title: [Evaluation of 38 cases of employing aortic occlusion balloon catheter].
abstract: 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.
authors.affiliation: Osaka Mishima Emergency and Critical Care Center, Osaka.
authors.forename: Masako
authors.initials: M
authors.lastname: Soen
authors.forename: Isao
authors.initials: I
authors.lastname: Nishihara
authors.forename: Makiko
authors.initials: M
authors.lastname: Fukuda
authors.forename: Shunsuke
authors.initials: S
authors.lastname: Fujiwara
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Akimoto
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Fukumoto
mesh_terms: 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