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Radiology case reports · Feb 2019
Case ReportsLoop formation by an aortic occlusion balloon catheter during resuscitative endovascular balloon occlusion of the aorta (REBOA).
- Yasuyuki Onishi, Hiroyuki Kimura, Mitsunori Kanagaki, Shojiro Oka, Genki Fukumoto, Tomoaki Otani, Naoko Matsubara, Kazuna Kawabata, Masaru Matsumoto, and Takao Suzuki.
- Department of Diagnostic Radiology, Hyogo Prefectural Amagasaki General Medical Center, 2-17-77 Higashimaniwa-cho, Amagasaki, Hyogo 660-8550, Japan.
- Radiol Case Rep. 2019 Feb 1; 14 (2): 184-186.
AbstractA 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.
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