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Resuscitative Endovascular Balloon Occlusion of the Aorta for Refractory Out-of-Hospital Non-Traumatic Cardiac Arrest – A Case Report

  • Carlo Coniglio (a1), Lorenzo Gamberini (a1), Cristian Lupi (a1), Piergiorgio Cavallo (a1), Marco Tartaglione (a1), Valentina Chiarini (a1) and Giovanni Gordini (a1)...


Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a percutaneous transfemoral balloon technique used in select centers for resuscitation and temporary hemostasis of bleeding patients. Several animal studies demonstrated that its application in non-traumatic cardiac arrest could enhance cerebral and coronary perfusion during cardiopulmonary resuscitation (CPR); despite this, there are few reports of its application in humans. This is a case report of REBOA application during a refractory out-of-hospital cardiac arrest in a 50-year-old man where Advanced Cardiac Life Support (ACLS) alone was unable to maintain a stable return of spontaneous circulation (ROSC) and Extracorporeal Cardiac Life Support (ECLS) was not available.


Corresponding author

Correspondence: Lorenzo Gamberini, MD Department of Anesthesia Intensive Care and Emergency Medical Services Carlo Alberto Pizzardi Hospital Largo Nigrisoli 2 – 40133 Bologna, Italy E-mail:


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