Common Complications after the Use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA)

Ordóñez, Carlos A.; Núñez, Ramón; Parra, Michael W.; Escobar, Juan P. Herrera; Rodríguez, Fernando; Vidal, Marcela Brito; García, Alberto; Mejia, David; Pino, Luis L.; Puyana, Juan Carlos

doi:10.1016/j.jamcollsurg.2017.07.102

Cited by 4 publications

(3 citation statements)

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“…Recently, this proposal of penetrating liver trauma was included in the guideline of liver trauma by the World Society of Emergency Surgery (WSES) 27 . Colombia has evolved to become one of the world leaders in the use of REBOA especially regarding its use in penetrating trauma [28][29][30][31] .…”

Section: Discussionmentioning

confidence: 99%

Damage Control in Penetrating Liver Trauma: Fear of the Unknown

et al. 2023

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The liver is the most commonly affected solid organ in cases of abdominal trauma. Management of penetrating liver trauma is a challenge for surgeons but with the introduction of the concept of damage control surgery accompanied by significant technological advancements in radiologic imaging and endovascular techniques, the focus on treatment has changed significantly. The use of immediately accessible computed tomography as an integral tool for trauma evaluations for the precise staging of liver trauma has significantly increased the incidence of conservative non-operative management in hemodynamically stable trauma victims with liver injuries. However, complex liver injuries accompanied by hemodynamic instability are still associated with high mortality rates due to ongoing hemorrhage. The aim of this article is to perform an extensive review of the literature and to propose a management algorithm for hemodynamically unstable patients with penetrating liver injury, via an expert consensus. It is important to establish a multidisciplinary approach towards the management of patients with penetrating liver trauma and hemodynamic instability. The appropriate triage of these patients, the early activation of an institutional massive transfusion protocol, and the early control of hemorrhage are essential landmarks in lowering the overall mortality of these severely injured patients. To fear is to fear the unknown, and with the management algorithm proposed in this manuscript, we aim to shed light on the unknown regarding the management of the patient with a severely injured liver.

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Section: Discussionmentioning

confidence: 99%

Damage Control in Penetrating Liver Trauma: Fear of the Unknown

et al. 2023

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“…The most important to mention are those related to ischemia [34,35], mainly of the ipsilateral limb of the cannulated femoral artery, and vascular [36] damage of the femoral artery or aorta.…”

Section: Pitfalls and Caveatsmentioning

confidence: 99%

Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in Non-Traumatic Cardiac Arrest: A Narrative Review of Known and Potential Physiological Effects

Mazzoli

Chiarini

Coniglio

et al. 2022

JCM

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Resuscitative endovascular balloon occlusion of the aorta (REBOA) is widely used in acute trauma care worldwide and has recently been proposed as an adjunct to standard treatments during cardiopulmonary resuscitation in patients with non-traumatic cardiac arrest (NTCA). Several case series have been published highlighting promising results, and further trials are starting. REBOA during CPR increases cerebral and coronary perfusion pressure by increasing the afterload of the left ventricle, thus improving the chances of ROSC and decreasing hypoperfusion to the brain. In addition, it may facilitate the termination of malignant arrhythmias by stimulating baroreceptor reflex. Aortic occlusion could mitigate the detrimental neurological effects of adrenaline, not only by increasing cerebral perfusion but also reducing the blood dilution of the drug, allowing the use of lower doses. Finally, the use of a catheter could allow more precise hemodynamic monitoring during CPR and a faster transition to ECPR. In conclusion, REBOA in NTCA is a feasible technique also in the prehospital setting, and its use deserves further studies, especially in terms of survival and good neurological outcome, particularly in resource-limited settings.

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“…Ordonez et al reported their case series of 27 patients undergoing REBOA via a 10 French system. They reported an 18% incidence of REBOA-related complications with three patients having arterial access-related issues requiring open operative repair, and two patients with visceral ischemia (gastric and right colon) 41. Saito et al reported on their experience with 24 REBOA cases using a 10 French system from Japan.…”

Section: Current Reboa Datamentioning

confidence: 99%

Resuscitative endovascular balloon occlusion of the aorta: current evidence

Osborn¹,

Brenner²,

Prater³

et al. 2019

OAEM

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Resuscitative endovascular balloon occlusion of the aorta (REBOA) has recently gained popularity as a minimally invasive alternative to open aortic cross-clamping in the management of patients with non-compressible hemorrhage arising below the diaphragm. The purpose of this review is to provide a description of the technical aspects of REBOA use along with an overview of the current animal and clinical data regarding its use.

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Common Complications after the Use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA)

Cited by 4 publications

References 0 publications

Damage Control in Penetrating Liver Trauma: Fear of the Unknown

Damage Control in Penetrating Liver Trauma: Fear of the Unknown

Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in Non-Traumatic Cardiac Arrest: A Narrative Review of Known and Potential Physiological Effects

Resuscitative endovascular balloon occlusion of the aorta: current evidence

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