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Common complications and prevention strategies for resuscitative endovascular balloon occlusion of the aorta: A narrative review
Resuscitative endovascular balloon occlusion of the aorta (REBOA) is considered a key measure of treatment due to its use in stabilizing patients in shock through temporary inflow occlusion for noncompressible torso hemorrhage as well as its supportive role in myocardial and cerebral perfusion. Alth...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10470747/ https://www.ncbi.nlm.nih.gov/pubmed/37653766 http://dx.doi.org/10.1097/MD.0000000000034748 |
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author | Guan, Yi Chen, Pinghao Zhou, Hao Hong, Jiaxiang Yan, Yanggang Wang, Yong |
author_facet | Guan, Yi Chen, Pinghao Zhou, Hao Hong, Jiaxiang Yan, Yanggang Wang, Yong |
author_sort | Guan, Yi |
collection | PubMed |
description | Resuscitative endovascular balloon occlusion of the aorta (REBOA) is considered a key measure of treatment due to its use in stabilizing patients in shock through temporary inflow occlusion for noncompressible torso hemorrhage as well as its supportive role in myocardial and cerebral perfusion. Although its clinical efficacy in trauma has been widely recognized, concerns over related complications, such as vascular access and ischemia-reperfusion, are on the rise. This paper aims to investigate complications associated with REBOA and identify current and emerging prevention or mitigation strategies through a literature review based on human or animal data. Common complications associated with REBOA include ischemia/reperfusion injuries, vessel injuries, venous thromboembolism, and worsening proximal bleeding. REBOA treatment outcomes can be improved substantially with the help of precise selection of patients, better visualization tools, improvement in balloon catheters, blockage strategies, and medication intervention measures. Better understanding of REBOA-related complications and further research on the strategies to mitigate the occurrence of such complications will be of vital importance for the optimization of the clinical outcomes in patients. |
format | Online Article Text |
id | pubmed-10470747 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-104707472023-09-01 Common complications and prevention strategies for resuscitative endovascular balloon occlusion of the aorta: A narrative review Guan, Yi Chen, Pinghao Zhou, Hao Hong, Jiaxiang Yan, Yanggang Wang, Yong Medicine (Baltimore) 3900 Resuscitative endovascular balloon occlusion of the aorta (REBOA) is considered a key measure of treatment due to its use in stabilizing patients in shock through temporary inflow occlusion for noncompressible torso hemorrhage as well as its supportive role in myocardial and cerebral perfusion. Although its clinical efficacy in trauma has been widely recognized, concerns over related complications, such as vascular access and ischemia-reperfusion, are on the rise. This paper aims to investigate complications associated with REBOA and identify current and emerging prevention or mitigation strategies through a literature review based on human or animal data. Common complications associated with REBOA include ischemia/reperfusion injuries, vessel injuries, venous thromboembolism, and worsening proximal bleeding. REBOA treatment outcomes can be improved substantially with the help of precise selection of patients, better visualization tools, improvement in balloon catheters, blockage strategies, and medication intervention measures. Better understanding of REBOA-related complications and further research on the strategies to mitigate the occurrence of such complications will be of vital importance for the optimization of the clinical outcomes in patients. Lippincott Williams & Wilkins 2023-08-25 /pmc/articles/PMC10470747/ /pubmed/37653766 http://dx.doi.org/10.1097/MD.0000000000034748 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | 3900 Guan, Yi Chen, Pinghao Zhou, Hao Hong, Jiaxiang Yan, Yanggang Wang, Yong Common complications and prevention strategies for resuscitative endovascular balloon occlusion of the aorta: A narrative review |
title | Common complications and prevention strategies for resuscitative endovascular balloon occlusion of the aorta: A narrative review |
title_full | Common complications and prevention strategies for resuscitative endovascular balloon occlusion of the aorta: A narrative review |
title_fullStr | Common complications and prevention strategies for resuscitative endovascular balloon occlusion of the aorta: A narrative review |
title_full_unstemmed | Common complications and prevention strategies for resuscitative endovascular balloon occlusion of the aorta: A narrative review |
title_short | Common complications and prevention strategies for resuscitative endovascular balloon occlusion of the aorta: A narrative review |
title_sort | common complications and prevention strategies for resuscitative endovascular balloon occlusion of the aorta: a narrative review |
topic | 3900 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10470747/ https://www.ncbi.nlm.nih.gov/pubmed/37653766 http://dx.doi.org/10.1097/MD.0000000000034748 |
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