Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) Not Yet Applicable for Widespread Out-of-Hospital Use: A Case of Nonsurvivable Complication from Prolonged REBOA Inflation

Jackie Zhang, J. Devin Watson, Charles Drucker, Richa Kalsi, Robert S. Crawford, Shahab A. Toursavadkohi, Tanya Flohr

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is being considered for temporizing catastrophic hemorrhage before arriving at a specialty center for definitive surgical management. Case: We describe the clinical case of a 72-year-old male with a ruptured infrarenal aortic abdominal aneurysm initially stabilized with REBOA at an outside facility and transferred to our care. Transport time was >100 minutes. Despite successful surgical repair of the ruptured aneurysm, the patient expired from multiple-organ failure likely related to ischemia-reperfusion injuries from prolonged balloon occlusion of the aorta. Conclusions: Ischemia-mitigating techniques and therapies need to improve drastically before the clinical application of REBOA can be effectively extended to outside the vicinity of specialty centers.

Original languageEnglish (US)
Pages (from-to)354.e5-354.e9
JournalAnnals of Vascular Surgery
Volume56
DOIs
StatePublished - Apr 1 2019

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Balloon Occlusion
Economic Inflation
Aorta
Ruptured Aneurysm
Multiple Organ Failure
Abdominal Aortic Aneurysm
Reperfusion Injury
Ischemia
Hemorrhage
Therapeutics

All Science Journal Classification (ASJC) codes

  • Surgery
  • Cardiology and Cardiovascular Medicine

Cite this

Zhang, Jackie ; Watson, J. Devin ; Drucker, Charles ; Kalsi, Richa ; Crawford, Robert S. ; Toursavadkohi, Shahab A. ; Flohr, Tanya. / Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) Not Yet Applicable for Widespread Out-of-Hospital Use : A Case of Nonsurvivable Complication from Prolonged REBOA Inflation. In: Annals of Vascular Surgery. 2019 ; Vol. 56. pp. 354.e5-354.e9.
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Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) Not Yet Applicable for Widespread Out-of-Hospital Use : A Case of Nonsurvivable Complication from Prolonged REBOA Inflation. / Zhang, Jackie; Watson, J. Devin; Drucker, Charles; Kalsi, Richa; Crawford, Robert S.; Toursavadkohi, Shahab A.; Flohr, Tanya.

In: Annals of Vascular Surgery, Vol. 56, 01.04.2019, p. 354.e5-354.e9.

Research output: Contribution to journalArticle

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AU - Zhang, Jackie

AU - Watson, J. Devin

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AU - Crawford, Robert S.

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