Loop formation by an aortic occlusion balloon catheter during resuscitative endovascular balloon occlusion of the aorta (REBOA)

• Main Authors: Yasuyuki Onishi, MD, Hiroyuki Kimura, MD, PhD, Mitsunori Kanagaki, MD, PhD, Shojiro Oka, MD, Genki Fukumoto, MD, Tomoaki Otani, MD, Naoko Matsubara, MD, Kazuna Kawabata, MD, PhD, Masaru Matsumoto, MD, Takao Suzuki, MD, PhD
• Format: Article
• Language: English
• Published: Elsevier 2019-02-01
• Series: Radiology Case Reports
• Online Access: http://www.sciencedirect.com/science/article/pii/S1930043318304503

A 77-year-old man was transferred to our hospital for endoscopically uncontrollable active bleeding from a duodenal ulcer. Soon after his arrival, he became hemodynamically unstable and resuscitative endovascular balloon occlusion of the aorta was performed using a 7-F aortic occlusion balloon catheter (Rescue Balloon; Tokai Medical Products, Aichi, Japan). He became hemodynamically stable and was transferred to the CT room. CT demonstrated that the distal part of the catheter shaft had made a loop in the aorta and the balloon was located at the level of the upper abdomen. We consider the low-profile occlusion balloon catheter to be less rigid than large ones, and care should be taken to prevent balloon migration and catheter shaft bending. Keywords: Resuscitative endovascular balloon occlusion of the aorta, Aortic occlusion balloon catheter