Resuscitative endovascular balloon occlusion of the aorta (REBOA): An updated review

Abstract

In a current scenario where trauma injury and its consequences account for 9% of the worlds causes of death, the management of noncompressible torso hemorrhage can be problematic. With the improvement of medicine, the approach of these patients must be accurate and immediate so that the consequences may be minimal. Therefore, aiming the ideal method, studies have led to the development of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA). This procedure has been used at select trauma centers as a resuscitative adjunct for trauma patients with non-compressible torso hemorrhage. Although the use of this technique is increasing, its effectiveness is still not clear. This article aims, through a detailed review, to inform an updated view about this procedure, its technique, variations, benefits, limitations and future. Copyright 2018, Colegio Brasileiro de Cirurgioes. All rights reserved.