In this episode we were lucky enough to catch up with Sam Sadek, EM Consultant at The Royal London hospital and HEMS doctor and also Zaf Qasim EM Consultant in Delaware in the United States. Both have been heavily involved in the setup and delivery of REBOA service in their respective posts.

In this podcast they share their experience and expertise on the topic of setting up a REBOA service. A huge thanks to both of them as this is a superb podcast for anybody considering getting involved in REBOA.

Recent podcasts on REBOA on ERCAST and EMCrit are essential listening and serve as great preludes to our discussion so make sure you check them out.

Please pop any comments or questions at the bottom of the page and we will come back with a Q&A podcast on the topic really soon!


Resuscitative endovascular balloon occlusion of the aorta: a gap analysis of severely injured UK combat casualties. Morrison JJ. . Shock. 2014 May;41(5):388-93. doi: 10.1097/SHK.0000000000000136.

Resuscitative endovascular balloon occlusion of the aorta might be dangerous in patients with severe torso trauma: A propensity score analysis. Inoue J. J Trauma Acute Care Surg. 2016 Apr;80(4):559-67. doi: 10.1097/TA.0000000000000968.

The inflammatory sequelae of aortic balloon occlusion in hemorrhagic shock. Morrison JJ. J Surg Res. 2014 Oct;191(2):423-31. doi: 10.1016/j.jss.2014.04.012. Epub 2014 Apr 13.

Resuscitative endovascular balloon occlusion of the aorta (REBOA): a population based gap analysis of trauma patients in England and Wales. Barnard EB. Emerg Med J. 2015 Dec;32(12):926-32. doi: 10.1136/emermed-2015-205217.

The European guideline on management of major bleeding and coagulopathy following trauma: fourth edition. Rossaint R. Crit Care. 2016 Apr 12;20(1):100. doi: 10.1186/s13054-016-1265-x.

Implementation of resuscitative endovascular balloon occlusion of the aorta as an alternative to resuscitative thoracotomy for noncompressible truncal hemorrhage. Moore LJ. J Trauma Acute Care Surg. 2015 Oct;79(4):523-30; discussion 530-2. doi: 10.1097/TA.0000000000000809.

The AAST Prospective Aortic Occlusion for Resuscitation in Trauma and Acute Care Surgery (AORTA) Registry: Data on contemporary utilization and outcomes of aortic occlusion and resuscitative balloon occlusion of the aorta (REBOA). DuBose JJ. J Trauma Acute Care Surg. 2016 Apr 5. [Epub ahead of print]


6 thoughts on “REBOA

  1. Monojit says:

    Great Podcast! What do Sam feel about its use in case of ruptured AAA in a trauma unit needing transfer to a vascular tertiary centre? Clearly need to be selective regarding which among these group of patients would benefit from the procedure but if we do select it carefully, is it possible technically to safely place the balloon to make an effective journey possible?
    Also, could you please give me the details of the REBOA course mentioned in the podcast.

  2. Zaf Qasim says:

    Thanks for listening!

    I think ruptured AAA is a difficult one to use REBOA in because of the way the procedure is done. You do not typically use fluoroscopy in placing REBOA, as the vascular surgeons do in the EVAR procedures. Therefore, whether you are using the stiff guidewire and potentially even with the newer smaller guidewire-free device, you run the risk of passing that through the weak aneurysmal wall and causing/worsening the rupture. Therefore, I would not recommend it in this indication unless you have fluoroscopy to hand and even then would advise extreme caution.


  3. Tal says:

    Great Podcast!
    would like to draw to your attention the first REBOA meeting- EVTM sympsoium in Sweden 2017.
    Please see

    All the best and keep on the great work!

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