[KSCI] Korea Science Citation Index Service

http://dx.doi.org/10.20408/jti.2020.0030

Positioning of Resuscitative Endovascular Balloon Occlusion of the Aorta Catheter: A Case of an Elderly Patient with Concomitant Chest and Pelvic Injury after Blunt Trauma

Noh, Dongsub (Department of Thoracic and Cardiovacular Surgery, Trauma Center, Dankook University Hospital)
Yun, Jeongseok (Department of Trauma Surgery, Trauma Center, Dankook University Hospital)
Chang, Ye Rim (Department of Trauma Surgery, Trauma Center, Dankook University Hospital)

Publication Information

Journal of Trauma and Injury / v.33, no.3, 2020 , pp. 186-190 More about this Journal

Abstract

Resuscitative endovascular balloon occlusion of the aorta (REBOA) has been increasingly used in recent years as a resuscitative adjunct for trauma patients with life-threatening non-compressible torso hemorrhage. By blocking the aorta temporarily with an inflated balloon, REBOA preserves cerebral and coronary perfusion while diminishing exsanguination below the balloon, thereby providing time for resuscitation and definitive bleeding control. When determining the occlusion zone during the REBOA procedure, factors such tortuosity of the aorta, co-occurring minor chest injuries, and the severity of shock must be considered, as well as the main injury site. This paper describes a case of high Zone I REBOA in an elderly patient with a tortuous aorta who had concomitant injuries of the chest and pelvis.

Keywords

Trauma; Balloon occlusion; Indication; Elderly; Chest injury;

Citations & Related Records

Reference

1	Bulger EM, Perina DG, Qasim Z, Beldowicz B, Brenner M, Guyette F, et al. Clinical use of resuscitative endovascular balloon occlusion of the aorta (REBOA) in civilian trauma systems in the USA, 2019: a joint statement from the American College of Surgeons Committee on Trauma, the American College of Emergency Physicians, the National Association of Emergency Medical Services Physicians and the National Association of Emergency Medical Technicians. Trauma Surg Acute Care Open 2019;4:e000376. DOI
2	Kim DH, Chang SW, Matsumoto J. The utilization of resuscitative endovascular balloon occlusion of the aorta: preparation, technique, and the implementation of a novel approach to stabilizing hemorrhage. J Thorac Dis 2018;10:5550-9. DOI
3	Maruhashi T, Minehara H, Takeuchi I, Kataoka Y, Asari Y. Resuscitative endovascular balloon occlusion of the aorta may increase the bleeding of minor thoracic injury in severe multiple trauma patients: a case report. J Med Case Rep 2017;11:347. DOI
4	Daskal Y, Horer T, Hebron D, Shvili Y, Kessel B. Be aware: REBOA may increase liver bleeding!. J Endovasc Resusc Trauma Manag 2018;2:68-71.
5	Tibbits EM, Hoareau GL, Simon MA, Davidson AJ, DeSoucy ES, Faulconer ER, et al. Location is everything: the hemodynamic effects of REBOA in zone 1 versus zone 3 of the aorta. J Trauma Acute Care Surg 2018;85:101-7. DOI
6	Beyer CA, Johnson MA, Galante JM, DuBose JJ. Zones matter: hemodynamic effects of zone 1 vs zone 3 resuscitative endovascular balloon occlusion of the aorta placement in trauma patients. Injury 2019;50:855-8. DOI
7	Ordonez CA, Parra MW, Manzano-Nunez R, Herrera-Escobar JP, Serna JJ, Rodriguez Ossa P, et al. Intraoperative combination of resuscitative endovascular balloon occlusion of the aorta and a median sternotomy in hemodynamically unstable patients with penetrating chest trauma: is this feasible?. J Trauma Acute Care Surg 2018;84:752-7. DOI
8	Uchino H, Tamura N, Echigoya R, Ikegami T, Fukuoka T. "REBOA" - is it really safe? A case with massive intracranial hemorrhage possibly due to endovascular balloon occlusion of the aorta (REBOA). Am J Case Rep 2016;17:810-3. DOI
9	Davidson AJ, Russo RM, DuBose JJ, Roberts J, Jurkovich GJ, Galante JM. Potential benefit of early operative utilization of low profile, partial resuscitative endovascular balloon occlusion of the aorta (P-REBOA) in major traumatic hemorrhage. Trauma Surg Acute Care Open 2016;1:e000028. DOI