title: Fast track occlusion of aorta with atrial septal defect sizing balloon.
abstract: We describe the case of a 57-year-old woman referred to our emergency service with ruptured abdominal aneurysm. We placed a 34-mm Amplatzer sizing balloon II into the suprarenal level of aorta to immediately control the active massive bleeding and to get the patient out of hemorrhage shock into the stable condition. After the bleeding control, endovascular repair was successfully performed. This is the first case report, to our knowledge, of atrial septal defect (ASD) sizing balloon use for blocking the blood flow through aorta to control the bleeding. ASD sizing balloon has some different properties compared to aortic occlusion balloon catheter (AOBC). Due to availability of sheathless usage, ASD sizing balloon may be preferred over AOBC for some of patient groups with peripheral artery diseases and small femoral artery diameters.
authors.affiliation: Department of Cardiology, Kosuyolu Heart and Research Hospital, Cardiology Clinic, Istanbul, Turkey.
authors.forename: Hakan
authors.initials: H
authors.lastname: Cakır
authors.forename: Göksel
authors.initials: G
authors.lastname: Acar
authors.forename: Selçuk
authors.initials: S
authors.lastname: Pala
mesh_terms: D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D001019:Aortic Rupture / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D021721:Balloon Occlusion / Q000295:instrumentation*; D006328:Cardiac Catheterization; D005260:Female; D005263:Femoral Artery; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D008875:Middle Aged; D014057:Tomography, X-Ray Computed
keywords: aortic disease; bleeding; endovascular intervention; interventional devices