Techniques in occluding the aorta during endovascular repair of ruptured abdominal aortic aneurysms.
Among various methods to achieve rapid occlusion of the aorta during endovascular repair for ruptured abdominal aortic aneurysm, particular emphasis is placed on two techniques that have been incorporated into our endovascular repair practice. The sheath-over-balloon technique (the Loan SOB technique) facilitates hemodynamic stability by transfemoral endovascular placement of an aortic occlusion balloon catheter to the infrarenal abdominal aorta. The balloon-ahead-of-graft technique (the Hornsby BAG technique) allows suprarenal hemodynamic control using a stent-graft system with a built-in balloon. The two techniques are simple, quick, and effective in achieving hemodynamic stability.
O'Donnell
Mark Edward
ME
Regional Vascular and Endovascular Unit, Belfast City Hospital, Belfast, Northern Ireland, UK. modonnell904@hotmail.com
Badger
Stephen A
SA
Makar
Ragai R
RR
Loan
Willie
W
Lee
Bernard
B
Soong
Chee V
CV
D017542:Aneurysm, Ruptured / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D021721:Balloon Occlusion / Q000379:methods*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D002404:Catheterization / Q000379:methods*; D005263:Femoral Artery / Q000000981:diagnostic imaging; D005471:Fluoroscopy; D006470:Hemorrhage / Q000517:prevention & control; D006801:Humans