Table 1.

Technical and metabolic complications associated with resuscitative endovascular balloon occlusion of the aorta (REBOA) (11, 21, 24, 36–41).

	Technical complications	Metabolic complications
Introducer sheath complication	Wrong vessel cannulation Vessel injury Air embolus Distal ischemia Hemorrhage Thrombosis	Acute kidney injury Liver failure Spinal cord infarction Intestinal ischemia Myonecrosis Limb loss Hyperkalemia Metabolic acidosis Thrombosis Hypotension Myocardial damage Ongoing hemorrhage upon balloon deflation Death
Improper balloon placement	Improper deployment location - Failure to stop hemorrhage - Arterial damage if balloon deployed in a small artery (celiac, renal, or mesenteric) Balloon migration
Balloon over inflation	Balloon rupture Vessel dissection Vessel rupture
Sheath removal complication	Hemorrhage Thrombosis Arterial dissection Limb ischemia Vasospasm