title: Techniques in occluding the aorta during endovascular repair of ruptured abdominal aortic aneurysms.
abstract: 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.
authors.affiliation: Regional Vascular and Endovascular Unit, Belfast City Hospital, Belfast, Northern Ireland, UK. modonnell904@hotmail.com
authors.forename: Mark Edward
authors.initials: ME
authors.lastname: O'Donnell
authors.forename: Stephen A
authors.initials: SA
authors.lastname: Badger
authors.forename: Ragai R
authors.initials: RR
authors.lastname: Makar
authors.forename: Willie
authors.initials: W
authors.lastname: Loan
authors.forename: Bernard
authors.initials: B
authors.lastname: Lee
authors.forename: Chee V
authors.initials: CV
authors.lastname: Soong
mesh_terms: 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