Use of temporary partial intrailiac balloon occlusion for decreasing blood loss during open reduction and internal fixation of acetabular and pelvis fractures

Journal of Orthopaedic Trauma
Justin SieblerH Claude Sagi

Abstract

Patients with pelvic and/or acetabular fractures can sustain significant blood loss at the time of their injury and during surgery. We report on the technique, effect on blood loss, and complications with the use of temporary partial intrailiac balloon occlusion during open reduction and internal fixation of pelvic and acetabular fractures in a series of patients refusing allogeneic blood products for philosophical or religious reasons. An intra-arterial balloon is positioned in the common iliac artery immediately preoperatively, ipsilateral to the fracture in the interventional radiography suite. This balloon is then periodically inflated and deflated throughout the case by the anesthesiologist to mitigate operative blood loss. For anterior approaches, average blood loss was significantly less for those patients operated with temporary partial intrailiac balloon occlusion compared with those without. For posterior approaches, blood loss was not significantly different. One complication occurred in a patient who developed an arterial thrombus requiring surgical removal by the vascular surgery service at the conclusion of the orthopaedic surgery. He had no further sequelae. Although not recommended for routine use in all pelvic ...Continue Reading

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Citations

Jan 28, 2016·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·M BrennerT E Rasmussen
Mar 4, 2014·Orthopedics·Thomas BernasekEnrico M Camporesi
Nov 6, 2018·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Lingzhi KongHaomin Cui
Nov 6, 2018·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Benjamin C Taylor
Aug 28, 2015·The Open Orthopaedics Journal·Enrique GueradoJuan Ramon Cano
Jul 25, 2014·The Journal of Trauma and Acute Care Surgery·Megan BrennerThomas Scalea
Oct 20, 2015·Acute Medicine & Surgery·Kenichiro IshidaDaikai Sadamitsu
Feb 2, 2019·World Journal of Orthopedics·Enrique GueradoAdolfo Galán
Apr 23, 2021·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Gösta UllmarkOlov Haller

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