Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
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External Iliac Artery Transection Managed by Iliofemoral Bypass Grafting Using Temporary Balloon Occlusion

  • Choi, Young Un (Department of Surgery, Yonsei University College of Medicine) ;
  • Lee, Jae Gil (Department of Surgery, Yonsei University College of Medicine) ;
  • Kim, Kwangmin (Department of Surgery, Yonsei University Wonju College of Medicine) ;
  • Kim, Seongyup (Department of Surgery, Yonsei University Wonju College of Medicine) ;
  • Bae, Keumseok (Department of Surgery, Yonsei University Wonju College of Medicine) ;
  • Jang, Ji Young (Department of Surgery, Yonsei University Wonju College of Medicine) ;
  • Jung, Pil Young (Department of Surgery, Yonsei University Wonju College of Medicine) ;
  • Shim, Hongjin (Department of Surgery, Yonsei University Wonju College of Medicine) ;
  • Youn, Young Jin (Department of Cardiology, Yonsei University Wonju College of Medicine) ;
  • Park, Il Hwan (Department of Thoracic and Cardiovascular Surgery, Yonsei University Wonju College of Medicine)
  • Received : 2017.10.06
  • Accepted : 2017.11.08
  • Published : 2017.12.30
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Abstract

Traumatic abdominal vessel injury is rare, but difficult to manage. Approaching the injured vessel and controlling the bleeding is very hard. We experienced the right iliac artery transection managed by iliofemoral bypass grafting using temporary balloon occlusion. Proximal occlusion of an iliac artery with a temporary balloon cab be an option or bridge technique for a definite operation in case of iliac artery rupture. So, we present our case.

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References

  1. Kobayashi LM, Costantini TW, Coimbra R. Mesenteric vascular injuries. In: Dua A, Desai SS, Holcomb JB, Burgess AR, Freischlag JA, eds. Clinical review of vascular trauma. Heidelberg: Springer Medical Publishing; 2014:213-24.
  2. Burch JM, Richardson RJ, Martin RR, Mattox KL. Penetrating iliac vascular injuries: recent experience with 233 consecutive patients. J Trauma 1990;30:1450-9. https://doi.org/10.1097/00005373-199012000-00003
  3. Feliciano DV, Moore EE, Biffl WL. Western trauma association critical decisions in trauma: management of abdominal vascular trauma. J Trauma Acute Care Surg 2015;79:1079-88. https://doi.org/10.1097/TA.0000000000000869
  4. Stannard A, Eliason JL, Rasmussen TE. Resuscitative endovascular balloon occlusion of the aorta (REBOA) as an adjunct for hemorrhagic shock. J Trauma 2011;71:1869-72.
  5. Biffl WL, Fox CJ, Moore EE. The role of REBOA in the control of exsanguinating torso hemorrhage. J Trauma Acute Care Surg 2015;78:1054-8. https://doi.org/10.1097/TA.0000000000000609
  6. Hughes CW. Use of an intra-aortic balloon catheter tamponade for controlling intra-abdominal hemorrhage in man. Surgery 1954;36:65-8.
  7. Gupta BK, Khaneja SC, Flores L, Eastlick L, Longmore W, Shaftan GW. The role of intra-aortic balloon occlusion in penetrating abdominal trauma. J Trauma 1989;29:861-5. https://doi.org/10.1097/00005373-198906000-00026
  8. Avaro JP, Mardelle V, Roch A, Gil C, de Biasi C, Oliver M, et al. Forty-minute endovascular aortic occlusion increases survival in an experimental model of uncontrolled hemorrhagic shock caused by abdominal trauma. J Trauma 2011;71:720-5; discussion 725-6. https://doi.org/10.1097/TA.0b013e318221a94a
  9. Brenner ML, Moore LJ, DuBose JJ, Tyson GH, McNutt MK, Albarado RP, et al. A clinical series of resuscitative endovascular balloon occlusion of the aorta for hemorrhage control and resuscitation. J Trauma Acute Care Surg 2013;75:506-11. https://doi.org/10.1097/TA.0b013e31829e5416
  10. Taylor JR 3rd, Harvin JA, Martin C, Holcomb JB, Moore LJ. Vascular complications from resuscitative endovascular balloon occlusion of the aorta: life over limb? J Trauma Acute Care Surg 2017;83(1 Suppl 1):S120-3. https://doi.org/10.1097/TA.0000000000001514
  11. Asensio JA, Petrone P, Roldan G, Kuncir E, Rowe VL, Chan L, et al. Analysis of 185 iliac vessel injuries: risk factors and predictors of outcome. Arch Surg 2003;138:1187-93; discussion 119-4. https://doi.org/10.1001/archsurg.138.11.1187
  12. Mattox KL, Feliciano DV, Burch J, Beall AC Jr, Jordan GL Kr, De Bakey ME. Five thousand seven hundred sixty cardiovascular injuries in 4459 patients. Epidemiologic evolution 1958 to 1987. Ann Surg 1989;209:698-705; discussion 706-7. https://doi.org/10.1097/00000658-198906000-00007
  13. Martinelli T, Thony F, Declety P, Sengel C, Broux C, Tonetti J, et al. Intra-aortic balloon occlusion to salvage patients with life-threatening hemorrhagic shocks from pelvic fractures. J Trauma 2010;68:942-8.
  14. Velmahos GC, Demetriades D, Chahwan S, Gomez H, Hanks SE, Murrey JA, et al. Angiographic embolization for arrest of bleeding after penetrating trauma to the abdomen. Am J Surg 1999;178:367-73. https://doi.org/10.1016/S0002-9610(99)00212-3