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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...

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Autores principales: Guan, Yi, Chen, Pinghao, Zhou, Hao, Hong, Jiaxiang, Yan, Yanggang, Wang, Yong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
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.
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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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