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Radiol Case Rep. 2018 Nov 6;14(2):184-186. doi: 10.1016/j.radcr.2018.10.018. eCollection 2019 Feb.

Loop formation by an aortic occlusion balloon catheter during resuscitative endovascular balloon occlusion of the aorta (REBOA).

Author information

1
Department of Diagnostic Radiology, Hyogo Prefectural Amagasaki General Medical Center, 2-17-77 Higashimaniwa-cho, Amagasaki, Hyogo 660-8550, Japan.
2
Department of Emergency and Critical Care Medicine, Hyogo Prefectural Amagasaki General Medical Center, 2-17-77 Higashimaniwa-cho, Amagasaki, Hyogo 660-8550, Japan.

Abstract

A 77-year-old man was transferred to our hospital for endoscopically uncontrollable active bleeding from a duodenal ulcer. Soon after his arrival, he became hemodynamically unstable and resuscitative endovascular balloon occlusion of the aorta was performed using a 7-F aortic occlusion balloon catheter (Rescue Balloon; Tokai Medical Products, Aichi, Japan). He became hemodynamically stable and was transferred to the CT room. CT demonstrated that the distal part of the catheter shaft had made a loop in the aorta and the balloon was located at the level of the upper abdomen. We consider the low-profile occlusion balloon catheter to be less rigid than large ones, and care should be taken to prevent balloon migration and catheter shaft bending.

KEYWORDS:

Aortic occlusion balloon catheter; Resuscitative endovascular balloon occlusion of the aorta

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