Case report : Aortic balloon occlusion assisted open surgical repair of rupture abdominal aortic aneurysm.
Abstract
Ruptured abdominal aortic aneurysm is a diseased that still have high mortality despite advancement of treatment modality. The principle of the treatment is to rapidly control of bleeding to reduce blood loss which intend to decreased mortality.
Nowadays open surgical repair for ruptured abdominal aortic aneurysm used supraceliac cross clamp to control bleeding. This method need general anesthesia before control of bleeding. Usually after general anesthesia, the sympathetic tone will lose and the blood pressure will rapidly drop. All this would cause more serious side effect to the patient. Using of aortic balloon occlusion can rapidly perform with only local anesthesia to control the bleeding and this method will help improving the outcome.
This study reported 2 cases of ruptured abdominal aortic aneurysm with profound hypotension using aortic balloon assisted open surgical repair. The result from this study showed that both patients archived bleeding controlled in approximately 30 minutes. Both patients had 100% survival post operative. Due to small size of the population, the results cannot be accurately concluded.
Keywords : Ruptured abdominal aortic aneurysm, aortic balloon occlusion, open surgical repair
References
Cooley DA, Debakey ME. Ruptured aneurysms of abdominal aorta; excision and homograft replacement. Postgraduate medicine. Oct 1954;16(4):334-342.
Veith FJ, Lachat M, Mayer D, et al. Collected world and single center experience with endovascular treatment of ruptured abdominal aortic aneurysms. Annals of surgery. Nov 2009;250(5):818-824.
LINDSAY TF. Ruptured Aortoiliac Aneurysms and Their Management. In: Anton N. Sidawy BAP, ed. Rutherford’s Vascular Surgery and Endovascular Therapy. Vol 1: Elsevier; 2019:944-960.
Martini WZ. Coagulopathy by hypothermia and acidosis: mechanisms of thrombin generation and fibrinogen availability. The Journal of trauma. Jul 2009;67(1):202-208; discussion 208-209.
Zhang S, Feng J, Li H, Zhang Y, Lu Q, Jing Z. Open surgery (OS) versus endovascular aneurysm repair (EVAR) for hemodynamically stable and unstable ruptured abdominal aortic aneurysm (rAAA). Heart and vessels. Aug 2016;31(8):1291-1302.
Wanhainen A, Verzini F, Van Herzeele I, et al. Editor's Choice - European Society for Vascular Surgery (ESVS) 2019 Clinical Practice Guidelines on the Management of Abdominal Aorto-iliac Artery Aneurysms. Eur J Vasc Endovasc Surg. Jan 2019;57(1):8-93.
Howard ER, Young AE. Control of aortic haemorrhage by balloon catheter. British medical journal. Jul 17 1971;3(5767):161.
Philipsen TE, Hendriks JM, Lauwers P, et al. The use of rapid endovascular balloon occlusion in unstable patients with ruptured abdominal aortic aneurysm. Innovations (Philadelphia, Pa.). Mar 2009;4(2):74-79.
Raux M, Marzelle J, Kobeiter H, et al. Endovascular balloon occlusion is associated with reduced intraoperative mortality of unstable patients with ruptured abdominal aortic aneurysm but fails to improve other outcomes. J Vasc Surg. Feb 2015;61(2):304-308.
Karkos CD, Papadimitriou CT, Chatzivasileiadis TN, et al. The Impact of Aortic Occlusion Balloon on Mortality After Endovascular Repair of Ruptured Abdominal Aortic Aneurysms: A Meta-analysis and Meta-regression Analysis. Cardiovascular and interventional radiology. Dec 2015;38(6):1425-1437.
Noel AA, Gloviczki P, Cherry KJ, Jr., et al. Ruptured abdominal aortic aneurysms: the excessive mortality rate of conventional repair. J Vasc Surg. Jul 2001;34(1):41-46.
Hughes CW. Use of an intra-aortic balloon catheter tamponade for controlling intra-abdominal hemorrhage in man. Surgery. Jul 1954;36(1):65-68.
Wongwanit C, Mutirangura P, Chinsakchai K, et al. Transfemoral temporary aortic balloon occlusion assisting open repair for ruptured abdominal aortic aneurysms. Journal of the Medical Association of Thailand = Chotmaihet thangphaet. Jun 2013;96(6):742-748.
