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Case reports

Endovascular resuscitation for ruptured abdominal aortic aneurysms with main stent-graft and REBOA via single-sided access

  • David T McGreevy Department of Cardiothoracic and Vascular Surgery, Faculty of Medicine and Health, Örebro University Hospital and Örebro University, 701 85 Örebro, Sweden
  • Tal M Hörer Department of Cardiothoracic and Vascular Surgery, Faculty of Medicine and Health, Örebro University Hospital and Örebro University, 701 85 Örebro, Sweden
  • Artai Pirouzram Department of Cardiothoracic and Vascular Surgery, Faculty of Medicine and Health, Örebro University Hospital and Örebro University, 701 85 Örebro, Sweden

Abstract

Background


Aortic Balloon Occlusion or Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) for hemorrhage control during endovascular aortic repair (EVAR) is a technique that has been used for decades for ruptured abdominal aortic aneurysms (rAAA). This usually requires bilateral femoral access, however, when only single-sided vascular access can be obtained this complicates the procedure if these techniques are to be used. We present two cases of single-sided vascular access, recently performed at our institution, using simultaneous REBOA and aortic stent-graft placement during EVAR in rAAA.


 


Methods and Results


This is a description of two clinical cases where REBOA and EVAR were performed through single-sided vascular access for the treatment of rAAA at Örebro University Hospital between March 2018 and June 2018.


 


Conclusion


This case report demonstrates that despite the limitation of single-sided access, an aortic stent-graft can be placed for treatment of a rAAA during continuous aortic occlusion with REBOA, facilitated by using a multidisciplinary EVTM team approach.

Published

2018-09-24

How to Cite

MCGREEVY, David T; HÖRER, Tal M; PIROUZRAM, Artai. Endovascular resuscitation for ruptured abdominal aortic aneurysms with main stent-graft and REBOA via single-sided access. Journal of Endovascular Resuscitation and Trauma Management, [S.l.], v. 2, n. 3, sep. 2018. ISSN 2002-7567. Available at: <http://journal.jevtm.com/index.php/jevtm/article/view/68>. Date accessed: 11 dec. 2018. doi: https://doi.org/10.26676/jevtm.v2i3.68.

Section

Case reports