[Resuscitative endovascular balloon occlusion of the aorta : Option for incompressible trunk bleeding?]

Anaesthesist. 2018 Apr;67(4):280-292. doi: 10.1007/s00101-018-0418-5.
[Article in German]


Hemorrhage is the single largest cause of avoidable death in trauma patients, whereby in civil emergency medicine in Europe most life-threatening hemorrhages occur in the abdomen and the pelvis. This is one reason why endovascular balloon occlusion of the aorta (EBOA), a procedure especially established in vascular surgery, is increasingly propagated for rapid bleeding control in these patients. This review article provides a comprehensive overview of the technique, indications, contraindications and complications of resuscitative endovascular balloon occlusion of the aorta (REBOA). Additionally, outcomes reported in in the currently available literature are summarized and discussed. From this practical and user-oriented consequences for future successful introduction of REBOA in the field of emergency medicine are deduced.

Keywords: Bleeding; Bleeding management; Emergency trauma room; REBOA; Resuscitative endovascular balloon occlusion of the aorta; Trauma.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Aorta / surgery*
  • Balloon Occlusion / methods*
  • Endovascular Procedures / methods
  • Hemorrhage / therapy*
  • Humans
  • Injury Severity Score
  • Resuscitation / methods*