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Surgical Innovation
September 20, 2017

Resuscitative Endovascular Balloon Occlusion of the Aorta for Hemorrhagic Shock

Author Affiliations
  • 1F. Edward Hébert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland
  • 2Prytime Medical Devices, Inc, Arvada, Colorado
  • 3Section of Vascular Surgery, University of Michigan, Ann Arbor
JAMA Surg. Published online September 20, 2017. doi:10.1001/jamasurg.2017.3428

Resuscitative endovascular balloon occlusion of the aorta (REBOA) involves positioning and inflating a compliant, occlusive balloon inside of the aorta to increase blood pressure proximal to the balloon and provide a measure of bleeding control distal to the balloon.1 Access is most commonly established in the femoral artery, remote from the bleeding site and the desired location of aortic occlusion. Three advances have occurred, resulting in a reappraisal of REBOA as a potential lifesaving adjunct in the setting of hemorrhagic shock: (1) the establishment of the term REBOA and a common vernacular for aortic occlusion zones,1 (2) the development of new REBOA devices with features that facilitate use in emergency and austere conditions,2 and (3) the conduct of preclinical and human subject studies that confirm the potential of REBOA in the setting of hemorrhagic shock.35

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