Resuscitative endovascular balloon occlusion of the aorta for pelvic blunt trauma and life-threatening hemorrhage: a 20-year experience in a level-I trauma center

AbstractBackgroundResuscitative endovascular balloon occlusion of the aorta (REBOA) is increasingly used as a non-invasive clamp of the aorta after diverse post-traumatic injuries. Balloon inflation in zone 3 (from the lower renal artery to the aortic bifurcation) can be performed to stop on-going bleeding after severe pelvic trauma with life-threatening hemorrhage. The aim of our study was to describe our 20-year experience with REBOA in terms of efficacy and safety in patients with a suspicion of severe pelvic trauma and extreme hemorrhagic shock.MethodsWe performed a retrospective study from 1996 to 2017 in a French Level-I trauma center. All consecutive patients who underwent a REBOA procedure were included. REBOA indication relied on 1) extreme hemodynamic instability (systolic arterial blood pressure (SBP)

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