Table 1

Publications presenting algorithms for REBOA patient selection (2015–2022)

YearFirst author (institution)Data sources citedMethodologyScope limitationsComments on early CFA access?Contraindications to REBOACriteria for REBOA patient selection
2018Brenner (ACSCOT and ACEP)24YesJoint policy statement based on published data, best evidence, and expert opinionNoneNo
  • None specified.

  • Traumatic life-threatening hemorrhage below the diaphragm in patients in hemorrhagic shock who are unresponsive or transiently responsive to resuscitation.

  • Patients arriving in arrest from injury.

2019Borger van der Burg (multicenter)7NoDelphi consensus (3 rounds, 43 experts responding)NoneYes
  • Major bleeding in the neck or proximal to the left subclavian artery.

  • Traumatic abdominopelvic hemorrhage.

  • Trauma patients with initial SBP <90 who do not respond to resuscitation.

  • Any trauma victim with ATLS class IV hypovolemic shock.

2020Glaser (JTS)8YesMilitary guidelinesMilitaryNo
  • Severe blunt chest injury.

  • Profound shock or traumatic arrest due to penetrating neck, chest, or extremity injury.

  • SBP <90 and transient or no response to initial resuscitation in blunt trauma or penetrating abdominal/pelvic/junctional injury.

  • Traumatic arrest (blunt or penetrating) based on injury location and CPR time.

2020Brenner (UC Riverside and Shock Trauma)22YesNot specifiedTraumatic cardiac arrestYes
  • None specified.

  • Blunt or non-thoracic penetrating injury.

  • Hemorrhage location unknown or below the diaphragm.

  • Consider with hemorrhage location in the thorax in combination with resuscitative thoracotomy.

2020Ordoñez (Cali, Colombia)16 17YesInstitutional algorithmNoneYes
  • None specified.

  • Non-compressible torso hemorrhage.

  • Blunt or penetrating mechanism.

  • SBP <90 and transient responder to resuscitation.

2022Inaba (WTA)20YesSociety consensusNoneYes
  • Major thoracic vascular injury.

  • Sustained hypotension refractory to resuscitation.

2021Johnson (multicenter)25YesConsensus after multicenter observational studyNoneYes
  • Thoracic hemorrhage.

  • SBP <90 and partial or non-responder.

2021Castellini (Milan, Italy)26YesNot specifiedNoneNo
  • Suspicion of thoracic aorta injury.

  • Hypotensive trauma patients with suspected torso hemorrhage.

  • Non-responders to resuscitation.

  • Positive FAST or positive pelvic X-ray.

2021Hadley (Denver Health)15YesInstitutional algorithmNoneNo
  • Thoracic hemorrhage.

  • SBP <80 and hemorrhage location.

  • Traumatic arrest with pelvic or extremity hemorrhage.

2022Nagashima (Japan)27YesNot specifiedNoneYes
  • Near/recent cardiac arrest.

  • Possible aortic injury.

  • Hypotensive partial or non-responder.

  • ACEP, American College of Emergency Physicians; ACSCOT, American College of Surgeons' Committee on Trauma; ATLS, advanced trauma life support; CFA, common femoral artery; CPR, cardiopulmonary resuscitation; FAST, focused assessment with sonography in trauma; JTS, Joint Trauma System; REBOA, resuscitative endovascular balloon occlusion of the aorta; SBP, systolic blood pressure; UC, University of California; WTA, Western Trauma Association.