Prone Zone 3 REBOA Rescue for Postoperative Hemorrhagic After Sacrococcygeal Tumor Resection

Authors

  • Tyler J York Department of Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA;
  • Sonia Ajmera Department of Neurosurgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA
  • Waseem Lutfi Department of Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA
  • Sophie Su Department of Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA
  • John M Chandler Department of Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA
  • Matthew J Michaels Department of Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA
  • James M Schuster Department of Neurosurgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA
  • Eric L Zager Department of Neurosurgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA
  • Kristin L Weber Department of Orthopaedic Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA
  • Benjamin Braslow Department of Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA; Division of Traumatology, Surgical Critical Care & Emergency Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA
  • Niels D Martin Department of Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA; Division of Traumatology, Surgical Critical Care & Emergency Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA
  • Catherine E Sharoky Department of Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA; Division of Traumatology, Surgical Critical Care & Emergency Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA
  • Neil R Malhotra Department of Neurosurgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA
  • Jeremy Cannon Department of Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA; Division of Traumatology, Surgical Critical Care & Emergency Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA

DOI:

https://doi.org/10.26676/jevtm.268

Keywords:

Resuscitative Endovascular Balloon Occlusion of the Aorta, REBOA, Hemorrhagic Shock, Postoperative Hemorrhage, Chordoma, Non-Trauma

Abstract

In this report, we describe a 41-year-old man who underwent resection of a large chordoma. During his post-operative recovery, he experienced delayed-onset non-compressive pelvic hemorrhage in the surgical resection bed resulting in nerve root compression. Zone 3 REBOA was prepositioned intra-operatively prior to placing the patient in the prone position for hematoma evacuation and exploration for surgical hemostasis. The balloon was completely inflated to facilitate exposure to the site of hemorrhage in this patient with a high risk for neurologic injury during this operative re-exploration.

Author Biography

Tyler J York, Department of Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA;

Current affiliation: Department of Surgery, Rutgers University - Robert Wood Johnson Medical School, New Brunswick, NJ

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Published

2023-01-31 — Updated on 2023-02-23

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How to Cite

York, T. J., Ajmera, S., Lutfi, W., Su, S., Chandler, J. M., Michaels, M. J., Schuster, J. M., Zager, E. L., Weber, K. L., Braslow, B., Martin, N. D., Sharoky, C. E., Malhotra, N. R., & Cannon, J. (2023). Prone Zone 3 REBOA Rescue for Postoperative Hemorrhagic After Sacrococcygeal Tumor Resection. Journal of Endovascular Resuscitation and Trauma Management, 6(3). https://doi.org/10.26676/jevtm.268 (Original work published January 31, 2023)

Issue

Vol. 6 No. 3 (2022)

Section

Case Reports