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REBOA

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Use of Resuscitative Endovascular Balloon Occlusion of the Aorta for Proximal Aortic Control in Patients With Severe Hemorrhage and Arrest.
Brenner M, Teeter W, Hoehn M, Pasley J, Hu P, Yang S, Romagnoli A, Diaz J, Stein D, Scalea T.
2018 Feb 1;153(2):130-135. doi: 10.1001/jamasurg.2017.3549.

Rationale for inclusion: 90 patients over a 4 year period at a busy urban tertiary care facility underwent REBOA for varying injury mechanisms with varying physiologic derangement.

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The AAST prospective Aortic Occlusion for Resuscitation in Trauma and Acute Care Surgery (AORTA) registry: Data on contemporary utilization and outcomes of aortic occlusion and resuscitative balloon occlusion of the aorta (REBOA).
DuBose JJ, Scalea TM, Brenner M, Skiada D, Inaba K, Cannon J, Moore L, Holcomb J, Turay D, Arbabi CN, Kirkpatrick A, Xiao J, Skarupa D, Poulin N; AAST AORTA Study Group.
J Trauma Acute Care Surg. 2016 Sep;81(3):409-19.

Rationale for inclusion: Prospective multi-center trial of REBOA initial results, suggesting that REBOA is a viable alternative to open aortic occlusion for centers who are able to perform the technique.

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Implementation of resuscitative endovascular balloon occlusion of the aorta as an alternative to resuscitative thoracotomy for noncompressible truncal hemorrhage.
Moore LJ, Brenner M, Kozar RA, Pasley J, Wade CE, Baraniuk MS, Scalea T, Holcomb JB.
J Trauma Acute Care Surg. 2015 Oct;79(4):523-30; discussion 530-2.

Rationale for inclusion: REBOA compared with resuscitative thoracotomy for truncal hemorrhage showed improved survival with REBOA.

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The role of REBOA in the control of exsanguinating torso hemorrhage.
Biffl WL, Fox CJ, Moore EE.
J Trauma Acute Care Surg. 2015 May;78(5):1054-8.

Rationale for inclusion: Proposed algorithm for the use of REBOA in patients with exsanguinating torso hemorrhage.

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Evaluation of the safety and feasibility of resuscitative endovascular balloon occlusion of the aorta.
Saito N, Matsumoto H, Yagi T, Hara Y, Hayashida K, Motomura T, Mashiko K, Iida H, Yokota H, Wagatsuma Y.
J Trauma Acute Care Surg. 2015 May;78(5):897-903; discussion 904.

Rationale for inclusion: Describes use of REBOA in 24 patients in Tokyo, including 3 complications. Describes increased blood pressure with use of REBOA.

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Survival of severe blunt trauma patients treated with resuscitative endovascular balloon occlusion of the aorta compared with propensity score-adjusted untreated patients.
Norii T, Crandall C, Terasaka Y.
J Trauma Acute Care Surg. 2015 Apr;78(4):721-8.

Rationale for inclusion: NTDB study showed higher mortality in patients who received REBOA than propensity score matched patients who did not, although this is not fully explained

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A clinical series of resuscitative endovascular balloon occlusion of the aorta for hemorrhage control and resuscitation.
Brenner ML, Moore LJ, DuBose JJ, Tyson GH, McNutt MK, Albarado RP, Holcomb JB, Scalea TM, Rasmussen TE.
J Trauma Acute Care Surg. 2013 Sep;75(3):506-11.

Rationale for inclusion: Describes use of REBOA in 6 patients, with short aortic occlusion times and improvement in blood pressure.

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Intra-aortic balloon occlusion to salvage patients with life-threatening hemorrhagic shocks from pelvic fractures.
Martinelli T, Thony F, Decl├ęty P, Sengel C, Broux C, Tonetti J, Payen JF, Ferretti G.
J Trauma. 2010 Apr;68(4):942-8.

Rationale for inclusion: Description of placement of an intraortic balloon occlusion utilized in 13 patients with hemorrhagic shock from pelvic fracture, with successful placement, allowing for angiography. Survival 46%.

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