The end of balloons? Our take on the UK-REBOA trial

Abstract

Abstract Background Resuscitative endovascular balloon occlusion of the aorta (REBOA) is increasingly used. The recently published UK-REBOA trial aimed to investigate patients suffering haemorrhagic shock and randomized to standard care alone or REBOA as adjunct to standard care and concludes that REBOA may increase the mortality. Main body In this commentary we try to balance the discussion on use of REBOA and address limitations in the UK-REBOA trial that may have influenced the outcome of the study. Conclusion The situation is complex, and the patients are in extremis. In summary, we do not think this is the end of balloons.

Keywords

• Resuscitative endovascular balloon occlusion of the aorta
• REBOA
• Aortic occlusion
• UK-REBOA trial
• Non-compressible haemorrhage