Temporary percutaneous aortic balloon occlusion to enhance fluid resuscitation prior to definitive embolization of posttraumatic liver hemorrhage

Cardiovasc Intervent Radiol. Jul-Aug 2001;24(4):274-6. doi: 10.1007/s00270-001-0003-0.

Abstract

We successfully stabilized severe hemorrhagic shock following traumatic liver injury by percutaneous transcarotid supraceliac aortic occlusion with a 5 Fr balloon catheter. Then we were able to perform transfemoral embolization therapy of the hepatic arterial bleeding source. Transient aortic occlusion using a balloon catheter appears to be a useful adjunct in select cases where stabilization of the patient is necessary to allow successful selective embolization of the bleeding source.

Publication types

  • Case Reports

MeSH terms

  • Aorta*
  • Balloon Occlusion*
  • Blood Pressure
  • Blood Transfusion
  • Embolization, Therapeutic*
  • Hemorrhage / etiology
  • Hemorrhage / therapy*
  • Hepatic Artery* / diagnostic imaging
  • Humans
  • Liver / injuries*
  • Male
  • Middle Aged
  • Radiography, Interventional
  • Resuscitation*
  • Shock, Hemorrhagic / physiopathology
  • Shock, Hemorrhagic / therapy