抄録
Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a resuscitative procedure that uses a balloon catheter for treating patients with non-compressible torso hemorrhage patients. REBOA can temporarily control hemorrhage distal to the occlusion while maintaining proximal pressure. This conceptually attractive and reasonable procedure has not necessarily contributed to good outcomes. REBOA should be used for suitably selected patients under appropriate management. The degree of proximal pressure elevation due to REBOA depends on the stressed blood volume, occlusion site and rate, and cardiac contractile function. Excessive elevation of proximal pressure may increase hemorrhage for patients with head or chest trauma. Therefore, the principle of REBOA management should be partial REBOA with permissive hypotension until tertiary hemostasis. We should also strive to shorten the occlusion time as much as possible after REBOA and be careful to avoid REBOA-related complications, such as ischemia-reperfusion injury.
