauma Acute Care Surg. 2015;78(5):1054–8.CrossRefPubMed Biffl WL, Fox CJ, Moore EE. The role of REBOA in the control of exsanguinating torso hemorrhage. J Trauma Acute Care Surg. 2015;78(5):1054–8.CrossRefPubMed
7.
go back to reference Gamberini E, Coccolini F, Tamagnini B, Martino C, Albarello V, Benni M, et al. Resuscitative endovascular balloon occlusion of the aorta in trauma: a systematic review of the literature. World J Emerg Surg. 2017;12:42.CrossRefPubMedPubMedCentral Gamberini E, Coccolini F, Tamagnini B, Martino C, Albarello V, Benni M, et al. Resuscitative endovascular balloon occlusion of the aorta in trauma: a systematic review of the literature. World J Emerg Surg. 2017;12:42.CrossRefPubMedPubMedCentral
8.
go back to reference Stannard A, Eliason JL, Rasmussen TE. Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) as an adjunct for hemorrhagic shock. J Trauma. 2011;71(6):1869.PubMed Stannard A, Eliason JL, Rasmussen TE. Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) as an adjunct for hemorrhagic shock. J Trauma. 2011;71(6):1869.PubMed
9.
go back to reference Dubose JJ, Scalea TM, Brenner M, Skiada D, Inaba K, Cannon J, et al. The AAST prospective Aortic Occlusion for Resuscitation in Trauma and Acute Care Surgery (AORTA) registry: data on contemporary utilization and outcomes of aortic occlusion and Resuscitative Balloon Occlusion of the Aorta (REBOA). J Trauma Acute Care Surg. 2016;81(3):409.CrossRefPubMed Dubose JJ, Scalea TM, Brenner M, Skiada D, Inaba K, Cannon J, et al. The AAST prospective Aortic Occlusion for Resuscitation in Trauma and Acute Care Surgery (AORTA) registry: data on contemporary utilization and outcomes of aortic occlusion and Resuscitative Balloon Occlusion of the Aorta (REBOA). J Trauma Acute Care Surg. 2016;81(3):409.CrossRefPubMed
10.
go back to reference Davidson AJ, Russo RM, Reva VA, Brenner ML, Moore LJ, Ball C, et al. The pitfalls of resuscitative endovascular balloon occlusion of the aorta: risk factors and mitigation strategies. J Trauma Acute Care Surg. 2018;84(1):192.CrossRefPubMed Davidson AJ, Russo RM, Reva VA, Brenner ML, Moore LJ, Ball C, et al. The pitfalls of resuscitative endovascular balloon occlusion of the aorta: risk factors and mitigation strategies. J Trauma Acute Care Surg. 2018;84(1):192.CrossRefPubMed
11.
go back to reference Tsurukiri J, Akamine I, Sato T, Sakurai M, Okumura E, Moriya M, et al. Resuscitative endovascular balloon occlusion of the aorta for uncontrolled haemorrahgic shock as an adjunct to haemostatic procedures in the acute care setting. Scand J Trauma Resusc Emerg Med. 2016;24:13.CrossRefPubMedPubMedCentral Tsurukiri J, Akamine I, Sato T, Sakurai M, Okumura E, Moriya M, et al. Resuscitative endovascular balloon occlusion of the aorta for uncontrolled haemorrahgic shock as an adjunct to haemostatic procedures in the acute care setting. Scand J Trauma Resusc Emerg Med. 2016;24:13.CrossRefPubMedPubMedCentral
12.
go back to reference Doucet J, Coimbra R. REBOA: is it ready for prime time? J Vasc Bras. 2017;16(1):1–3.CrossRef Doucet J, Coimbra R. REBOA: is it ready for prime time? J Vasc Bras. 2017;16(1):1–3.CrossRef
13.
go back to reference Okada Y, Narumiya H, Ishi W, Ryoji I. Lower limb ischemia caused by resuscitative balloon occlusion of aorta. J Surg Case Rep. 2016;2(1):1–4.CrossRef Okada Y, Narumiya H, Ishi W, Ryoji I. Lower limb ischemia caused by resuscitative balloon occlusion of aorta. J Surg Case Rep. 2016;2(1):1–4.CrossRef
14.
go back to reference Ribeiro Junior MAF, Brenner M, Nguyen ATM, Feng CYD, de-Moura RR, Rodrigues VC, etal. Resuscitative endovascular balloon occlusion of the aorta (REBOA): an updated review. Rev Col Bras Cir. 2018;45(1):e1709. Ribeiro Junior MAF, Brenner M, Nguyen ATM, Feng CYD, de-Moura RR, Rodrigues VC, etal. Resuscitative endovascular balloon occlusion of the aorta (REBOA): an updated review. Rev Col Bras Cir. 2018;45(1):e1709.