Berland TL, Veith FJ, Cayne NS, Mehta M, Mayer D, Lachat M. Technique of supraceliac balloon control of the aorta during endovascular repair of ruptured abdominal aortic aneurysms. J Vasc Surg. Jan 2013;57(1):272-275.
Bath J, Leite JO, Rahimi M, et al. Contemporary outcomes for ruptured abdominal aortic aneurysms using endovascular balloon control for hypotension. J Vasc Surg. May 2018;67(5):1389-1396.
O'Donnell ME, Badger SA, Makar RR, Loan W, Lee B, Soong CV. Techniques in occluding the aorta during endovascular repair of ruptured abdominal aortic aneurysms. J Vasc Surg. Jul 2006;44(1):211-215.
Ogura T, Lefor AK, Nakamura M, Fujizuka K, Shiroto K, Nakano M. Ultrasound-Guided Resuscitative Endovascular Balloon Occlusion of the Aorta in the Resuscitation Area. The Journal of emergency medicine. May 2017;52(5):715-722.
Matsuda H, Tanaka Y, Hino Y, et al. Transbrachial arterial insertion of aortic occlusion balloon catheter in patients with shock from ruptured abdominal aortic aneurysm. J Vasc Surg. Dec 2003;38(6):1293-1296.
Reva VA, Matsumura Y, Horer T, et al. Resuscitative endovascular balloon occlusion of the aorta: what is the optimum occlusion time in an ovine model of hemorrhagic shock? European journal of trauma and emergency surgery : official publication of the European Trauma Society. Aug 2018;44(4):511-518.
Moore LJ, Brenner M, Kozar RA, et al. Implementation of resuscitative endovascular balloon occlusion of the aorta as an alternative to resuscitative thoracotomy for noncompressible truncal hemorrhage. The journal of trauma and acute care surgery. Oct 2015;79(4):523-530; discussion 530-522.
Shigesato S, Shimizu T, Kittaka T, Akimoto H. Intra-aortic balloon occlusion catheter for treating hemorrhagic shock after massive duodenal ulcer bleeding. The American journal of emergency medicine. Mar 2015;33(3):473.e471-472.
Chu Q, Shen D, He L, et al. Anesthetic management of cesarean section in cases of placenta accreta, with versus without abdominal aortic balloon occlusion: study protocol for a randomized controlled trial. Trials. May 26 2017;18(1):240.
Osborn LA, Brenner ML, Prater SJ, Moore LJ. Resuscitative endovascular balloon occlusion of the aorta: current evidence. Open access emergency medicine : OAEM. 2019;11:29-38.
Veith FJ, Lachat M, Mayer D, et al. Collected world and single center experience with endovascular treatment of ruptured abdominal aortic aneurysms. Annals of surgery. Nov 2009;250(5):818-824.
LINDSAY TF. Ruptured Aortoiliac Aneurysms and Their Management. In: Anton N. Sidawy BAP, ed. Rutherford’s Vascular Surgery and Endovascular Therapy. Vol 1: Elsevier; 2019:944-960.
Martini WZ. Coagulopathy by hypothermia and acidosis: mechanisms of thrombin generation and fibrinogen availability. The Journal of trauma. Jul 2009;67(1):202-208; discussion 208-209.
Zhang S, Feng J, Li H, Zhang Y, Lu Q, Jing Z. Open surgery (OS) versus endovascular aneurysm repair (EVAR) for hemodynamically stable and unstable ruptured abdominal aortic aneurysm (rAAA). Heart and vessels. Aug 2016;31(8):1291-1302.
Wanhainen A, Verzini F, Van Herzeele I, et al. Editor's Choice - European Society for Vascular Surgery (ESVS) 2019 Clinical Practice Guidelines on the Management of Abdominal Aorto-iliac Artery Aneurysms. Eur J Vasc Endovasc Surg. Jan 2019;57(1):8-93.
Howard ER, Young AE. Control of aortic haemorrhage by balloon catheter. British medical journal. Jul 17 1971;3(5767):161.
Philipsen TE, Hendriks JM, Lauwers P, et al. The use of rapid endovascular balloon occlusion in unstable patients with ruptured abdominal aortic aneurysm. Innovations (Philadelphia, Pa.). Mar 2009;4(2):74-79.
