Format

Send to

Choose Destination
Radiol Case Rep. 2019 Mar 15;14(5):623-626. doi: 10.1016/j.radcr.2019.03.006. eCollection 2019 May.

The utility of resuscitative endovascular balloon occlusion of the aorta for temporary hemostasis after extensive bilateral lower extremity injuries: A case report.

Author information

1
Department of Emergency and Critical Care Medicine, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke-shi, Tochigi-ken, 329-0498 Japan.
2
Division of Trauma Surgery, Department of Emergency and Critical Care Medicine, Saiseikai Utsunomiya Hospital, 911-1 Takebayashi-cho, Utsunomiya-shi, Tochigi-ken, 321-0974 Japan.
3
Department of Digestive Surgery, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke-shi, Tochigi-ken, 329-0498 Japan.

Abstract

A 75-year-old pedestrian was struck by a truck and in shock with both lower extremities significantly deformed, with injuries extending proximally to the inguinal region and degloving injuries. Resuscitative endovascular balloon occlusion of the aorta was performed to achieve temporary hemostasis and the patient became hemodynamically stable. Following stabilization, both lower extremities were amputated. Resuscitative endovascular balloon occlusion of the aorta may be effective to achieve temporary hemostasis in patients with extensive injuries of the lower extremities, especially with extension to the inguinal region which precludes use of a tourniquet.

KEYWORDS:

Bilateral lower extremity injuries; Hemorrhagic shock; Resuscitative endovascular balloon occlusion of the aorta (REBOA); Temporary hemostasis

Supplemental Content

Full text links

Icon for Elsevier Science Icon for PubMed Central
Loading ...
Support Center