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Resuscitative Endovascular Balloon Occlusion of the Aorta in a Trauma Patient with Hypovolemic Shock

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초록

Hemorrhagic shock is one of the most common causes of death in patients with multiple trauma and therefore rapid control of bleeding is the main strategy to save these patients. Resuscitative balloon occlusion of the aorta (REBOA) has been applied in several trauma cases and because of the effectiveness of this procedure it has been adopted in the trauma field. Herein, we report the first successful case of REBOA in Korea performed on a 46-year-old man with hemorrhagic shock after a fall from a height of 14-stories. The patient visited our hospital emergency room with hypovolemic shock, we performed Resuscitative Endovascular Balloon Occlusion of the Aorta under bed side blind technique. His vital sign was stabilized after procedure, then we could performed endovascular bleeding control. The patient was discharged on his 33rd in-hospital day without invasive procedure and major scar.

Abstract

Hemorrhagic shock is one of the most common causes of death in patients with multiple trauma and therefore rapid control of bleeding is the main strategy to save these patients. Resuscitative balloon occlusion of the aorta (REBOA) has been applied in several trauma cases and because of the effectiveness of this procedure it has been adopted in the trauma field. Herein, we report the first successful case of REBOA in Korea performed on a 46-year-old man with hemorrhagic shock after a fall from a height of 14-stories. The patient visited our hospital emergency room with hypovolemic shock, we performed Resuscitative Endovascular Balloon Occlusion of the Aorta under bed side blind technique. His vital sign was stabilized after procedure, then we could performed endovascular bleeding control. The patient was discharged on his 33rd in-hospital day without invasive procedure and major scar.

참고문헌 (12)

  1. Sauaia A, "Epidemiology of trauma deaths: a reassessment", J Trauma, 38, pp.185~193 (1995)
  2. Willis CD, "Cardiopulmonary resuscitation after traumatic cardiac arrest is not always futile", Injury, 37, pp.448~454 (2006)
  3. Mehta M, "Establishing a protocol for endovascular treatment of ruptured abdominal aortic aneurysms: outcomes of a prospective analysis", J Vasc Surg, 44, pp.1~8 (2006)
  4. Stannard A, "Resuscitative endovascular balloon occlusion of the aorta (REBOA)as an adjunct for hemorrhagic shock", J Trauma, 71, pp.1869~1872 (2011)
  5. Hughes CW, "Use of an intra-aortic balloon catheter tamponade for controlling intra-abdominal hemorrhage in man", Surgery, 36, pp.65~68 (1954)
  6. White JM, "Endovascular balloon occlusion of the aorta is superior to resuscitative thoracotomy with aortic clamping in a porcine model of hemorrhagic shock", Surgery, 150, pp.400~409 (2011)
  7. Sesma J, "Effect of intra-aortic occlusion balloon in external thoracic compressions during CPR in pigs", Am J Emerg Med, 20, pp.453~462 (2002)
  8. Spence PA, "Transfemoral balloon aortic occlusion during open cardiopulmonary resuscitation improves myocardial and cerebral blood flow", J Surg Res, 49, pp.217~221 (1990)
  9. Brenner ML, "A clinical series of resuscitative endovascular balloon occlusion of the aorta for hemorrhage control and resuscitation", J Trauma Acute Care Surg, 75, pp.506~511 (2013)
  10. Ledgerwood AM, "The role of thoracic aortic occlusion for massive hemoperitoneum", J Trauma, 16, pp.610~615 (1976)
  11. Moore LJ, "Resuscitative endovascular balloon occlusion of the aorta(REBOA) is a feasible alternative to resuscitative thoracotomy in trauma patients with noncompressible truncal hemorrhage and profound hemorrhagic shock", 73rd Annual Meeting of AAST and Clinical Congress of Acute Care Surgery (2014)
  12. Martinelli T, "Intra-aortic balloon occlusion to salvage patients with life-threatening hemorrhagic shocks from pelvic fractures", J Trauma, 68, pp.942~948 (2010)

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