title: Temporary percutaneous aortic balloon occlusion to enhance fluid resuscitation prior to definitive embolization of posttraumatic liver hemorrhage.
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.
authors.affiliation: Department of Radiology, Teikyo University School of Medicine, Ichihara Hospital, Chiba, Japan. shinma@d9.dion.ne.jp
authors.forename: S
authors.initials: S
authors.lastname: Matsuoka
authors.forename: K
authors.initials: K
authors.lastname: Uchiyama
authors.forename: H
authors.initials: H
authors.lastname: Shima
authors.forename: S
authors.initials: S
authors.lastname: Ohishi
authors.forename: Y
authors.initials: Y
authors.lastname: Nojiri
authors.forename: H
authors.initials: H
authors.lastname: Ogata
mesh_terms: D001011:Aorta; D021721:Balloon Occlusion; D001794:Blood Pressure; D001803:Blood Transfusion; D004621:Embolization, Therapeutic; D006470:Hemorrhage / Q000209:etiology / Q000628:therapy*; D006499:Hepatic Artery / Q000000981:diagnostic imaging; D006801:Humans; D008099:Liver / Q000293:injuries*; D008297:Male; D008875:Middle Aged; D015641:Radiography, Interventional; D012151:Resuscitation; D012771:Shock, Hemorrhagic / Q000503:physiopathology / Q000628:therapy