Korean J Crit Care Med.  2015 May;30(2):115-118. 10.4266/kjccm.2015.30.2.115.

Resuscitative Endovascular Balloon Occlusion of the Aorta in a Trauma Patient with Hypovolemic Shock

Affiliations
  • 1Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea. hanhs@snubh.org
  • 2Department of Emergency Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.

Abstract

Hemorrhagic shock is one of the most common causes of death in patients with multiple trauma and therefore rapid control of bleeding is the main strategy to save these patients. Resuscitative balloon occlusion of the aorta (REBOA) has been applied in several trauma cases and because of the effectiveness of this procedure it has been adopted in the trauma field. Herein, we report the first successful case of REBOA in Korea performed on a 46-year-old man with hemorrhagic shock after a fall from a height of 14-stories. The patient visited our hospital emergency room with hypovolemic shock, we performed Resuscitative Endovascular Balloon Occlusion of the Aorta under bed side blind technique. His vital sign was stabilized after procedure, then we could performed endovascular bleeding control. The patient was discharged on his 33rd in-hospital day without invasive procedure and major scar.

Keyword

aortic balloon; hemorrhage; hypovolemic shock; thoracotomy trauma

MeSH Terms

Aorta*
Balloon Occlusion*
Cause of Death
Cicatrix
Emergency Service, Hospital
Hemorrhage
Humans
Korea
Middle Aged
Multiple Trauma
Shock*
Shock, Hemorrhagic
Vital Signs

Figure

  • Fig. 1. Inserted 12 Fr. sheath for REBOA. REBOA: resuscitative balloon occlusion of the aorta.

  • Fig. 2. Correct location of guide wire and balloon in portable X-ray film.


Reference

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