When REBOA grows wings: Resuscitative endovascular balloon occlusion of the aorta to facilitate aeromedical transport. (April 2022)

• Record Type: Journal Article
• Authors: Snyder, Jason A.; Schuerer, Douglas J.E.; Bochicchio, Grant V.; Hoofnagle, Mark H.
• Is Part Of: Trauma case reports. Volume 38(2022)
• Publication Date: 2022-04
• Subjects: REBOA Resuscitative Endovascular Balloon Occlusion of the Aorta; Aortic occlusion -- REBOA -- Resuscitative endovascular balloon occlusion of the aorta -- Aeromedical transport -- Helicopter -- Pelvic fracture; Wounds and injuries -- Periodicals; Traumatology -- Periodicals; 617.1005
• DOI: 10.1016/j.tcr.2022.100622
• Languages: English
• ISSNs: 2352-6440

Abstract

Abstract: Background: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a helpful adjunct in the control of non-compressible truncal hemorrhage. Concerns regarding ischemia time limits its applicability in transfer. We describe the first reported case of civilian transfer via aeromedical transport to a higher level of care with a zone 3 REBOA catheter deployed. Case report: We present the case of a patient in hemorrhagic shock with a complex pelvic fracture exceeding the capability of a rural level-two trauma center requiring the use of REBOA catheter to permit aeromedical transport to a level-one trauma center for definitive embolization. Conclusion: Deployment of REBOA catheter to facilitate aeromedical transport to an appropriate level of care may be considered if travel times can be kept brief and there is a process and training in place to empower flight medics to consider transporting with a REBOA deployed.