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Abstract Journal Trauma Surgery

Journal Trauma Surgery TS001P A REVIEW OF THE UTILITY OF RESUSCITATIVE BALLOON OCCLUSION OF THE INFERIOR VENA CAVA (REBOVC) FOR TRAUMATIC VENA CAVA INJURIES YUNYI WANG AND ANIMESH SINGLA Royal North Shore Hospital, NSW Purpose: Traumatic injuries of the inferior vena cava (IVC) cause significant mortality as the most common trauma-related abdominal vascular injury and continues to pose a challenge for optimal management despite recent therapeutic and logistical advances. The purpose of this paper is to review a recent novel endovascular application, resuscitative balloon occlusion of the inferior vena cava (REBOVC), and the viability of its use in traumatic vena cava injuries. Methods: A literature search was performed using MEDLINE, PubMed, Google Scholar and Embase. Search terms included ‘resuscitative balloon vena cava’, ‘endovascular balloon vena cava’ OR, ‘inferior vena cava trauma’ OR, ‘balloon vena cava’. Results: A total of n = 5 studies were identified. Two (n = 2) recent studies utilising endovascular balloon occlusion to support emergent exploration and vena caval repair have been successfully described. Outcomes described included decreased operative time and blood loss compared to traditional packing and damage control with less total blood loss and mortality demonstrated across the majority of studies. Considerations include the degree of haemodynamic instability as measured by blood pressure and cardiac output and concurrent arterial injury when considering vena caval balloon occlusion. Conclusion: Successful deployment of resuscitative endovascular balloons in inferior vena cava repair have been described. The insertion of occluding balloons should be considered for management of traumatic vena caval injuries in suitable patients to provide time for definitive repair. Further studies with mediumand long-term data will be useful in this