The Impact of Aortic Occlusion Balloon on Mortality After Endovascular Repair of Ruptured Abdominal Aortic Aneurysms: A Meta-analysis and Meta-regression Analysis

Abstract

This study provides meta-analytical evidence that the use of an AOB in unstable RAAA patients undergoing endovascular repair may improve the results.

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

“…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]. Most studies were deemed to be at high risk of bias.…”

“…Two recent systematic analysis by these investigators have helped to consolidate a disparate evidence base [13, 14]. However, a clear mortality benefit has yet to be demonstrated and consequently, the REBOA concept is still not fully embedded as the standard of care in most hospitals.…”

Successful endovascular repair of a ruptured isolated iliac artery aneurysm: A case report

“…However, these procedures take time and tend to be extremely invasive. In recent studies, proximal control using an aortic occlusion balloon has been reported as a useful alternative to these procedures . In the present case, because the aneurysm was isolated and located in the right common iliac artery, we were easily able to use a balloon to achieve proximal control of the infrarenal abdominal aorta.…”

“…In recent studies, proximal control using an aortic occlusion balloon has been reported as a useful alternative to these procedures. 17,18 In the present case, because the aneurysm was isolated and located in the right common iliac artery, we were easily able to use a balloon to achieve proximal control of the infrarenal abdominal aorta. This dramatically improved the patient's hemodynamics, and successful completion of endovascular repair saved the patient's life.…”

Short version of the S3 guideline on screening, diagnosis, therapy and follow-up of abdominal aortic aneurysms

“…Reason. According to a meta-analysis including 39 studies (1277 patients), a supraceliac aortic occlusion balloon improves EVAR results in hemodynamically unstable patients with rAAA [91].…”