J Trauma Inj.  2020 Sep;33(3):175-180. 10.20408/jti.2020.0047.

Effects of Resuscitative Endovascular Balloon Occlusion of the Aorta in Neurotrauma: Three Cases

Affiliations
  • 1Department of Trauma Surgery, Trauma Center, Dankook University Hospital, Cheonan,
  • 2Department of Neurosurgery, Trauma Center, Dankook University Hospital, Cheonan,

Abstract

Resuscitative endovascular balloon occlusion of the aorta (REBOA) is widely performed as an adjunct to resuscitation or bridge to definitive control of non-compressible torso hemorrhage in patients with hemorrhagic shock. It is a crucial adjunct for the maintenance of cerebral and coronary perfusion during resuscitation. However, in polytrauma patients with concomitant neurotrauma, such as traumatic brain injury (TBI) or spinal cord injury, the physiological effects of REBOA are unclear. In this report on REBOA performed in a clinical setting for polytrauma patients with spinal cord injury or TBI, the physiological effects of REBOA in neurotrauma are reviewed.


Keyword

Trauma; Spinal cord; Brain; Balloon occlusion; Resuscitation
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