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BMJ Case Rep. 2019 Jun 3;12(6). pii: e229538. doi: 10.1136/bcr-2019-229538.

Hybrid use of REBOA in a South African tertiary trauma unit for penetrating torso trauma.

Author information

1
Trauma Surgery, Greys Hospital, Pietermaritzburg, South Africa.
2
Prytime Medical, Boerne, Texas, USA.
3
Alrijne Ziekenhuis Locatie Leiderdorp, Leiderdorp, The Netherlands.
4
Nederlandse Overheid Ministerie van Defensie Divisie Defensie Gezondheidszorg Organisatie, Utrecht, The Netherlands.
5
Surgery, Leiden University Medical Center, Leiden, The Netherlands.
6
Trauma Surgery, Erasmus Medical Center, Rotterdam, The Netherlands.

Abstract

Resuscitative endovascular balloon occlusion of the aorta (REBOA) has been implemented in numerous countries. However, its use has not been widespread in (South) Africa, and when used, not well reported on. Further, REBOA has been performed with devices designed for other purposes. In this case report, we describe the use of a purpose designed device for image-free use in emergent haemorrhage control and resuscitation in a patient with multicavity penetrating trauma. Implications for the use of REBOA in these challenging cases is discussed, and a novel method of insertion of a REBOA catheter is presented.

KEYWORDS:

resuscitation; trauma

PMID:
31164381
DOI:
10.1136/bcr-2019-229538

Conflict of interest statement

Competing interests: None declared.

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