Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a minimally-invasive procedure performed during resuscitation of critically-injured trauma patients. REBOA is Resuscitative Endovascular Balloon Occlusion of the Aorta It involves placement of an endovascular balloon in the aorta to control haemorrhage and to augment afterload in traumatic arrest and haemorrhagic shock states REBOA is a procedure in which a balloon-tipped catheter is used to occlude the distal aorta proximal to the level of bleeding. REBOA is a potential temporizing solution to traumatic non-compressible hemorrhage.

Understanding the Context

The technology has evolved to the resuscitative endovascular balloon occlusion of the aorta (REBOA). In the trauma setting REBOA has been applied to mitigate blood loss from penetrating abdominal trauma, blunt abdominal trauma, pelvic fractures and lower extremity amputations. In this podcast, I discuss the new catheter from Prytime and then I interview Dr. Joe DuBose, a trauma and vascular surgeon who performed the first ER REBOA placement that resulted in a survivor.

Key Insights

The overall aim of this study was to explore the potential use of prehospital Z1 P-REBOA in patients with immediately life-threatening noncompressible torso hemorrhage. Our first objective was to determine whether it was feasible to deploy prehospital Z1 REBOA in critically bleeding trauma patients. EurekAlert!: New treatment for severe bleeding after injury does not show benefit in clinical trial, UAB trauma surgeon finds New treatment for severe bleeding after injury does not show benefit in clinical trial, UAB trauma surgeon finds