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

Matsuda, Hitoshi; Tanaka, Yosuke; Hino, Yutaka; Matsukawa, Ritsu; Ozaki, Nobuchika; Okada, Kenji; Tsukube, Takuro; Tsuji, Yoshihiko; Okita, Yutaka

doi:10.1016/s0741-5214(03)00774-2

Cited by 55 publications

(26 citation statements)

References 18 publications

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“…The three patients required amputation. Other investigators have noted that some patients treated with IABO developed complications of balloon rupture . However, there were no complications related to the use of IABO in the present study.…”

Section: Discussioncontrasting

confidence: 66%

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Outcomes of abdominal trauma patients with hemorrhagic shock requiring emergency laparotomy: efficacy of intra‐aortic balloon occlusion

Kunitatsu

Ueda

Iwasaki

et al. 2016

Acute Medicine & Surgery

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Aim: The aims of this study were to investigate outcomes of abdominal trauma in patients with hemorrhagic shock requiring emergency laparotomy and clarify the beneficial effects of intra-aortic balloon occlusion (IABO) for intra-abdominal hemorrhage in patients with critically uncontrollable hemorrhagic shock (CUHS).Methods: We reviewed 44 hemorrhagic shock patients who underwent emergency laparotomy for intra-abdominal hemorrhage over a 6-year period. Of these patients, we examined data for 19 subjects who underwent IABO during initial resuscitation to control massive intra-abdominal bleeding leading to CUHS. Results:The average Injury Severity Score and probability of survival (Ps) of the 44 patients were 27.6 AE 15.4 and 0.735 AE 0.304, respectively, and the overall survival rate was 77.3%. The differences in the Glasgow Coma Scale, lactate level, prothrombin time -international normalized ratio, and Ps between the two groups (21 responders and 23 non-responders) were statistically significant (P < 0.05). Intra-aortic balloon occlusion was attempted in 19 of 23 patients (82.6%) with CUHS, and there were no statistically significant differences in presenting Glasgow Coma Scale, body temperature, lactate, prothrombin timeinternational normalized ratio, or Revised Trauma Score between the survivors (n = 12) and non-survivors (n = 7). The only significant differences between these two groups were observed in Injury Severity Score (P = 0.047) and Ps (P = 0.007). In all patients, the balloons were successfully placed in 8.1 AE 3.3 min in the thoracic aorta, and a significant increase in systolic blood pressure was observed immediately after IABO. Conclusion:The IABO procedure can be life-saving in the management of patients with CUHS arising from intra-abdominal hemorrhage, permitting transport to surgery.

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Section: Discussioncontrasting

confidence: 66%

“…In this study, the SBP values increased in all patients after IABO; the mean SBP increased from 75 ± 10 mmHg to 124 ± 22 mmHg. Some authors have already reported similarly significant mean increases in SBP after IABO, allowing for the control of hemorrhagic shock . Irahara et al .…”

Section: Discussionmentioning

confidence: 83%

Outcomes of abdominal trauma patients with hemorrhagic shock requiring emergency laparotomy: efficacy of intra‐aortic balloon occlusion

Kunitatsu

Ueda

Iwasaki

et al. 2016

Acute Medicine & Surgery

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“…6 More recently, endovascular approach has emerged in the management algorithm of some vascular emergencies, including acute aneurysm rupture. 7 Results of aortic balloon occlusion (ABO) as for damage control in animal models of severe abdominal trauma with hemorrhage are contrasting, 8 -10 but several case reports have suggested the efficacy of the method. 11 The aim of this study was to evaluate the safety, hemodynamic effects, and metabolic consequences of an endovascular retrograde occlusion of the thoracic aorta in an experimental model of uncontrolled hemorrhagic shock caused by an abdominal trauma in pigs.…”

mentioning

confidence: 99%

Forty-Minute Endovascular Aortic Occlusion Increases Survival in an Experimental Model of Uncontrolled Hemorrhagic Shock Caused by Abdominal Trauma

Avaro

Mardelle²,

Roch³

et al. 2011

Journal of Trauma: Injury, Infection &Amp; Critical Care

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“…Reports of transbrachial AOB placement have been described for RAAA, [12][13][14] and abdominal hemorrhage. 15 This technique may involve a cutdown procedure to access the brachial artery.…”

Section: Discussionmentioning

confidence: 99%

Clamp Before You Cut: Proximal Control of Ruptured Abdominal Aortic Aneurysms Using Endovascular Balloon Occlusion

Arthurs

Starnes

See

et al. 2006

Vasc Endovascular Surg

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While the mortality rate for elective abdominal aortic aneurysm (AAA) repair has declined over the last several decades, the rate for ruptured abdominal aortic aneurysm (RAAA) has unfortunately remained disturbingly high. Undiagnosed aneurysms may present with little warning until abdominal pain, syncope, and hypotension signify rupture. Fifty percent of patients with ruptured aneurysms die before reaching a medical facility, and their survival is highly dependent on hemodynamic stability at presentation. The degree of rupture containment and comorbid status of the patient determine hemodynamic stability. Endovascular stent grafting has significantly improved perioperative morbidity and mortality rates for elective AAA repair, and some of the same endovascular techniques can be used to obtain proximal control in patients presenting with RAAA. We describe 3 consecutive cases of RAAA where proximal control was obtained using a percutaneously placed, transfemoral aortic occlusion balloon before induction of anesthesia.

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

Abstract: Transbrachial arterial insertion of an AOBC may be useful to ameliorate hemorrhagic shock in patients with ruptured AAAs.

Cited by 55 publications

References 18 publications

Outcomes of abdominal trauma patients with hemorrhagic shock requiring emergency laparotomy: efficacy of intra‐aortic balloon occlusion

Outcomes of abdominal trauma patients with hemorrhagic shock requiring emergency laparotomy: efficacy of intra‐aortic balloon occlusion

Forty-Minute Endovascular Aortic Occlusion Increases Survival in an Experimental Model of Uncontrolled Hemorrhagic Shock Caused by Abdominal Trauma

Clamp Before You Cut: Proximal Control of Ruptured Abdominal Aortic Aneurysms Using Endovascular Balloon Occlusion

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