{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T05:57:15Z","timestamp":1771653435940,"version":"3.50.1"},"reference-count":31,"publisher":"FapUNIFESP (SciELO)","issue":"5","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"abstract":"<jats:p>RESUMO A oclus\u00e3o ressuscitativa por bal\u00e3o endovascular da aorta (REBOA) \u00e9 utilizada para controlar hemorragias n\u00e3o compress\u00edveis do tronco como uma op\u00e7\u00e3o menos invasiva e com menos dist\u00farbios fisiol\u00f3gicos quando comparado \u00e0 toracotomia de emerg\u00eancia com clampeamento da aorta. Isso permite a melhora dos par\u00e2metros hemodin\u00e2micos at\u00e9 que a cirurgia definitiva seja realizada. \u00c9 utilizada no trauma como uma medida para prevenir o colapso hemodin\u00e2mico em pacientes que est\u00e3o em choque hemorr\u00e1gico grave, mantendo a perfus\u00e3o do c\u00e9rebro e do cora\u00e7\u00e3o enquanto diminui o sangramento distal at\u00e9 que o controle da hemorragia possa ser realizado. As principais complica\u00e7\u00f5es relatadas s\u00e3o insufici\u00eancia renal aguda, amputa\u00e7\u00f5es de membros inferiores e \u00f3bitos. O objetivo desse estudo foi avaliar a expans\u00e3o do uso do REBOA em situa\u00e7\u00f5es n\u00e3o traum\u00e1ticas de outras \u00e1reas da medicina, assim como, avaliar os resultados obtidos at\u00e9 o momento. Uma pesquisa online do PubMed, Medline e SciELO foi realizada com o termo \"REBOA\" nos \u00faltimos cinco anos, e os artigos inclu\u00eddos foram os 14 que descrevem especificamente o uso do REBOA para condi\u00e7\u00f5es n\u00e3o traum\u00e1ticas. Os resultados sugerem que o uso do REBOA levou a um melhor controle do sangramento e aumento da press\u00e3o arterial, reduzindo a necessidade de transfus\u00e3o de sangue e permitindo que os pacientes sobrevivam ao tratamento definitivo das les\u00f5es. Concluindo, o uso expandido do REBOA para emerg\u00eancias n\u00e3o traum\u00e1ticas parece ser eficaz, mas estudos prospectivos e protocolos bem estabelecidos devem ser desenvolvidos para maximizar os resultados.<\/jats:p>","DOI":"10.1590\/0100-6991e-20192334","type":"journal-article","created":{"date-parts":[[2019,12,20]],"date-time":"2019-12-20T12:59:28Z","timestamp":1576846768000},"source":"Crossref","is-referenced-by-count":11,"title":["Indica\u00e7\u00f5es e resultados para o uso expandido da oclus\u00e3o ressuscitativa por bal\u00e3o endovascular da aorta - REBOA."],"prefix":"10.1590","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0247-494X","authenticated-orcid":false,"given":"Marcelo Augusto Fontenelle","family":"Ribeiro J\u00fanior","sequence":"first","affiliation":[{"name":"Hospital Moriah,  Brasil; Instituto de Assist\u00eancia M\u00e9dica ao Servidor P\u00fablico Estadual de S\u00e3o Paulo (IAMSPE),  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andressa Daniel","family":"Maur\u00edcio","sequence":"additional","affiliation":[{"name":"Universidade Santo Amaro (UNISA),  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cassia Tieni Kawase","family":"Costa","sequence":"additional","affiliation":[{"name":"Universidade Santo Amaro (UNISA),  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paola Rezende","family":"N\u00e9der","sequence":"additional","affiliation":[{"name":"Universidade Santo Amaro (UNISA),  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samara de Souza","family":"Augusto","sequence":"additional","affiliation":[{"name":"Universidade Santo Amaro (UNISA),  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salomone","family":"Di-Saverio","sequence":"additional","affiliation":[{"name":"Cambridge University NHS Foundation Trust,  Inglaterra"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Megan","family":"Brenner","sequence":"additional","affiliation":[{"name":"Riverside University Health System,  Estados Unidos da Am\u00e9rica"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2019]]},"reference":[{"issue":"1","key":"ref1","first-page":"65","article-title":"Use of an intra-aortic balloon catheter tamponade for controlling intra-abdominal hemorrhage in man","volume":"36","author":"Hughes CW","year":"1954","journal-title":"Surgery"},{"issue":"5","key":"ref2","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1583\/05-1587.1","article-title":"Balloon occlusion of the aorta during endovascular repair of ruptured abdominal aortic aneurysm","volume":"12","author":"Malina M","year":"2005","journal-title":"J Endovasc 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