Management of pelvic arterial bleeding by aortic balloon occlusion | ||
| Al-Azhar International Medical Journal | ||
| Volume 2023, Issue 1, January 2023 | ||
| DOI: 10.58675/2682-339X.2155 | ||
| Authors | ||
| Mahsoub Mourad Amin1; Mohammed Alsagher Alhewy2; Reda Osman Abbas3; Tarek Ahmed Mostafa Boghdady4 | ||
| 1Department of Vascular Surgery, Faculty of Medicine for boys, Al-Azhar University, Cairo, Egypt. | ||
| 2Department of Vascular Surgery, Faculty of Medicine for boys, Al-Azhar University, Assuit, Egypt | ||
| 3Department of Vascular Surgery, Faculty of Medicine for boys, Al-Azhar University, Cairo, Egypt | ||
| 4Department of Vascular Surgery, Faculty of Medicine for boys, Al-Azhar University, Assuit, Egypt. | ||
| Abstract | ||
| Background: Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) has become a viable method for hemorrhagic shock patients to reduce bleeding. It was suggested that the balloon may be used as an option to stop pelvic bleeding when it is deployed in Zone 3. Numerous organizations and societies have advocated REBOA as a guideline for the immediate care of pelvic bleeding after severe trauma. Aim and Objectives: to evaluate balloon occlusion's viability, suitability, safety, and consequences in the treatment of patients with pelvic arterial bleeding. Patients and methods: A prospective, randomized research including 50 individuals who had pelvic arterial hemorrhage was done. It took place in the Al-Azhar University Hospitals' Vascular Surgery Department. Results: Age range from 14-80 years. Most patients were in 3rd and 4th decades of life. Only one patient was in the 8th decade. The procedure showed 86% success in controlling of the pelvic bleeding by balloon occlusion of the aorta. Balloon control was successful in 43 (86%) Patients. Access site complications: Groin hematoma/bleeding, significant vasospasm, intimal damage or dissection, pseudo-aneurysm formation, arteriovenous fistula and arterial embolization. Systemic complications: renal failure and allergic/anaphylactic responses. Conclusion: We conclude that Pelvic arterial hemorrhage may be effectively controlled by aortic balloon occlusion. It makes the patient more stable and gives the surgeons more time, more stability and more easy exploration. With aortic balloon occlusion; there is less blood loss and more safety but we should avoid acute kidney injury and access site complications. | ||
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