Resuscitative endovascular balloon occlusion of the aorta survival is increased at high versus low utilization centers. Increased experience with REBOA may be associated with earlier deployment and subsequently improved patient outcomes.

495 REBOA placements were included.

High-volume centers accounted for 63%, while low accounted for 13%. High-volume institutions were more likely to place a REBOA in the emergency department, had a lower mean systolic blood pressure at insertion, and more Zone I deployments.

Median time from admission to REBOA placement was significantly less in patients treated at high-volume centers.

Resuscitative endovascular balloon occlusion of the aorta mortality was significantly higher at low-volume centers, while average- and high-volume centers were similar.

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