Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) Not Yet Applicable for Widespread Out-of-Hospital Use: A Case of Nonsurvivable Complication from Prolonged REBOA Inflation.
Ann Vasc Surg
; 56: 354.e5-354.e9, 2019 Apr.
Article
em En
| MEDLINE
| ID: mdl-30500643
ABSTRACT
BACKGROUND:
Resuscitative endovascular balloon occlusion of the aorta (REBOA) is being considered for temporizing catastrophic hemorrhage before arriving at a specialty center for definitive surgical management. CASE We describe the clinical case of a 72-year-old male with a ruptured infrarenal aortic abdominal aneurysm initially stabilized with REBOA at an outside facility and transferred to our care. Transport time was >100 minutes. Despite successful surgical repair of the ruptured aneurysm, the patient expired from multiple-organ failure likely related to ischemia-reperfusion injuries from prolonged balloon occlusion of the aorta.CONCLUSIONS:
Ischemia-mitigating techniques and therapies need to improve drastically before the clinical application of REBOA can be effectively extended to outside the vicinity of specialty centers.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Ruptura Aórtica
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Ressuscitação
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Traumatismo por Reperfusão
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Aneurisma da Aorta Abdominal
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Oclusão com Balão
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Procedimentos Endovasculares
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Insuficiência de Múltiplos Órgãos
Limite:
Aged
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Humans
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Male
Idioma:
En
Revista:
Ann Vasc Surg
Assunto da revista:
ANGIOLOGIA
Ano de publicação:
2019
Tipo de documento:
Article