RT Book, Section
A1 Ellison, E. Christopher
A1 Zollinger, Jr., Robert M.
A1 Pawlik, Timothy M.
A1 Vaccaro, Patrick S.
A1 Bitans, Marita
A1 Baker, Anthony S.
SR Print(0)
ID 1187824681
T1 Resuscitative Endovascular Balloon Occlusion of the Aorta
T2 Zollinger’s Atlas of Surgical Operations, 11e
YR 2022
FD 2022
PB McGraw-Hill Education
PP New York, NY
SN 9781260440850
LK accesssurgery.mhmedical.com/content.aspx?aid=1187824681
RD 2024/10/08
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.