Open Access
ARTICLE
New Concept in Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA)
Ali. E. Dabiri1,2,*, Matthew Martin3, Ghassan S. Kassab1
1 California Medical Innovation Institute, 11107 Rosselle St., San Diego, CA, 92121, US
2 3DTholdings, 11107 Rosselle St., San Diego, CA, 92121, US
3 Trauma and Emergency Surgery Service, Scripps Mercy Medical Center, San Diego, CA, 92103, US
* Corresponding Author: Ali Dabiri. Email:
Molecular & Cellular Biomechanics 2020, 17(1), 25-31. https://doi.org/10.32604/mcb.2019.07310
Abstract
The world-wide impact of traumatic injury and associated hemorrhage
on human health and well-being is significant. Methods to manage bleeding from
sites within the torso, referred to as non-compressible torso hemorrhage (NCTH),
remain largely limited to the use of conventional operative techniques. The overall
mortality rate of patients with NCTH is approximately 50%. Studies from the wars
in Afghanistan and Iraq have suggested that up to 80% of potentially survivable
patients die as a result of uncontrolled exsanguinating hemorrhage. The
commercially available resuscitative endovascular balloon occlusion of the aorta
(REBOA) is a percutaneous device for the rapid control of torso hemorrhage in
trauma. A compliant balloon is inserted via the femoral artery and inflated in the
thoracic or abdominal aorta, providing inflow control of the abdomen, pelvis, or
groin/lower extremities. Recent studies indicate that REBOA carries an inherent
risk of aortic injury due to over-inflation and possible risk of aortic or iliac artery
rupture. A new approach isto resolve the issue of balloon sizing and over-inflation.
We propose a novel concept to be used in trauma facility for arterial occlusion to
eliminate arterial injury and the risk of vascular rupture through real time balloon
diameter profile measurements to ensure proper inflation. The proposed concept,
called Smart Resuscitative Endovascular Balloon Occlusion (SREBO) will be
novel in the following aspects: 1) It will have electrical conductance-based
navigation technology to target the desired site of balloon deployment in the aorta,
2) The balloon can determine the time of proper inflation using electrical
conductance catheter technology. This technology would eliminate the risk of
arterial rupture and simplify the procedure in the trauma facility or medical clinics
without significant training. The results can be displayed on a handheld device.
This novel device has the potential to save civilians in trauma or soldiers injured
on the battlefield.
Keywords
Cite This Article
Dabiri, A. E., Martin, M., Kassab, G. S. (2020). New Concept in Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA).
Molecular & Cellular Biomechanics, 17(1), 25–31.