15.
go back to reference Matsumura Y, Matsumoto J, Kondo H, Idoguchi K, Ishida T, Kon Y, et al. Fewer REBOA complications with smaller devices and partial occlusion: evidence from a multicentre registry in Japan. Emerg Med J. 2017;34(12):793.CrossRefPubMed Matsumura Y, Matsumoto J, Kondo H, Idoguchi K, Ishida T, Kon Y, et al. Fewer REBOA complications with smaller devices and partial occlusion: evidence from a multicentre registry in Japan. Emerg Med J. 2017;34(12):793.CrossRefPubMed
16.
go back to reference Taylor JR, Harvin JA, Martin C, Holcomb JB, Moore LJ. Vascular complications from resuscitative endovascular balloon occlusion of the aorta: life over limb? J Trauma Acute Care Surg. 2017;83(1 Suppl 1):S120.CrossRefPubMed Taylor JR, Harvin JA, Martin C, Holcomb JB, Moore LJ. Vascular complications from resuscitative endovascular balloon occlusion of the aorta: life over limb? J Trauma Acute Care Surg. 2017;83(1 Suppl 1):S120.CrossRefPubMed
17.
go back to reference Brenner M, Bulger EM, Perina DG, Henry S, Kang CS, Rotondo MF, et al. Joint statement from the American College of Surgeons Committee on Trauma (ACS COT) and the American College of Emergency Physicians (ACEP) regarding the clinical use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA). Trauma Surg Acute Care Open. 2018;3(1):1–3. Brenner M, Bulger EM, Perina DG, Henry S, Kang CS, Rotondo MF, et al. Joint statement from the American College of Surgeons Committee on Trauma (ACS COT) and the American College of Emergency Physicians (ACEP) regarding the clinical use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA). Trauma Surg Acute Care Open. 2018;3(1):1–3.
18.
go back to reference Ordoñez CA, Manzano-Nunez R, del Valle AM, Rodriguez F, Burbano P, Naranjo MP, et al. Uso actual del balón de resucitación aórtico endovascular (REBOA) en trauma. Rev Colomb Anestesiol. 2017;45(Supplement 2):30–8. Ordoñez CA, Manzano-Nunez R, del Valle AM, Rodriguez F, Burbano P, Naranjo MP, et al. Uso actual del balón de resucitación aórtico endovascular (REBOA) en trauma. Rev Colomb Anestesiol. 2017;45(Supplement 2):30–8.
19.
go back to reference Pasley J, Cannon J, Glaser J, Polk T, Morrison J, Brocker J, et al. Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) for hemorrhagic shock (CPG ID: 38). JTS CPG. 2017:1–21. Pasley J, Cannon J, Glaser J, Polk T, Morrison J, Brocker J, et al. Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) for hemorrhagic shock (CPG ID: 38). JTS CPG. 2017:1–21.
20.
go back to reference Morrison JJ, Galgon RE, Jansen JO, Cannon JW, Rasmussen TE, Eliason JL. A systematic review of the use of resuscitative endovascular balloon occlusion of the aorta in the management of hemorrhagic shock. J Trauma Acute Care Surg. 2016;80(2):324–34.CrossRefPubMed Morrison JJ, Galgon RE, Jansen JO, Cannon JW, Rasmussen TE, Eliason JL. A systematic review of the use of resuscitative endovascular balloon occlusion of the aorta in the management of hemorrhagic shock. J Trauma Acute Care Surg. 2016;80(2):324–34.CrossRefPubMed
21.
go back to reference Madurska MJ, Jansen JO, Reva VA, Mirghani M, Morrison JJ. The compatibility of computed tomography scanning and partial REBOA: a large animal pilot study. J Trauma Acute Care Surg. 2017;83(3):557–61.CrossRefPubMed Madurska MJ, Jansen JO, Reva VA, Mirghani M, Morrison JJ. The compatibility of computed tomography scanning and partial REBOA: a large animal pilot study. J Trauma Acute Care Surg. 2017;83(3):557–61.CrossRefPubMed
22.
