The pitfalls of resuscitative endovascular balloon occlusion of the aorta: Risk factors and mitigation strategies

The Journal of Trauma and Acute Care Surgery
Anders J DavidsonBEST Study Group

Abstract

Despite technological advancements, REBOA is associated with significant risks due to complications of vascular access and ischemia-reperfusion. The inherent morbidity and mortality of REBOA is often compounded by coexisting injury and hemorrhagic shock. Additionally, the potential for REBOA-related injuries is exaggerated due to the growing number of interventions being performed by providers who have limited experience in endovascular techniques, inadequate resources, minimal training in the technique, and who are performing this maneuver in emergency situations. In an effort to ultimately improve outcomes with REBOA, we sought to compile a list of complications that may be encountered during REBOA usage. To address the current knowledge gap, we assembled a list of anecdotal complications from high-volume REBOA users internationally. More importantly, through a consensus model, we identify contributory factors that may lead to complications and deliberate on how to recognize, mitigate, and manage such events. An understanding of the pitfalls of REBOA and strategies to mitigate their occurrence is of vital importance to optimize patient outcomes.

References

May 1, 1978·The British Journal of Surgery·R H ArmourC H Marsh
Jun 1, 1989·The Journal of Trauma·B K GuptaG W Shaftan
Jul 17, 1971·British Medical Journal·E R Howard, A E Young
Sep 1, 1984·American Journal of Public Health·A FinkR H Brook
Feb 1, 1994·Anesthesia and Analgesia·S GelmanT Henderson
Jul 18, 2001·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·G SchnyderZ G Turi
Mar 12, 2005·Heart & Lung : the Journal of Critical Care·Linda McAlpine BensonGrace Manguba
Oct 11, 2005·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Martin MalinaBjorn Sonesson
Dec 17, 2009·Journal of Surgical Education·Gabriel E BurkhardtW Darrin Clouse
Feb 11, 2011·The Journal of Trauma·Chad G BallDavid V Feliciano
Aug 14, 2013·The Journal of Trauma and Acute Care Surgery·Daniel J ScottTodd E Rasmussen
Oct 4, 2013·The Journal of Trauma and Acute Care Surgery·Megan L BrennerTodd E Rasmussen
Mar 26, 2014·The Journal of Trauma and Acute Care Surgery·Carole Y VillamariaTodd E Rasmussen
Jul 25, 2014·The Journal of Trauma and Acute Care Surgery·Megan BrennerThomas Scalea
Jan 20, 2015·World Journal of Emergency Surgery : WJES·Takayuki IraharaKyoko Unemoto
Apr 25, 2015·The Journal of Trauma and Acute Care Surgery·Nobuyuki SaitoYukiko Wagatsuma
Apr 25, 2015·The Journal of Trauma and Acute Care Surgery·Walter L BifflErnest E Moore
Sep 25, 2015·The Journal of Trauma and Acute Care Surgery·Sundeep GulianiMark Levy
Sep 30, 2015·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·T M HörerT Larzon
Mar 10, 2016·The Journal of Trauma and Acute Care Surgery·Charles J Fox
Apr 14, 2016·The Journal of Trauma and Acute Care Surgery·Timothy Keith WilliamsTodd E Rasmussen
May 4, 2016·Journal of the American College of Surgeons·Rachel M RussoTimothy K Williams
May 14, 2016·Shock·Rachel M RussoTimothy K Williams
May 19, 2016·The Journal of Trauma and Acute Care Surgery·Megan LinneburDemetrios Demetriades
Jun 1, 2016·The Journal of Trauma and Acute Care Surgery·William A TeeterYosuke Matsumura
Oct 22, 2016·The Journal of Trauma and Acute Care Surgery·M Austin JohnsonUNKNOWN EVAC Study Group
Dec 29, 2016·The Journal of Trauma and Acute Care Surgery·Tatsuya NoriiCameron Crandall
Feb 7, 2017·The Journal of Trauma and Acute Care Surgery·Timothy K WilliamsTodd E Rasmussen
Feb 22, 2017·The Journal of Emergency Medicine·Takayuki OguraMinoru Nakano
Apr 5, 2017·The Journal of Trauma and Acute Care Surgery·Joseph J DuBose
Apr 20, 2017·The Journal of Trauma and Acute Care Surgery·John R TaylorLaura J Moore

❮ Previous
Next ❯

Citations

May 31, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Suzanne M VranckenRigo Hoencamp
Dec 15, 2020·The Journal of Surgical Research·Lammers DanielPerry Jason
Apr 22, 2020·AEM Education and Training·Hashim Q ZaidiDavid H Salzman
Feb 24, 2021·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Albaro José Nieto-CalvacheCarlos A Ordoñez
Nov 20, 2020·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Albaro J Nieto-CalvacheJuan M Burgos-Luna
Jan 31, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Andreas BrännströmMattias Günther
Jan 4, 2021·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Oksana V RiazanovaAlexander Ioscovich
Jan 8, 2021·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Marianne A ThrailkillAndriy I Batchinsky
Oct 29, 2020·The Journal of Trauma and Acute Care Surgery·Mohamad H TibaKevin R Ward
Dec 9, 2020·The Journal of Surgical Research·Ross I DonaldsonJames D Ross
Jan 12, 2021·Frontiers in Surgery·Kim E M Benders, Luke P H Leenen
May 20, 2020·Trauma Surgery & Acute Care Open·Shokei MatsumotoTakashi Moriya
Mar 25, 2018·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Ramiro Manzano-NunezCarlos A Ordonez
Mar 7, 2020·Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses·David J BurkardAlistair J Chapman
Nov 7, 2019·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Yosuke MatsumuraJunichi Matsumoto
Jun 10, 2020·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·M WortmannAlexander Hyhlik-Dürr
Mar 25, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Victor MillCarl Montán
Aug 3, 2020·The Journal of Trauma and Acute Care Surgery·Brian Scott KnippJoseph Jeremy DuBose
Aug 3, 2020·The Journal of Trauma and Acute Care Surgery·Catherine GoBryan W Tillman
Aug 8, 2018·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Tal Hörer
Dec 21, 2019·Revista do Colégio Brasileiro de Cirurgiões·Marcelo Augusto Fontenelle Ribeiro JúniorMegan Brenner
Aug 25, 2018·The Journal of Trauma and Acute Care Surgery·Yosuke MatsumuraUNKNOWN DIRECT-IABO Investigators
May 19, 2018·World Journal of Emergency Surgery : WJES·Marcelo A F Ribeiro JuniorMegan Brenner
Apr 12, 2021·American Journal of Surgery·Riyad Karmy-JonesWilliam Long
Jan 27, 2021·The Journal of Trauma and Acute Care Surgery·Brendan M McCrackenKevin R Ward
May 19, 2021·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Vivek Madhusudan JoshiPrasad Kisanrao Kulat

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.