PMID- 31245615
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220409
IS  - 2397-5776 (Electronic)
IS  - 2397-5776 (Linking)
VI  - 4
IP  - 1
DP  - 2019
TI  - Resuscitative endovascular balloon occlusion of the aorta (REBOA): indications: 
      advantages and challenges of implementation in traumatic non-compressible torso 
      hemorrhage.
PG  - e000262
LID - 10.1136/tsaco-2018-000262 [doi]
LID - e000262
AB  - BACKGROUND: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is 
      regaining popularity in the treatment of traumatic non-compressible torso 
      bleeding. Advances in invasive radiology coupled with new damage control measures 
      assisted in the refinement of the technique with promising outcomes. The 
      literature continues to have substantial heterogeneity about REBOA indications, 
      applications, and the challenges confronted when implementing the technique in a 
      level I trauma center. Scoping reviews are excellent platforms to assess the 
      diverse literature of a new technique. It is for the first time that a scoping 
      review is adopted for this topic. Advances in invasive radiology coupled with new 
      damage control measures assisted in the refinement of the technique with 
      promising outcomes. The literature continues to have substantial heterogeneity 
      about REBOA indications, applications, and the challenges confronted when 
      implementing the technique in a level I trauma center. Scoping reviews are 
      excellent platforms to assess the diverse literature of a new technique. It is 
      for the first time that a scoping review is adopted for this topic. METHODS: 
      Critical search from MEDLINE, EMBASE, BIOSIS, COCHRANE CENTRAL, PUBMED and SCOPUS 
      were conducted from the earliest available dates until March 2018. Evidence-based 
      articles, as well as gray literature at large, were analyzed regardless of the 
      quality of articles. RESULTS: We identified 1176 articles related to the topic 
      from all available database sources and 57 reviews from the gray literature 
      search. The final review yielded 105 articles. Quantitative and qualitative 
      variables included patient demographics, study design, study objectives, methods 
      of data collection, indications, REBOA protocol used, time to deployment, zone of 
      deployment, occlusion time, complications, outcome, and the level of expertise at 
      the concerned trauma center. CONCLUSION: Growing levels of evidence support the 
      use of REBOA in selected indications. Our data analysis showed an advantage for 
      its use in terms of morbidities and physiologic derangement in comparison to 
      other resuscitation measures. Current challenges remain in the selective 
      application, implementation, competency assessment, and credentialing for the use 
      of REBOA in trauma settings. The identification of the proper indication, terms 
      of use, and possible advantage of the prehospital and partial REBOA are topics 
      for further research. LEVEL OF EVIDENCE: Level III.
FAU - Bekdache, Omar
AU  - Bekdache O
AD  - Department of Trauma and Acute Care Surgery, McGill University Health Centre, 
      Montreal, Quebec, Canada.
AD  - Department of Surgery, Tawam Hospital - Johns Hopkins, Al Ain, Abu Dhabi, United 
      Arab Emirates.
FAU - Paradis, Tiffany
AU  - Paradis T
AD  - Department of Surgery, McGill University Faculty of Medicine, Montreal, Quebec, 
      Canada.
FAU - Shen, Yu Bai He
AU  - Shen YBH
AD  - Department of Surgery, McGill University Faculty of Medicine, Montreal, Quebec, 
      Canada.
FAU - Elbahrawy, Aly
AU  - Elbahrawy A
AD  - Department of Trauma and Acute Care Surgery, McGill University Health Centre, 
      Montreal, Quebec, Canada.
AD  - Medical Research Institute, Alexandria University, Alexandria, Egypt.
FAU - Grushka, Jeremy
AU  - Grushka J
AD  - Department of Trauma and Acute Care Surgery, McGill University Health Centre, 
      Montreal, Quebec, Canada.
FAU - Deckelbaum, Dan
AU  - Deckelbaum D
AD  - Department of Trauma and Acute Care Surgery, McGill University Health Centre, 
      Montreal, Quebec, Canada.
FAU - Khwaja, Kosar
AU  - Khwaja K
AD  - Department of Trauma and Acute Care Surgery, McGill University Health Centre, 
      Montreal, Quebec, Canada.
FAU - Fata, Paola
AU  - Fata P
AD  - Department of Trauma and Acute Care Surgery, McGill University Health Centre, 
      Montreal, Quebec, Canada.
FAU - Razek, Tarek
AU  - Razek T
AD  - Department of Trauma and Acute Care Surgery, McGill University Health Centre, 
      Montreal, Quebec, Canada.
FAU - Beckett, Andrew
AU  - Beckett A
AD  - Department of Trauma and Acute Care Surgery, McGill University Health Centre, 
      Montreal, Quebec, Canada.
AD  - Department of Surgery, Royal Canadian Medical Services, Montreal, Quebec, Canada.
LA  - eng
PT  - Journal Article
DEP - 20190415
PL  - England
TA  - Trauma Surg Acute Care Open
JT  - Trauma surgery & acute care open
JID - 101698646
PMC - PMC6560484
OTO - NOTNLM
OT  - REBOA
OT  - balloon vascular occlusion
OT  - damage control occlusion of the aorta
OT  - resuscitative aortic occlusion
OT  - resuscitative balloon occlusion of the aorta
OT  - therapeutic occlusion of the aorta
COIS- Competing interests: None declared.
EDAT- 2019/06/28 06:00
MHDA- 2019/06/28 06:01
PMCR- 2019/04/15
CRDT- 2019/06/28 06:00
PHST- 2019/06/28 06:00 [entrez]
PHST- 2019/06/28 06:00 [pubmed]
PHST- 2019/06/28 06:01 [medline]
PHST- 2019/04/15 00:00 [pmc-release]
AID - tsaco-2018-000262 [pii]
AID - 10.1136/tsaco-2018-000262 [doi]
PST - epublish
SO  - Trauma Surg Acute Care Open. 2019 Apr 15;4(1):e000262. doi: 
      10.1136/tsaco-2018-000262. eCollection 2019.