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Updated: Jan 18, 2026

Complete and Partial Resuscitative Endovascular Balloon Occlusion of the Aorta for Hemorrhagic Shock
Published on: May 19, 2022
Zona 3 de oclusión endovascular por balón de la aorta para reanimación: disipando dudas, un trauma a la vez
Benson Law1, Melissa Côté1,2, Arielle Muyal3
1Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada.
Abstract:
Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a controversial intervention for managing noncompressible torso hemorrhage in hemodynamically unstable trauma patients. This case highlights the ideal use of zone 3 REBOA in a patient who sustained severe pelvic trauma after a tree fell on him. Zone 3 REBOA was rapidly deployed as part of the institution's zone 3 REBOA protocol, leading to immediate hemodynamic improvement. Despite ongoing controversies around the use of REBOA in trauma, this case demonstrates how timely zone 3 REBOA, executed within an established trauma protocol by a clinician with sufficient training, can serve as a life-saving intervention.
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