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

Yasuyuki Onishi, MD; Hiroyuki Kimura, MD, PhD; Mitsunori Kanagaki, MD, PhD; Shojiro Oka, MD; Genki Fukumoto, MD; Tomoaki Otani, MD; Naoko Matsubara, MD; Kazuna Kawabata, MD, PhD; Masaru Matsumoto, MD; Takao Suzuki, MD, PhD

Radiology Case Reports (Feb 2019)

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

Yasuyuki Onishi, MD,
Hiroyuki Kimura, MD, PhD,
Mitsunori Kanagaki, MD, PhD,
Shojiro Oka, MD,
Genki Fukumoto, MD,
Tomoaki Otani, MD,
Naoko Matsubara, MD,
Kazuna Kawabata, MD, PhD,
Masaru Matsumoto, MD,
Takao Suzuki, MD, PhD

Affiliations

Yasuyuki Onishi, MD: Department of Diagnostic Radiology, Hyogo Prefectural Amagasaki General Medical Center, 2-17-77 Higashimaniwa-cho, Amagasaki, Hyogo 660-8550, Japan; Corresponding author.
Hiroyuki Kimura, MD, PhD: Department of Diagnostic Radiology, Hyogo Prefectural Amagasaki General Medical Center, 2-17-77 Higashimaniwa-cho, Amagasaki, Hyogo 660-8550, Japan
Mitsunori Kanagaki, MD, PhD: Department of Diagnostic Radiology, Hyogo Prefectural Amagasaki General Medical Center, 2-17-77 Higashimaniwa-cho, Amagasaki, Hyogo 660-8550, Japan
Shojiro Oka, MD: Department of Diagnostic Radiology, Hyogo Prefectural Amagasaki General Medical Center, 2-17-77 Higashimaniwa-cho, Amagasaki, Hyogo 660-8550, Japan
Genki Fukumoto, MD: Department of Diagnostic Radiology, Hyogo Prefectural Amagasaki General Medical Center, 2-17-77 Higashimaniwa-cho, Amagasaki, Hyogo 660-8550, Japan
Tomoaki Otani, MD: Department of Diagnostic Radiology, Hyogo Prefectural Amagasaki General Medical Center, 2-17-77 Higashimaniwa-cho, Amagasaki, Hyogo 660-8550, Japan
Naoko Matsubara, MD: Department of Diagnostic Radiology, Hyogo Prefectural Amagasaki General Medical Center, 2-17-77 Higashimaniwa-cho, Amagasaki, Hyogo 660-8550, Japan
Kazuna Kawabata, MD, PhD: Department of Diagnostic Radiology, Hyogo Prefectural Amagasaki General Medical Center, 2-17-77 Higashimaniwa-cho, Amagasaki, Hyogo 660-8550, Japan
Masaru Matsumoto, MD: Department of Emergency and Critical Care Medicine, Hyogo Prefectural Amagasaki General Medical Center, 2-17-77 Higashimaniwa-cho, Amagasaki, Hyogo 660-8550, Japan
Takao Suzuki, MD, PhD: Department of Emergency and Critical Care Medicine, Hyogo Prefectural Amagasaki General Medical Center, 2-17-77 Higashimaniwa-cho, Amagasaki, Hyogo 660-8550, Japan

Journal volume & issue: Vol. 14, no. 2
pp. 184 – 186

Abstract

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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: Resuscitative endovascular balloon occlusion of the aorta, Aortic occlusion balloon catheter

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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