[Endovascular aortic balloon catheter occlusion for severe renal trauma].
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.
Long
Jean-Alexandre
JA
Service de Chirurgie Urologique, CHU de Grenoble, Grenoble, France. JALong@chu-grenoble.fr
Descotes
Jean-Luc
JL
Terrier
Nicolas
N
Faucheron
Jean-Luc
JL
Pecher
Mathieu
M
Francony
Gilles
G
Sengel
Christian
C
Rambeaud
Jean-Jacques
JJ
D000328:Adult; D001012:Aorta, Abdominal; D002404:Catheterization; D006470:Hemorrhage / Q000628:therapy*; D006801:Humans; D015601:Injury Severity Score; D007668:Kidney / Q000293:injuries*; D008297:Male
Occlusion aortique endovasculaire par ballonnet pour traumatisme rénal grave.