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A Little Flow Goes a Long Way: A Systematic Review of Partial Versus Complete Resuscitative Endovascular Balloon Occlusion of the Aorta in the Hemorrhaging Trauma Patient

Year: 2026

Type: article

Abstract: This systematic review examines recent clinical evidence comparing partial versus complete resuscitative endovascular balloon occlusion of the aorta (REBOA) in adult trauma patients with noncompressible torso hemorrhage. While REBOA is an important intervention for hemorrhagic shock, complete aortic occlusion is associated with complications such as distal ischemia and end-organ injury. Partial REBOA (pREBOA) has emerged as a strategy to preserve distal perfusion while maintaining hemodynamic support. This review analyzes studies published since 2021 to evaluate outcomes including mortality, acute kidney injury, and resuscitation requirements. Findings suggest that pREBOA may reduce mortality, decrease blood product utilization, and lower complication rates, though results are not consistent across all studies. Current evidence is limited to observational data and may be influenced by bias, emphasizing the need for independent randomized controlled trials to guide clinical practice.

Source: Galter Health Sciences Library, Northwestern University

DOI: 10.18131/b7qmd-wm097

Authors: Giblin, Bridget, Fotis, Micheal

Institution: Northwestern University

Language: English

Topic: Trauma, Hemostasis, Coagulopathy, Resuscitation

Subfield: Critical Care and Intensive Care Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: green

OpenAlex ID: W7155644377

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