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Use of resuscitative endovascular balloon occlusion of the aorta in a patient with gastrointestinal bleeding

Resuscitative endovascular balloon occlusion of the aorta (REBOA) was developed for controlling intra-abdominal arterial bleeding before definitive bleeding control, and is commonly used in patients with ruptured abdominal aortic aneurysms. Although there is limited evidence for other uses of REBOA,...

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Autores principales: Lee, Jungyoup, Kim, Kyuseok, Jo, You Hwan, Lee, Jae Hyuk, Kim, Joonghee, Chung, Heajin, Hwang, Ji Eun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Emergency Medicine 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5051616/
https://www.ncbi.nlm.nih.gov/pubmed/27752617
http://dx.doi.org/10.15441/ceem.15.006
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author Lee, Jungyoup
Kim, Kyuseok
Jo, You Hwan
Lee, Jae Hyuk
Kim, Joonghee
Chung, Heajin
Hwang, Ji Eun
author_facet Lee, Jungyoup
Kim, Kyuseok
Jo, You Hwan
Lee, Jae Hyuk
Kim, Joonghee
Chung, Heajin
Hwang, Ji Eun
author_sort Lee, Jungyoup
collection PubMed
description Resuscitative endovascular balloon occlusion of the aorta (REBOA) was developed for controlling intra-abdominal arterial bleeding before definitive bleeding control, and is commonly used in patients with ruptured abdominal aortic aneurysms. Although there is limited evidence for other uses of REBOA, we used REBOA in a patient with massive gastrointestinal bleeding. A 53-year-old man with hematochezia was admitted to our emergency department with an initial systolic blood pressure (SBP) of 83 mmHg. His SBP decreased to 40 mmHg in 10 minutes despite rapid fluid infusion. We decided to resuscitate the patient with REBOA in the emergency department and then move him to an intervention room after stabilization. After aortic occlusion, SBP abruptly increased from 57 to 108 mmHg, and the patient could be transferred to an intervention room. The patient was admitted to intensive care, but died of massive rebleeding 24 hours after admission to the emergency department.
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spelling pubmed-50516162016-10-17 Use of resuscitative endovascular balloon occlusion of the aorta in a patient with gastrointestinal bleeding Lee, Jungyoup Kim, Kyuseok Jo, You Hwan Lee, Jae Hyuk Kim, Joonghee Chung, Heajin Hwang, Ji Eun Clin Exp Emerg Med Case Report Resuscitative endovascular balloon occlusion of the aorta (REBOA) was developed for controlling intra-abdominal arterial bleeding before definitive bleeding control, and is commonly used in patients with ruptured abdominal aortic aneurysms. Although there is limited evidence for other uses of REBOA, we used REBOA in a patient with massive gastrointestinal bleeding. A 53-year-old man with hematochezia was admitted to our emergency department with an initial systolic blood pressure (SBP) of 83 mmHg. His SBP decreased to 40 mmHg in 10 minutes despite rapid fluid infusion. We decided to resuscitate the patient with REBOA in the emergency department and then move him to an intervention room after stabilization. After aortic occlusion, SBP abruptly increased from 57 to 108 mmHg, and the patient could be transferred to an intervention room. The patient was admitted to intensive care, but died of massive rebleeding 24 hours after admission to the emergency department. The Korean Society of Emergency Medicine 2016-03-31 /pmc/articles/PMC5051616/ /pubmed/27752617 http://dx.doi.org/10.15441/ceem.15.006 Text en Copyright © 2016 The Korean Society of Emergency Medicine This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Lee, Jungyoup
Kim, Kyuseok
Jo, You Hwan
Lee, Jae Hyuk
Kim, Joonghee
Chung, Heajin
Hwang, Ji Eun
Use of resuscitative endovascular balloon occlusion of the aorta in a patient with gastrointestinal bleeding
title Use of resuscitative endovascular balloon occlusion of the aorta in a patient with gastrointestinal bleeding
title_full Use of resuscitative endovascular balloon occlusion of the aorta in a patient with gastrointestinal bleeding
title_fullStr Use of resuscitative endovascular balloon occlusion of the aorta in a patient with gastrointestinal bleeding
title_full_unstemmed Use of resuscitative endovascular balloon occlusion of the aorta in a patient with gastrointestinal bleeding
title_short Use of resuscitative endovascular balloon occlusion of the aorta in a patient with gastrointestinal bleeding
title_sort use of resuscitative endovascular balloon occlusion of the aorta in a patient with gastrointestinal bleeding
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5051616/
https://www.ncbi.nlm.nih.gov/pubmed/27752617
http://dx.doi.org/10.15441/ceem.15.006
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