Rapid Control in Ruptured Abdominal Aneurysms

Transbrachial arterial insertion of aortic occlusion balloon catheter in patients with shock from ruptured abdominal aortic aneurysm

“…Regarding insertion of the balloon, the transfemoral approach has been criticized because of the necessity of fluoroscopic guidance. 14,20,24 In the present study, the AOBC was successfully inserted via the left or right brachial artery without fluoroscopic guidance. We encountered two patients in whom the left brachial approach had to be changed to the right brachial approach.…”

“…1 Several reports have emphasized the importance of controlling shock and of prompt surgical intervention. [2][3][4][5][6][7][8][9] The aortic balloon occlusion catheter (AOBC) is useful, [10][11][12][13][14][15][16][17][18][19][20] but the device has not been widely used. In this report, use of the transbrachial arterial approach, which enables AOBC insertion before induction of general anesthesia, is discussed.…”

Review of general surgery 1981

“…All of these involve opening the abdomen (or the chest) and, if the aneurysm has already ruptured intraperitoneally, the patient may well exsanguinate before control can be obtained. Sensening (1981) reports a most ingenious technique to obtain rapid control under such cir-cumstances. He passes a Fogarty catheter of 8/22 F gauge under local anaesthetic in a retrograde manner from the femoral artery upwards into the thoracic aorta.…”