Raux M, Marzelle J, Kobeiter H, et al. Endovascular balloon occlusion is associated with reduced intraoperative mortality of unstable patients with ruptured abdominal aortic aneurysm but fails to improve other outcomes. J Vasc Surg. Feb 2015;61(2):304-308.
Karkos CD, Papadimitriou CT, Chatzivasileiadis TN, et al. The Impact of Aortic Occlusion Balloon on Mortality After Endovascular Repair of Ruptured Abdominal Aortic Aneurysms: A Meta-analysis and Meta-regression Analysis. Cardiovascular and interventional radiology. Dec 2015;38(6):1425-1437.
Noel AA, Gloviczki P, Cherry KJ, Jr., et al. Ruptured abdominal aortic aneurysms: the excessive mortality rate of conventional repair. J Vasc Surg. Jul 2001;34(1):41-46.
Hughes CW. Use of an intra-aortic balloon catheter tamponade for controlling intra-abdominal hemorrhage in man. Surgery. Jul 1954;36(1):65-68.
Wongwanit C, Mutirangura P, Chinsakchai K, et al. Transfemoral temporary aortic balloon occlusion assisting open repair for ruptured abdominal aortic aneurysms. Journal of the Medical Association of Thailand = Chotmaihet thangphaet. Jun 2013;96(6):742-748.
Berland TL, Veith FJ, Cayne NS, Mehta M, Mayer D, Lachat M. Technique of supraceliac balloon control of the aorta during endovascular repair of ruptured abdominal aortic aneurysms. J Vasc Surg. Jan 2013;57(1):272-275.
Bath J, Leite JO, Rahimi M, et al. Contemporary outcomes for ruptured abdominal aortic aneurysms using endovascular balloon control for hypotension. J Vasc Surg. May 2018;67(5):1389-1396.
O'Donnell ME, Badger SA, Makar RR, Loan W, Lee B, Soong CV. Techniques in occluding the aorta during endovascular repair of ruptured abdominal aortic aneurysms. J Vasc Surg. Jul 2006;44(1):211-215.
Ogura T, Lefor AK, Nakamura M, Fujizuka K, Shiroto K, Nakano M. Ultrasound-Guided Resuscitative Endovascular Balloon Occlusion of the Aorta in the Resuscitation Area. The Journal of emergency medicine. May 2017;52(5):715-722.
Matsuda H, Tanaka Y, Hino Y, et al. Transbrachial arterial insertion of aortic occlusion balloon catheter in patients with shock from ruptured abdominal aortic aneurysm. J Vasc Surg. Dec 2003;38(6):1293-1296.
Reva VA, Matsumura Y, Horer T, et al. Resuscitative endovascular balloon occlusion of the aorta: what is the optimum occlusion time in an ovine model of hemorrhagic shock? European journal of trauma and emergency surgery : official publication of the European Trauma Society. Aug 2018;44(4):511-518.
Moore LJ, Brenner M, Kozar RA, et al. Implementation of resuscitative endovascular balloon occlusion of the aorta as an alternative to resuscitative thoracotomy for noncompressible truncal hemorrhage. The journal of trauma and acute care surgery. Oct 2015;79(4):523-530; discussion 530-522.
Shigesato S, Shimizu T, Kittaka T, Akimoto H. Intra-aortic balloon occlusion catheter for treating hemorrhagic shock after massive duodenal ulcer bleeding. The American journal of emergency medicine. Mar 2015;33(3):473.e471-472.
Chu Q, Shen D, He L, et al. Anesthetic management of cesarean section in cases of placenta accreta, with versus without abdominal aortic balloon occlusion: study protocol for a randomized controlled trial. Trials. May 26 2017;18(1):240.
Osborn LA, Brenner ML, Prater SJ, Moore LJ. Resuscitative endovascular balloon occlusion of the aorta: current evidence. Open access emergency medicine : OAEM. 2019;11:29-38.
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Published
2020-01-08
How to Cite
เวียงเพิ่ม ณ. (2020). Case report : Aortic balloon occlusion assisted open surgical repair of rupture abdominal aortic aneurysm. Mahasarakham Hospital Journal, 16(3), 33–42. retrieved from https://he02.tci-thaijo.org/index.php/MKHJ/article/view/234541
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