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Hybrid use of REBOA in a South African tertiary trauma unit for penetrating torso trauma
  1. Muhammad Zafar Khan1,
  2. John Bruce1,
  3. David Baer2 and
  4. Rigo Hoencamp1,3,4,5,6
  1. 1 Trauma Surgery, Greys Hospital, Pietermaritzburg, South Africa
  2. 2 Prytime Medical, Boerne, Texas, USA
  3. 3 Alrijne Ziekenhuis Locatie Leiderdorp, Leiderdorp, The Netherlands
  4. 4 Nederlandse Overheid Ministerie van Defensie Divisie Defensie Gezondheidszorg Organisatie, Utrecht, The Netherlands
  5. 5 Surgery, Leiden University Medical Center, Leiden, The Netherlands
  6. 6 Trauma Surgery, Erasmus Medical Center, Rotterdam, The Netherlands
  1. Correspondence to Rigo Hoencamp, rhoencamp{at}


Resuscitative endovascular balloon occlusion of the aorta (REBOA) has been implemented in numerous countries. However, its use has not been widespread in (South) Africa, and when used, not well reported on. Further, REBOA has been performed with devices designed for other purposes. In this case report, we describe the use of a purpose designed device for image-free use in emergent haemorrhage control and resuscitation in a patient with multicavity penetrating trauma. Implications for the use of REBOA in these challenging cases is discussed, and a novel method of insertion of a REBOA catheter is presented.

  • trauma
  • resuscitation

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  • Contributors All persons who meet authorship criteria are listed as authors, and all authors certify that they have participated sufficiently in the work to take public responsibility for the content, including participation in the concept (MZK, JB, RH), design (all authors), analysis (all authors), writing (all authors) or revision of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Not required.

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