Aortic occlusion balloon catheter technique is useful for uncontrollable massive intraabdominal bleeding after hepato-pancreato-biliary surgery.

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
Fumihiko MiuraMasahiro Yoshida

Abstract

Massive intraabdominal hemorrhage sometimes requires urgent hemostatic surgical intervention. In such cases, its rapid stabilization is crucial to reestablish a general hemodynamic status. We used an aortic occlusion balloon catheter in patients with massive intraabdominal hemorrhage occurring after hepato-pancreato-biliary surgery. An 8-French balloon catheter was percutaneously inserted into the aorta from the femoral artery, and the balloon was placed just above the celiac artery. Fifteen minutes inflation and 5 minutes deflation were alternated during surgery until the bleeding was surgically controlled. An aortic occlusion balloon catheter was inserted on 13 occasions in 10 patients undergoing laparotomy for hemostasis of massive hemorrhage. The aorta was successfully occluded on 12 occasions in nine patients. Both systolic pressure and heart rate were normalized during aortic occlusion, and the operative field became clearly visible after adequate suction of leaked blood. Bleeding sites were then easily found and controlled. Hemorrhage was successfully controlled in 7 of 10 patients (70%), and they were discharged in good condition. The aortic occlusion balloon catheter technique was effective for easily controlling massi...Continue Reading

Citations

Sep 1, 2007·Seminars in Interventional Radiology·Charles T Burke, Jin Park
Jul 19, 2011·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Nuh N RahbariJürgen Weitz
Oct 28, 2008·Clinics in Perinatology·Clarissa Bonanno, Sreedhar Gaddipati
Oct 18, 2008·The American Journal of Emergency Medicine·Chao-Han LaiChung-Dann Kan
Sep 20, 2015·Resuscitation·Zaffer QasimThomas Scalea
Apr 2, 2015·Anaesthesia Critical Care & Pain Medicine·Louis DelamareStéphanie Ruiz
Feb 22, 2017·The Journal of Emergency Medicine·Takayuki OguraMinoru Nakano
Jan 28, 2016·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·M BrennerT E Rasmussen
Jul 25, 2014·The Journal of Trauma and Acute Care Surgery·Megan BrennerThomas Scalea
Jun 10, 2020·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·M WortmannAlexander Hyhlik-Dürr
Mar 26, 2016·The Journal of Trauma and Acute Care Surgery·Jason N MacTaggartAlexey V Kamenskiy
May 28, 2021·The Journal of Trauma and Acute Care Surgery·Kaspars MaleckisAlexey Kamenskiy

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