[Evaluation of 38 cases of employing aortic occlusion balloon catheter].
BACKGROUND
Aortic occlusion balloon catheter (AOBC), which occludes the descending aorta without thoracotomy, is expected to prevent further blood loss and raise blood pressure (BP). We investigated the effects of AOBC retrospectively.


METHODS
AOBC was used in 38 patients for perioperative management only if the BP responded insufficiently despite rapid resuscitation due to massive hemorrhage below the diaphragm. There were 33 trauma cases, and five cases of ruptured abdominal aortic aneurysm. We inserted AOBC via the femoral artery or left common carotid artery in the emergency room(ER) or in the operating room (OR).


RESULTS
BP increased for 38.7 +/- 33.9 mmHg following AOBC, with a survival rate of 36%.


CONCLUSIONS
In our experience, AOBC was effective for raising BP in patients in hemorrhagic shock.
Soen
Masako
M
Osaka Mishima Emergency and Critical Care Center, Osaka.
Nishihara
Isao
I
Fukuda
Makiko
M
Fujiwara
Shunsuke
S
Akimoto
Hiroshi
H
Fukumoto
Hitoshi
H
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017542:Aneurysm, Ruptured / Q000628:therapy; D001011:Aorta; D021721:Balloon Occlusion / Q000379:methods* / Q000401:mortality; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019990:Perioperative Care; D012189:Retrospective Studies; D012771:Shock, Hemorrhagic / Q000628:therapy