ArticleTrauma surgery & acute care open2018
Resuscitative endovascular balloon occlusion of the aorta: rupture risk and implications for blind inflation.
Article in Trauma surgery & acute care open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 22 citations in OpenAlex.
- Prophylactic percutaneous intra-aortic balloon occlusion reduces blood loss during anterior acetabular fracture surgery: a propensity score-matched study.Archives of orthopaedic and trauma surgery · 2026Article
- Age-stratified analysis of descending aorta diameter in traumatic massive hemorrhage: a machine learning approach.Trauma surgery & acute care open · 2026Article
- Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA): in action or on the shelf? A comprehensive analysis of current practices in Germany, Austria, and Switzerland - insights from the Traumaregister DGUBMC emergency medicine · 2025Article
- Deep Learning-Based Aortic Diameter Measurement in Traumatic Hemorrhage Using Shallow Attention Network: A Path Forward.Diagnostics (Basel, Switzerland) · 2025Article
- Complications associated with the use of resuscitative endovascular balloon occlusion of the aorta (REBOA): an updated review.Trauma surgery & acute care open · 2024Review
- Cushioned on the way up, controlled on the way down during resuscitative endovascular balloon occlusion of the aorta (REBOA): investigating a novel compliant balloon design for optimizing safe overinflation combined with partial REBOA ability.Trauma surgery & acute care open · 2022Article
- The resuscitative endovascular balloon occlusion of aorta (REBOA) device-what radiologists need to know.Emergency radiology · 2019Review
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundResuscitative endovascular balloon occlusion of the aorta (REBOA) is a torso hemorrhage control technique. To expedite deployment, inflation is frequently performed as a blind technique with minimal imaging, which carries a theoretical risk of aortic injury. The objective of this study was to examine the relationship between balloon inflation, deformation and the risk of aortic rupture.
methodsCompliant balloon catheters were incrementally inflated in segments of cadaveric swine aorta. Serial longitudinal and circumferential measurements were recorded, along with the incidence of aortic rupture.
resultsFourteen cadaveric swine aorta segments were tested with mean (±SD) baseline aortic diameter (mm) of 14.2±3.4. Rupture occurred in three aortas. The mean baseline diameters (mm) of the aortic segments that were ruptured were significantly smaller than those that did not rupture (8.9±1.2 vs 15.6±1.9; P<0.001). The maximal circumferential stretch ratios were significantly higher in the aorta segments that ruptured compared with those that did not (1.9±0.1 vs 1.5±0.1; P<0.001). The maximal amount of balloon longitudinal deformation was 80 mm (116% longer than the intended working length).
conclusionsInflation of aortic balloon catheters carries an inherent risk of aortic injury, which may be minimized through an understanding of the intrinsic characteristics of the aorta and compliant balloons. Smaller diameter aortic segments undergoing overinflation, particularly beyond a circumferential stretch ratio of 1.8, are at risk of aortic rupture. LEVEL OF EVIDENCE: Level II.
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