A small case series of aortic balloon occlusion in trauma: lessons learned from its use in ruptured abdominal aortic aneurysms and a brief review

Abstract

EVTM, including the usage of ABO, can be initiated on patient arrival and is feasible. Further data need to be collected to investigate proper indications for ABO, best clinical usage, results and potential complications. Accordingly, the ABOTrauma Registry has recently been set up. Existing experiences of EVTM and lessons from the endovascular treatment of rAAA may be useful in trauma management.

A systematic review and meta-analysis of the use of resuscitative endovascular balloon occlusion of the aorta in the management of major exsanguination

“…These studies were predominantly older in publication date but were still eligible for inclusion. Therefore, after final quantitative synthesis, 89 articles were selected, including 28 case reports [11, 20–46], 25 case series [10, 47–71], and 36 (retrospective) cohort studies [12, 72–105]. Also 8 reviews were identified but not included in calculations, due to concern for double counting of unique cases [5, 13, 14, 106–110].…”

“…3), 56.1 mmHg in rAAA and 52.4 mmHg other types of patients in established hemorrhagic shock, among the 23 studies [10, 12, 22, 25, 29–31, 34, 36, 40, 41, 44, 45, 47, 48, 52, 55, 58, 59, 62, 66, 71, 97, 104, 105, 111] reporting pre-REBOA and post-REBOA SBP values.…”

“…Recent champions of the endovascular resuscitation and trauma management (EVTM) concept have re-introduced the concept of using resuscitative endovascular balloon occlusion of the aorta (REBOA) to modern clinical practice [12]. Two recent systematic analysis by these investigators have helped to consolidate a disparate evidence base [13, 14].…”

A case of partial aortic balloon occlusion in an unstable multi-trauma patient

“…2,5,6,[8][9][10] It is one of the methods that may be used within EVTM, which gathers together different tools for bleeding control. 2,6 The indications and Figure 2. Frontal view of ABO in zone III applying partial occlusion with partially inflated balloon (red arrow) and a looped ABO catheter (white arrow).…”

“…The usage of ABO in severe trauma for hemodynamic stabilization is increasing, but so far there are no clear indications, guidelines or contraindications with regard to its usage in trauma management. [1][2][3][4][5] In contrast to emergency thoracotomy and aortic clamping, the occlusion level can be adjusted and established by fluoroscopy (unpublished data). Another advantage of ABO over external aortic clamping lies in the theoretical possibility of partial ABO (pABO), i.e.…”