Resuscitative endovascular balloon occlusion of the aorta

Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a procedure that involves placement of an endovascular balloon in the aorta to control bleeding, augment afterload and maintain blood pressure temporarily in traumatic hemorrhagic shock.[1] REBOA is considered a minimally-invasive alternative to thoracotomy with aortic cross-clamping (ACC).[2]

Resuscitative endovascular balloon occlusion of the aorta
SpecialtyInterventional radiology, Vascular surgery

Methods

The technique involves inserting a small balloon directly into the patient's aorta and inflating it. The balloon blocks the artery and temporarily stops the blood flow giving doctors time to operate. It maintains blood circulation in the brain and heart. However, the parts of the body below the balloon are cut off from the normal blood flow and this may result in short- or longer-term problems.[3]

gollark: That doesn't actually address the thing very much.
gollark: Incorrect how? As I see it, those who decide to die and/or not have children will generally reproduce (genetically or memetically) than those who don't.
gollark: That unless you coercively obliterate all humans at once, it won't actually work.
gollark: The most obvious objection is that there's selection pressure against voluntarily extincting yourself.
gollark: Oh, of course you're looking at that.

References
  1. Okada, Asami; Nakamoto, Osamu; Komori, Maya; Arimoto, Hideki; Rinka, Hiroshi; Nakamura, Hiroaki (2017-10-01). "Resuscitative endovascular balloon occlusion of the aorta as an adjunct for hemorrhagic shock due to uterine rupture: a case report". Clinical Case Reports. 5 (10): 1565–1568. doi:10.1002/ccr3.1126. ISSN 2050-0904. PMC 5628233. PMID 29026545.
  2. Brenner, M.; Teeter, W.; Hoehn, M.; Pasley, J.; Hu, P.; Yang, S. (2018-01-01). "Use of Resuscitative Endovascular Balloon Occlusion of the Aorta for Proximal Aortic Control in Patients With Severe Hemorrhage and Arrest". Journal of Vascular Surgery. 67 (1): 355–356. doi:10.1016/j.jvs.2017.11.028. ISSN 0741-5214.
  3. Cochran, Claire. "ISRCTN - ISRCTN16184981: The effectiveness and cost-effectiveness of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) for trauma". www.isrctn.com. doi:10.1186/ISRCTN16184981. Retrieved 2018-02-25.


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