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J Thorac Dis. 2018 Sep;10(9):5550-5559. doi: 10.21037/jtd.2018.08.71.

The utilization of resuscitative endovascular balloon occlusion of the aorta: preparation, technique, and the implementation of a novel approach to stabilizing hemorrhage.

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Department of Emergency and Critical Care Medicine, Saint-Marianna University School of Medicine, Kawasaki, Japan.


Noncompressible torso hemorrhage (NCTH), if not controlled promptly, leads to death. In the acute setting, aortic occlusion can be performed as damage control surgery (DCS) for hemorrhage originating from the abdomen and pelvis. With the development of endovascular technology, an intra-aortic balloon can be used to achieve aortic occlusion and decrease hemorrhage. Recently, resuscitative endovascular balloon occlusion of the aorta (REBOA) has been accepted as a salvage technique for the temporary stabilization of patients with NCTH. However, balloon occlusion is not easily performed in trauma patients. In this article, we described preparation, technical description, and conceptual understanding of REBOA.


Trauma; aorta; balloon occlusion; hemorrhage; resuscitation

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Conflicts of Interest: The authors have no conflicts of interest to declare.

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