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Cardiovasc Intervent Radiol. 2016 Feb;39(2):284-9. doi: 10.1007/s00270-015-1212-2. Epub 2015 Oct 9.

Aorta Balloon Occlusion in Trauma: Three Cases Demonstrating Multidisciplinary Approach Already on Patient's Arrival to the Emergency Room.

Author information

1
Department of Cardiothoracic and Vascular Surgery, Örebro University Hospital, Örebro University, 701 85, Örebro, Sweden. tal.horer@orebroll.se.
2
Department of Radiology, Hillel Yaffe Medical Center, Hadera, Israel.
3
Department of General Surgery, Bnai-Zion Medical Center, Haifa, Israel.
4
Trauma Unit, Hillel Yaffe Medical Center, Hadera, Israel.
5
Department of Vascular Surgery, Hillel Yaffe Medical Center, Hadera, Israel.
6
Surgical Division, Hillel Yaffe Medical Center, Hadera, Israel.

Abstract

PURPOSE:

To describe the usage of aortic balloon occlusion (ABO), based on a multidisciplinary approach in severe trauma patients, emphasizing the role of the interventional radiologist in primary trauma care.

METHODS:

We briefly discuss the relevant literature, the technical aspects of ABO in trauma, and a multidisciplinary approach to the bleeding trauma patient. We describe three severely injured trauma patients for whom ABO was part of initial trauma management.

RESULTS:

Three severely injured multi-trauma patients were treated by ABO as a bridge to surgery and embolization. The procedures were performed by an interventional radiologist in the early stages of trauma management.

CONCLUSIONS:

The interventional radiologist and the multidisciplinary team approach can be activated already on severe trauma patient arrival. ABO usage and other endovascular methods are becoming more widely spread, and can be used early in trauma management, without delay, thus justifying the early activation of this multidisciplinary approach.

KEYWORDS:

Hemodynamic instability; Intra-aortic balloon occlusion; Multiple trauma; Resuscitative thoracotomy

PMID:
26452781
DOI:
10.1007/s00270-015-1212-2
[Indexed for MEDLINE]

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