REBOA
Type
ReinforcementConfidence
60%
Created
Dec 5, 2025
Evidence
1 source
Rationale
New article from Clinical neuroradiology may provide updated evidence for this section.
Evidence
Content Changes
New Evidence (2025 12): Distal Placement of Guide Catheter Improves Efficacy of Endovascular Thrombectomy in Large Vessel Occlusion Stroke: a Systematic Review and Meta-analysis.
The impact of distal guide catheter placement on clinical outcomes for endovascular thrombectomy (EVT) in large vessel occlusion (LVO) stroke remains uncertain. This systematic review and meta-analysis aims to evaluate the efficacy and safety of distal versus proximal guide catheter placement for EVT....
- Zones of deployment:
- Zone I: Left subclavian → celiac trunk (abdominal bleeding, ruptured AAA).
- Zone III: Infrarenal aorta (pelvic hemorrhage).
- Indications: profound shock, NCTH, pelvic/abdominal bleeding, ruptured aneurysm.
- Partial REBOA (pREBOA): titrated inflation allows distal flow, reducing ischemic burden.
- Evidence: EVTM registry, AORTA registry, and multiple observational studies show survival benefit when used early and selectively [3].
New Evidence (2025 12): Distal Placement of Guide Catheter Improves Efficacy of Endovascular Thrombectomy in Large Vessel Occlusion Stroke: a Systematic Review and Meta-analysis.
The impact of distal guide catheter placement on clinical outcomes for endovascular thrombectomy (EVT) in large vessel occlusion (LVO) stroke remains uncertain. This systematic review and meta-analysis aims to evaluate the efficacy and safety of distal versus proximal guide catheter placement for EVT....
Reviewer Notes
Test approval for EVTM chapter