ReviewDie Anaesthesiologie2025
[Resuscitative endovascular balloon occlusion of the aorta-REBOA for bleeding control in the prehospital context : Overview of available cases and evaluation of the evidence].
Review in Die Anaesthesiologie, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- REBOA in penetrating abdominal trauma: promise and precision.Trauma surgery & acute care open · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNoncompressible torso hemorrhage (NCTH) poses a considerable problem in prehospital care as bleeding control is not possible in this situation. Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a minimally invasive endovascular procedure that could be an option for temporary bleeding control or reduction. The aim of this study was to review and classify the available literature on the prehospital use of REBOA in the context of traumatic hemorrhagic shock.
methodsA literature search was carried out in various databases (PubMed, Embase, Web of Sciences, Google Scholar) using the search terms "prehospital and REBOA" or "prehospital and resuscitative endovascular balloon occlusion of the aorta" to identify relevant studies. Only studies, case series or case reports of prehospital REBOA use were included in the review.
resultsA total of 15 studies (7 case reports, 8 case series) with a total of 80 patients (45 male, 15 female, 20 without gender information) with a mean age of 41.4 years (range 16-75 years) who underwent prehospital REBOA for hemorrhage control were included in the review and analyzed. Of these, 34 patients were treated in a military context and 46 patients in a civilian context. The average Injury Severity Score (ISS) was 41.4 (min. 9/max. 75) points. The use of REBOA was feasible in the prehospital setting with an overall success rate of > 85% ranging from 72% to 100%. The prehospital application leads to a hemodynamic stabilization with a mean systolic blood pressure increase of 50 mm Hg. Of the treated patients 89% could be transported alive to hospital and 45% survived to hospital discharge. Complications were reported in 29%, not all of which were specific to REBOA. Publication bias must be considered and therefore the results have to be interpreted with caution.
conclusionThe application of REBOA in the prehospital setting in the context of traumatic hemorrhagic shock is feasible with a high success rate. The majority of patients can be hospitalized but only slightly less than 50% survive to hospital discharge. The currently available evidence relates exclusively to case reports and case series and is therefore still weak. A not insignificant publication bias must be considered.
Indexed as
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.