PMID: 15373184Sep 18, 2004Paper

Endovascular aortic balloon catheter occlusion for severe renal trauma

Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie
Jean-Alexandre LongJean-Jacques Rambeaud

Abstract

Control of the renal vascular pedicle in a context of severe renal trauma in a haemodynamically unstable patient is difficult due to the large retroperitoneal haematoma. Laparotomy in these exsanguinated patients is associated with a risk of cardiac arrest due to hypovolaemia. The authors describe an endovascular aortic balloon catheter occlusion technique prior to laparotomy for haemostasis nephrectomy in a haemodynamically unstable patient presenting an abdominal compartment syndrome. In the light of this case, the authors discuss vascular control in the context of surgical management of severe renal trauma.

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