go back to reference Johnson AM, Davidson JA, Russo MR, Ferencz ES-A, Gotlib EO, Rasmussen PT, et al. Small changes, big effects: the hemodynamics of partial and complete aortic occlusion to inform next generation resuscitation techniques and technologies. J Trauma Acute Care Surg. 2017;82(6):1106–11.CrossRefPubMed Johnson AM, Davidson JA, Russo MR, Ferencz ES-A, Gotlib EO, Rasmussen PT, et al. Small changes, big effects: the hemodynamics of partial and complete aortic occlusion to inform next generation resuscitation techniques and technologies. J Trauma Acute Care Surg. 2017;82(6):1106–11.CrossRefPubMed
23.
go back to reference Russo RM, Neff LP, Lamb CM, Cannon JW, Galante JM, Clement NF, et al. Partial Resuscitative Endovascular Balloon Occlusion of the Aorta in swine model of hemorrhagic shock. J Am Coll Sur. 2016;223(2):359–68.CrossRef Russo RM, Neff LP, Lamb CM, Cannon JW, Galante JM, Clement NF, et al. Partial Resuscitative Endovascular Balloon Occlusion of the Aorta in swine model of hemorrhagic shock. J Am Coll Sur. 2016;223(2):359–68.CrossRef
24.
go back to reference Saito N, Matsumoto H, Yagi T, Hara Y, Hayashida K, Motomura T, et al. Evaluation of the safety and feasibility of resuscitative endovascular balloon occlusion of the aorta. J Trauma Acute Care Surg. 2015;78(5):897–903.CrossRefPubMed Saito N, Matsumoto H, Yagi T, Hara Y, Hayashida K, Motomura T, et al. Evaluation of the safety and feasibility of resuscitative endovascular balloon occlusion of the aorta. J Trauma Acute Care Surg. 2015;78(5):897–903.CrossRefPubMed
25.
go back to reference Williams TK, Johnson A, Neff L, Hörer TM, Moore L, Brenner M, et al. “What’s in a Name?” A Consensus Proposal for a Common Nomenclature in the Endovascular Resuscitative Management and REBOA Literature. JEVTM. 2017;1(1):9–12. Williams TK, Johnson A, Neff L, Hörer TM, Moore L, Brenner M, et al. “What’s in a Name?” A Consensus Proposal for a Common Nomenclature in the Endovascular Resuscitative Management and REBOA Literature. JEVTM. 2017;1(1):9–12.
26.
go back to reference Martinelli T, Thony F, Decléty P, Sengel C, Broux C, Tonetti J, et al. Intra-aortic balloon occlusion to salvage patients with life-threatening hemorrhagic shocks from pelvic fractures. J Trauma Inj Infect Crit Care. 2010;68(4):942–8. Martinelli T, Thony F, Decléty P, Sengel C, Broux C, Tonetti J, et al. Intra-aortic balloon occlusion to salvage patients with life-threatening hemorrhagic shocks from pelvic fractures. J Trauma Inj Infect Crit Care. 2010;68(4):942–8.
27.
go back to reference Davidson AJ, Russo RM, Ferencz S-AE, Cannon JW, Rasmussen TE, Neff LP, et al. Incremental balloon deflation following complete resuscitative endovascular balloon occlusion of the aorta results in steep inflection of flow and rapid reperfusion in a large animal model of hemorrhagic shock. J Trauma Acute Care Surg. 2017;83(1):139.CrossRefPubMed Davidson AJ, Russo RM, Ferencz S-AE, Cannon JW, Rasmussen TE, Neff LP, et al. Incremental balloon deflation following complete resuscitative endovascular balloon occlusion of the aorta results in steep inflection of flow and rapid reperfusion in a large animal model of hemorrhagic shock. J Trauma Acute Care Surg. 2017;83(1):139.CrossRefPubMed
Metadata
Title
The complications associated with Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA)
Authors
Marcelo A. F. Ribeiro Junior
Celia Y. D. Feng
Alexander T. M. Nguyen
Vinicius C. Rodrigues
Giovana E. K. Bechara
Raíssa Reis de-Moura
Megan Brenner
Publication date
01-12-2018
Publisher
BioMed Central
Published in
World Journal of Emergency Surgery / Issue 1/2018
Electronic ISSN: 1749-7922
DOI
https://doi.org/10.1186/s13017-018-0181-6

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