TY - CHAP M1 - Book, Section TI - Resuscitative Endovascular Balloon Occlusion of the Aorta A1 - Ellison, E. Christopher A1 - Zollinger, Jr., Robert M. A1 - Pawlik, Timothy M. A1 - Vaccaro, Patrick S. A1 - Bitans, Marita A1 - Baker, Anthony S. Y1 - 2022 N1 - T2 - Zollinger’s Atlas of Surgical Operations, 11e AB - Aortic occlusion balloons are frequently used to control hemorrhage in patients with ruptured abdominal aortic aneurysms who are hemodynamically unstable. However, a new technologic advance is resuscitative endovascular balloon occlusion of the aorta. This technique may be used for traumatic life-threatening hemorrhage below the diaphragm in patients in hemorrhagic shock who are refractory to resuscitation. Resuscitative endovascular balloon occlusion of the aorta does not confer any long-term survival advantage when used in traumatic cardiac arrest patients compared with standard of care. There are insufficient data to make specific recommendations about use of resuscitative endovascular balloon occlusion of the aorta in pediatric or geriatric populations; resuscitative endovascular balloon occlusion of the aorta may have increased risks in these populations, and further study is needed in these patient populations. Physicians should be aware of the complications of the procedure, which may include but are not limited to spinal cord ischemia and ischemia reperfusion injury leading to acute renal failure and multisystem organ failure. In addition, the catheters may cause injury to blood vessels associated with their placement. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/03 UR - accesssurgery.mhmedical.com/content.aspx?aid=1187824681 ER -