American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

Smaller catheters may reduce REBOA access complications

OCTOBER 25, 2017
Clinical Congress Daily Highlights, Wednesday First Edition

A smaller catheter may reduce some complications from resuscitative endovascular balloon occlusion of the aorta (REBOA), a retrospective review concludes. The review, led by Carlos A. Ordonez, MD, of the Fundacion Valle del Lili, Cali, Colombia, describes complications associated with REBOA in trauma patients who arrived in hemorrhagic shock from penetrating  (17 patients) or blunt (10 patients) injuries between January 2015 and December 2016 at a Level I Trauma Center.

REBOA-related complications occurred in five of the 27 patients, and were either ischemic or related to arterial access. The overall mortality rate was 19 percent (five of 27 patients), while the potentially REBOA-related mortality was 4 percent (one of 27 patients).

Because 10fr REBOA catheters are associated with groin vessel access-related injuries, the researchers conclude that smaller diameter catheters may improve the safety profile of the technique, but probably would not affect ischemic complications.

Additional Information:
The Scientific Forum presentation, Common Complications after the use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA), was held October 25 at the 2017 Clinical Congress of the American College of Surgeons in San Diego, CA.  Program, webcast and audio information is available online at FACS.org/clincon2017.

Return to Index