Positioning of Resuscitative Endovascular Balloon Occlusion of the Aorta Catheter: A Case of an Elderly Patient with Concomitant Chest and Pelvic Injury after Blunt Trauma
Resuscitative endovascular balloon occlusion of the aorta (REBOA) has been increasingly used in recent years as a resuscitative adjunct for trauma patients with life-threatening non-compressible torso hemorrhage. By blocking the aorta temporarily with an inflated balloon, REBOA preserves cerebral an...
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| Format: | Article |
| Language: | English |
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Korean Society of Traumatology
2020-09-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://www.jtraumainj.org/upload/pdf/jti-2020-0030.pdf |
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| author | Dongsub Noh Jeongseok Yun Ye Rim Chang |
| author_facet | Dongsub Noh Jeongseok Yun Ye Rim Chang |
| author_sort | Dongsub Noh |
| collection | DOAJ |
| description | Resuscitative endovascular balloon occlusion of the aorta (REBOA) has been increasingly used in recent years as a resuscitative adjunct for trauma patients with life-threatening non-compressible torso hemorrhage. By blocking the aorta temporarily with an inflated balloon, REBOA preserves cerebral and coronary perfusion while diminishing exsanguination below the balloon, thereby providing time for resuscitation and definitive bleeding control. When determining the occlusion zone during the REBOA procedure, factors such tortuosity of the aorta, co-occurring minor chest injuries, and the severity of shock must be considered, as well as the main injury site. This paper describes a case of high Zone I REBOA in an elderly patient with a tortuous aorta who had concomitant injuries of the chest and pelvis. |
| format | Article |
| id | doaj-art-058d46c289ee414da184c776336e9e71 |
| institution | Kabale University |
| issn | 1738-8767 2287-1683 |
| language | English |
| publishDate | 2020-09-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-058d46c289ee414da184c776336e9e712025-01-08T08:08:31ZengKorean Society of TraumatologyJournal of Trauma and Injury1738-87672287-16832020-09-0133318619010.20408/jti.2020.00301034Positioning of Resuscitative Endovascular Balloon Occlusion of the Aorta Catheter: A Case of an Elderly Patient with Concomitant Chest and Pelvic Injury after Blunt TraumaDongsub Noh0Jeongseok Yun1Ye Rim Chang2 Department of Thoracic and Cardiovacular Surgery, Trauma Center, Dankook University Hospital, Cheonan, Korea Department of Trauma Surgery, Trauma Center, Dankook University Hospital, Cheonan, Korea Department of Trauma Surgery, Trauma Center, Dankook University Hospital, Cheonan, KoreaResuscitative endovascular balloon occlusion of the aorta (REBOA) has been increasingly used in recent years as a resuscitative adjunct for trauma patients with life-threatening non-compressible torso hemorrhage. By blocking the aorta temporarily with an inflated balloon, REBOA preserves cerebral and coronary perfusion while diminishing exsanguination below the balloon, thereby providing time for resuscitation and definitive bleeding control. When determining the occlusion zone during the REBOA procedure, factors such tortuosity of the aorta, co-occurring minor chest injuries, and the severity of shock must be considered, as well as the main injury site. This paper describes a case of high Zone I REBOA in an elderly patient with a tortuous aorta who had concomitant injuries of the chest and pelvis.http://www.jtraumainj.org/upload/pdf/jti-2020-0030.pdftraumaballoon occlusionindicationelderlychest injury |
| spellingShingle | Dongsub Noh Jeongseok Yun Ye Rim Chang Positioning of Resuscitative Endovascular Balloon Occlusion of the Aorta Catheter: A Case of an Elderly Patient with Concomitant Chest and Pelvic Injury after Blunt Trauma Journal of Trauma and Injury trauma balloon occlusion indication elderly chest injury |
| title | Positioning of Resuscitative Endovascular Balloon Occlusion of the Aorta Catheter: A Case of an Elderly Patient with Concomitant Chest and Pelvic Injury after Blunt Trauma |
| title_full | Positioning of Resuscitative Endovascular Balloon Occlusion of the Aorta Catheter: A Case of an Elderly Patient with Concomitant Chest and Pelvic Injury after Blunt Trauma |
| title_fullStr | Positioning of Resuscitative Endovascular Balloon Occlusion of the Aorta Catheter: A Case of an Elderly Patient with Concomitant Chest and Pelvic Injury after Blunt Trauma |
| title_full_unstemmed | Positioning of Resuscitative Endovascular Balloon Occlusion of the Aorta Catheter: A Case of an Elderly Patient with Concomitant Chest and Pelvic Injury after Blunt Trauma |
| title_short | Positioning of Resuscitative Endovascular Balloon Occlusion of the Aorta Catheter: A Case of an Elderly Patient with Concomitant Chest and Pelvic Injury after Blunt Trauma |
| title_sort | positioning of resuscitative endovascular balloon occlusion of the aorta catheter a case of an elderly patient with concomitant chest and pelvic injury after blunt trauma |
| topic | trauma balloon occlusion indication elderly chest injury |
| url | http://www.jtraumainj.org/upload/pdf/jti-2020-0030.pdf |
| work_keys_str_mv | AT dongsubnoh positioningofresuscitativeendovascularballoonocclusionoftheaortacatheteracaseofanelderlypatientwithconcomitantchestandpelvicinjuryafterblunttrauma AT jeongseokyun positioningofresuscitativeendovascularballoonocclusionoftheaortacatheteracaseofanelderlypatientwithconcomitantchestandpelvicinjuryafterblunttrauma AT yerimchang positioningofresuscitativeendovascularballoonocclusionoftheaortacatheteracaseofanelderlypatientwithconcomitantchestandpelvicinjuryafterblunttrauma |