Massive distributive shock can lead to total collapse of the cardiopulmonary system with a subsequent need for CPR. Partial REBOA may be a viable resuscitation adjunct in such cases to restore hemodynamics and increase coronary and cerebral perfusion pressure without reducing end-organ blood flow.

Partial resuscitative endovascular balloon occlusion of the aorta (REBOA) can bridge the time until other measures to stabilize the patient can be administered. Further animal and human clinical studies are needed to prove, or disprove, the potential beneficial effect of partial REBOA in distributive shock.

The use of partial REBOA as a resuscitative adjunct in distributive shock like septic or anaphylactic shock is not a current indication of its use.

The use of partial REBOA for the early incidence of profound distributive shock with the need for massive vasopressor support can be an option and a bridge to stabilize the patient until further treatment can be administered.

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