Vascular Access Complications Associated with the Use of Resuscitative Endovascular Balloon Occlusion of the Aorta in Adult Trauma Patients: A Systematic Review and Meta-Analysis

Consensus on resuscitative endovascular balloon occlusion of the aorta (REBOA) in civilian (pre-hospital) trauma care: a Delphi study

“…54 In two systematic reviews specified on prehospital REBOA, Caicedo and Chan et al 10,14,15,55,56 observed diverging rates ranging from 90% success rates to failure rates of 32% accompanied with 77% (10/13) complication rates including thrombosis, superficial femoral artery cannulation and dissection with four patients requiring limb amputation. In two systematic reviews, Shum-Tim et al 57 and Foley et al 58 independently reported vascular access complication rates of respectively 8% (24 articles including 675 patients) and 8.6% (28 articles with 887 patients). 57,58 Similarly, a retrospective cohort study by Laverty et al 59 on the AAST AORTA registry found arterial access-related limb ischemia complications occurring in 8.6% (36/418) of 48-hour REBOA survivors.…”

“…In two systematic reviews, Shum-Tim et al 57 and Foley et al 58 independently reported vascular access complication rates of respectively 8% (24 articles including 675 patients) and 8.6% (28 articles with 887 patients). 57,58 Similarly, a retrospective cohort study by Laverty et al 59 on the AAST AORTA registry found arterial access-related limb ischemia complications occurring in 8.6% (36/418) of 48-hour REBOA survivors. In contrast to the study of Foley et al, these complications were associated with larger profile devices, cutdown access techniques, presence of a pelvic binder and especially with the use of tranexamic acid.…”