Resuscitative Endovascular Balloon Occlusion of The Aorta (REBOA) for The Management of Hemodynamically Unstable Pelvic Fracture: A Systematic Review

Yusuf Muhammad Reza^1*, Cici Enjelia Nata², Naufaldy Rifqiaulia N³, Ira Safitri⁴, Safrizal Rahman⁵

Abstract

Background: Hemodynamically unstable pelvic fractures are challenging to manage due to the risk of massive hemorrhage and cardiovascular collapse. Traditional management strategies, including fluid resuscitation and external fixation, may be inadequate for controlling severe bleeding. Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) has emerged as a promising technique to manage these critical conditions by occluding the aorta to control hemorrhage and stabilize patients. This review evaluates REBOA’s effectiveness in treating hemodynamically unstable pelvic fractures. Methods: This systematic review follows PRISMA guidelines and assesses studies on REBOA for pelvic fractures. Inclusion criteria encompassed adult studies evaluating REBOA’s impact, including randomized controlled trials, cohort studies, and observational studies. Data were extracted on clinical outcomes and adverse events. The review synthesized findings from relevant studies to determine REBOA’s efficacy and safety. Results: Of 2,380 identified records, 5 studies met inclusion criteria, encompassing 92 cases. The review found that REBOA significantly reduced mortality and effectively controlled hemorrhage. Key studies showed that REBOA led to improved hemodynamic stability and survival rates in trauma patients with pelvic fractures. Discussion: REBOA effectively reduces mortality and controls hemorrhage in unstable pelvic fractures, supporting its integration into trauma care protocols. The technique enhances patient outcomes by redistributing blood flow and stabilizing patients until definitive care. Although no adverse events were reported in the reviewed studies, further research is needed to refine usage protocols and address potential complications. Conclusion: REBOA is a valuable tool in managing hemodynamically unstable pelvic fractures, with strong evidence supporting its role in improving survival and controlling hemorrhage. Future research should focus on optimizing REBOA deployment and monitoring for potential complications to enhance its clinical benefits.

Keywords

REBOA; pelvic fractures; hemorrhagic shock.

Cite This Article

Reza, Y. M., Nata, C. E., Naufaldy, R. N., Safitri, I., Rahman, S. (2025). Resuscitative Endovascular Balloon Occlusion of The Aorta (REBOA) for The Management of Hemodynamically Unstable Pelvic Fracture: A Systematic Review. International Journal of Scientific Advances (IJSCIA), Volume 6| Issue 2: Mar-Apr 2025, Pages 312-317 URL: https://www.ijscia.com/wp-content/uploads/2025/03/Volume6-Issue2-Mar-Apr-No.859-312-317.pdf

Volume 6 | Issue 2: Mar – Apr 2025