Med Lasers.  2023 Dec;12(4):220-227. 10.25289/ML.23.040.

Advances in resuscitative endovascular balloon occlusion of the aorta (REBOA): a comprehensive review of the evolution, patient criteria, and technological innovations in trauma management

• Ryu KM

• KMID: 2551158
• DOI: http://doi.org/10.25289/ML.23.040

Abstract

Hemorrhagic shock, a leading cause of mortality in military and civilian trauma, necessitates innovative strategies for effective management. This review explores the evolution of resuscitative endovascular balloon occlusion of the aorta (REBOA) from its inception in the 1950s to contemporary applications. The patient selection criteria, emphasizing hypotension, demonstrated consensus among algorithms. Technological advances, such as wire-free catheters and anti-thrombogenic coatings, enhanced the device performance. Precision in device placement, guided by portable digital X-ray imaging, and the time limitations of post-aortic occlusion underscored the critical considerations. Despite its widespread utilization, the adoption of REBOA varies, reflecting diverse practices and barriers, from the lack of protocols to the reluctance to embrace novel procedures. This comprehensive overview highlights the dynamic landscape of trauma management, shaping the future of REBOA in specific patient populations. Ongoing research is crucial for optimizing its potential and addressing implementation challenges.

Keyword

Shock, hemorrhagic; Resuscitation; Balloon occlusion; Vascular access device; Trauma center