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Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) Not Yet Applicable for Widespread Out-of-Hospital Use: A Case of Nonsurvivable Complication from Prolonged REBOA Inflation.
- Source :
-
Annals of vascular surgery [Ann Vasc Surg] 2019 Apr; Vol. 56, pp. 354.e5-354.e9. Date of Electronic Publication: 2018 Nov 27. - Publication Year :
- 2019
-
Abstract
- Background: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is being considered for temporizing catastrophic hemorrhage before arriving at a specialty center for definitive surgical management.<br />Case: We describe the clinical case of a 72-year-old male with a ruptured infrarenal aortic abdominal aneurysm initially stabilized with REBOA at an outside facility and transferred to our care. Transport time was >100 minutes. Despite successful surgical repair of the ruptured aneurysm, the patient expired from multiple-organ failure likely related to ischemia-reperfusion injuries from prolonged balloon occlusion of the aorta.<br />Conclusions: Ischemia-mitigating techniques and therapies need to improve drastically before the clinical application of REBOA can be effectively extended to outside the vicinity of specialty centers.<br /> (Published by Elsevier Inc.)
- Subjects :
- Aged
Aortic Aneurysm, Abdominal diagnostic imaging
Aortic Aneurysm, Abdominal physiopathology
Aortic Rupture diagnostic imaging
Aortic Rupture physiopathology
Aortography methods
Computed Tomography Angiography
Fatal Outcome
Humans
Male
Multiple Organ Failure physiopathology
Reperfusion Injury physiopathology
Resuscitation methods
Time Factors
Treatment Outcome
Aortic Aneurysm, Abdominal surgery
Aortic Rupture surgery
Balloon Occlusion adverse effects
Endovascular Procedures adverse effects
Multiple Organ Failure etiology
Reperfusion Injury etiology
Resuscitation adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 1615-5947
- Volume :
- 56
- Database :
- MEDLINE
- Journal :
- Annals of vascular surgery
- Publication Type :
- Academic Journal
- Accession number :
- 30500643
- Full Text :
- https://doi.org/10.1016/j.avsg.2018.08.108