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

Authors

  • 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

DOI:

https://doi.org/10.26676/jevtm.v2i3.68

Keywords:

rAAA, EVAR, REBOA, Hemorrhagic shock, Endovascular Resuscitation

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.

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Published

2018-09-24

Issue

Section

Case Reports