The pitfalls of resuscitative endovascular balloon occlusion of the aorta: Risk factors and mitigation strategies

Anders J. Davidson, Rachel M. Russo, Viktor A. Reva, Megan L. Brenner, Laura J. Moore, Chad Ball, Eileen Bulger, Charles J. Fox, Joseph J. Dubose*, Ernest E. Moore, Todd E. Rasmussen

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

136 Scopus citations

Abstract

Despite technological advancements, REBOA is associated with significant risks due to complications of vascular access and ischemia-reperfusion. The inherent morbidity and mortality of REBOA is often compounded by coexisting injury and hemorrhagic shock. Additionally, the potential for REBOA-related injuries is exaggerated due to the growing number of interventions being performed by providers who have limited experience in endovascular techniques, inadequate resources, minimal training in the technique, and who are performing this maneuver in emergency situations. In an effort to ultimately improve outcomes with REBOA, we sought to compile a list of complications that may be encountered during REBOA usage. To address the current knowledge gap, we assembled a list of anecdotal complications from high-volume REBOA users internationally. More importantly, through a consensus model, we identify contributory factors that may lead to complications and deliberate on how to recognize, mitigate, and manage such events. An understanding of the pitfalls of REBOA and strategies to mitigate their occurrence is of vital importance to optimize patient outcomes.

Original languageEnglish
Pages (from-to)192-202
Number of pages11
JournalJournal of Trauma and Acute Care Surgery
Volume84
Issue number1
DOIs
StatePublished - 1 Jan 2018
Externally publishedYes

Fingerprint

Dive into the research topics of 'The pitfalls of resuscitative endovascular balloon occlusion of the aorta: Risk factors and mitigation strategies'. Together they form a unique fingerprint.

Cite this