REBOA is Here to Stay: How to Manage the Resulting Complications

Sarah Lauve; Sabrina Yu Alfonzo; Kevin Choi; Ross Dies; Danielle Sethi; Lizzie Williams; Claudie Sheahan; Malachi Sheahan

doi:10.1055/s-0045-1810605

Seminars in Interventional Radiology, Table of Contents

Semin intervent Radiol
DOI: 10.1055/s-0045-1810605

Review Article

REBOA is Here to Stay: How to Manage the Resulting Complications

Sarah Lauve

¹Division of Vascular and Endovascular Surgery, LSU Health Sciences Center, School of Medicine, New Orleans, Louisiana

,

Sabrina Yu Alfonzo

¹Division of Vascular and Endovascular Surgery, LSU Health Sciences Center, School of Medicine, New Orleans, Louisiana

,

Kevin Choi

¹Division of Vascular and Endovascular Surgery, LSU Health Sciences Center, School of Medicine, New Orleans, Louisiana

,

Ross Dies

¹Division of Vascular and Endovascular Surgery, LSU Health Sciences Center, School of Medicine, New Orleans, Louisiana

,

Danielle Sethi

¹Division of Vascular and Endovascular Surgery, LSU Health Sciences Center, School of Medicine, New Orleans, Louisiana

,

Lizzie Williams

¹Division of Vascular and Endovascular Surgery, LSU Health Sciences Center, School of Medicine, New Orleans, Louisiana

,

Claudie Sheahan

¹Division of Vascular and Endovascular Surgery, LSU Health Sciences Center, School of Medicine, New Orleans, Louisiana

,

Malachi Sheahan

¹Division of Vascular and Endovascular Surgery, LSU Health Sciences Center, School of Medicine, New Orleans, Louisiana

› Author Affiliations

Abstract

Resuscitative endovascular balloon occlusion of the aorta (REBOA) has emerged as a critical adjunct in the management of trauma-related shock, serving as a temporizing measure to preserve vital organ perfusion and allow time to achieve definitive hemorrhagic control. However, the increasing adoption of REBOA into clinical practice is associated with a spectrum of potential complications that significantly increase morbidity and mortality in the setting of acute traumatic injury. There is little existing research to guide clinical decision-making and monitoring for these feared complications, especially iatrogenic vascular injuries. This paper synthesizes the current evidence on the classification, frequency, and management of vascular complications following REBOA insertion in the setting of trauma in addition to our observations and experiences as a level I trauma center.

Keywords

REBOA - complication - vascular surgery - interventional radiology - trauma

Full Text

References

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