Clinical Report: Endovascular Resuscitation: A Comprehensive Review

Overview

Endovascular resuscitation (EVR) techniques, including REBOA, SAAP, and ECPR, are used in managing patients with hemorrhagic shock and out-of-hospital cardiac arrest.

Background

EVR represents an advancement in emergency medicine for patients experiencing critical hypovolaemia or cardiac arrest. These interventions carry risks that need to be managed.

Data Highlights

No specific numerical data or trial results were provided in the source material.

Key Findings

• EVR can bridge patients to definitive care through haemostasis and circulatory support.
• REBOA is utilized in trauma centers for managing hemorrhagic shock.
• Current guidelines specify time limits for complete occlusion in REBOA.
• Prehospital use of EVR techniques is under investigation.
• Research in EVR faces challenges due to the nature of critically unwell patients.

Clinical Implications

Understanding the guidelines and recommendations surrounding EVR techniques is essential for patient care.

Conclusion

EVR techniques are components of emergency care for critically shocked patients.

Related Resources & Content

1. Joint Trauma System, 2025 -- Guidelines for REBOA in Hemorrhagic Shock
2. Eastern Association for the Surgery of Trauma, 2025 -- Practice Management Guidelines
3. Critical Care (Springer) — Approaches to Managing Vasoplegic Shock After Resuscitation: Objectives, Techniques, and Outcomes
4. Intensive Care Medicine — Pulmonary Embolism at High Risk: Importance and Future Directions of Pulmonary Reperfusion Strategies
5. Intensive Care Medicine — Guidelines from British Societies for Managing Emergencies in Patients Undergoing Extracorporeal Membrane Oxygenation
6. sentara — Abdominal Aortic Aneurysm: When Endovascular Repair Is the Right Option
7. https://jts.health.mil/assets/docs/cpgs/REBOA_for_Hemorrhagic_Shock_03_Dec_2025_ID38_v1.2.pdf
8. EAST Guidelines Review: Issue 6 - Winter 2025 - The Eastern Association for the Surgery of Trauma
9. Journal of Trauma and Acute Care Surgery
10. Emergency Department Resuscitative Endovascular Balloon Occlusion of the Aorta in Trauma Patients With Exsanguinating Hemorrhage: The UK-REBOA Randomized Clinical Trial | Trials | JAMA | JAMA Network
11. https://www.accessdata.fda.gov/cdrh_docs/pdf24/K243795.pdf
12. Highlights of the 2025 American Heart Association's Guidelines for CPR and ECC
13. Guidelines 2025 - English