title: [Endovascular aortic balloon catheter occlusion for severe renal trauma].
abstract: Control of the renal vascular pedicle in a context of severe renal trauma in a haemodynamically unstable patient is difficult due to the large retroperitoneal haematoma. Laparotomy in these exsanguinated patients is associated with a risk of cardiac arrest due to hypovolaemia. The authors describe an endovascular aortic balloon catheter occlusion technique prior to laparotomy for haemostasis nephrectomy in a haemodynamically unstable patient presenting an abdominal compartment syndrome. In the light of this case, the authors discuss vascular control in the context of surgical management of severe renal trauma.
authors.affiliation: Service de Chirurgie Urologique, CHU de Grenoble, Grenoble, France. JALong@chu-grenoble.fr
authors.forename: Jean-Alexandre
authors.initials: JA
authors.lastname: Long
authors.forename: Jean-Luc
authors.initials: JL
authors.lastname: Descotes
authors.forename: Nicolas
authors.initials: N
authors.lastname: Terrier
authors.forename: Jean-Luc
authors.initials: JL
authors.lastname: Faucheron
authors.forename: Mathieu
authors.initials: M
authors.lastname: Pecher
authors.forename: Gilles
authors.initials: G
authors.lastname: Francony
authors.forename: Christian
authors.initials: C
authors.lastname: Sengel
authors.forename: Jean-Jacques
authors.initials: JJ
authors.lastname: Rambeaud
mesh_terms: D000328:Adult; D001012:Aorta, Abdominal; D002404:Catheterization; D006470:Hemorrhage / Q000628:therapy*; D006801:Humans; D015601:Injury Severity Score; D007668:Kidney / Q000293:injuries*; D008297:Male
vernacular_title: Occlusion aortique endovasculaire par ballonnet pour traumatisme rénal grave.