Resuscitative Endovascular Balloon Occlusion of the Aorta as an Adjunct in a Patient with Neurogenic Shock

Cureus, 2018 · DOI: 10.7759/cureus.3375 · Published: September 27, 2018

Simple Explanation

This case report describes the use of resuscitative endovascular balloon occlusion of the aorta (REBOA) in a trauma patient experiencing neurogenic shock. REBOA is a minimally invasive technique that occludes the aorta, increasing blood flow to the heart and brain, providing critical time for other life-saving interventions. The patient, who suffered a motorcycle accident, experienced improved blood pressure and perfusion after REBOA was implemented alongside standard resuscitation measures.

Study Duration

Not specified

Participants

One 52-year-old male

Evidence Level

Level 4: Case Report

Key Findings

1
REBOA was successfully used as an adjunct to manage neurogenic shock in a trauma patient, maintaining cardiac and cerebral perfusion.
2
The patient's blood pressure improved following REBOA placement, allowing for stabilization and further treatment of his injuries.
3
No complications were observed related to the REBOA procedure in this specific case.

Research Summary

This case report presents the first documented instance of using REBOA in a trauma patient suffering from neurogenic shock. The utilization of REBOA as an adjunct to standard resuscitation methods helped stabilize the patient's blood pressure and maintain adequate cerebral perfusion, facilitating further treatment and stabilization of spinal injuries. The patient's condition improved, and at a six-month follow-up, he was ventilator-independent and participating in spinal cord injury rehabilitation, suggesting a positive outcome associated with the REBOA intervention.

Practical Implications

Expanded REBOA Application

REBOA may be considered as a valuable adjunct in managing neurogenic shock in trauma patients, especially when conventional treatments are insufficient.

Improved Perfusion

REBOA can help maintain critical organ perfusion during resuscitation, buying time for further interventions and stabilization.

Further Research

More research is needed to define the optimal indications and guidelines for REBOA use in various shock states.

Study Limitations

1
Single case report limits generalizability.
2
Lack of a control group makes it difficult to definitively attribute the positive outcome solely to REBOA.
3
The patient had multiple injuries, making it challenging to isolate the effect of REBOA on the overall outcome.

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