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Case reports

Endovascular Resuscitation with Aortic Balloon Occlusion in pediatric trauma

  • Mitra Sadeghi Kärlkirurgiska kliniken Västerås

Abstract

Background

The use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in resuscitation and trauma management in adults is increasing. However, there is limited data published concerning its use in pediatric patients.


Methods

We describe a case using REBOA for traumatic hemorrhagic shock in a pediatric patient according to the concept of EndoVascular resuscitation and Trauma Management (EVTM) at Örebro University Hospital in April 2019. Informed consent has been received.


Results

 An 11-year-old boy arrived to the emergency room (ER) after a motor vehicle accident. Due to total hemodynamic collapse, cardiopulmonary resuscitation was initiated with return of spontaneous circulation. Zone 1 total REBOA was successfully performed for 7 minutes while damage control surgery was performed and massive transfusion was initiated to stabilize the patient. The patient survived and returned to almost normal daily activity.


Conclusion

REBOA for endovascular resuscitation and trauma management may be an additional method for temporary hemodynamic stabilization in pediatric patients and, in this specific patient, was used instead of resuscitative thoracotomy.


 


Keywords: REBOA; Hemorrhage; Hemorrhagic Shock; Endovascular Resuscitation, Pediatric Trauma


 

Published

2019-10-01

How to Cite

SADEGHI, Mitra. Endovascular Resuscitation with Aortic Balloon Occlusion in pediatric trauma. Journal of Endovascular Resuscitation and Trauma Management, [S.l.], v. 3, n. 3, oct. 2019. ISSN 2002-7567. Available at: <https://journal.jevtm.com/index.php/jevtm/article/view/99>. Date accessed: 09 dec. 2019. doi: https://doi.org/10.26676/jevtm.v3i3.99.

Section

Case reports