Cakır Hakan, Acar Göksel, Pala Selçuk
Department of Cardiology, Kosuyolu Heart and Research Hospital, Cardiology Clinic, Istanbul, Turkey.
Catheter Cardiovasc Interv. 2014 Jun 1;83(7):1182-4. doi: 10.1002/ccd.25379. Epub 2014 Feb 5.
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.
我们描述了一名57岁女性因腹主动脉瘤破裂被转诊至我院急诊的病例。我们将一个34毫米的Amplatzer II型测量球囊置于肾上腺水平的主动脉处，以立即控制活动性大出血，并使患者脱离出血性休克进入稳定状态。出血得到控制后，成功进行了血管内修复。据我们所知，这是首例使用房间隔缺损（ASD）测量球囊阻断主动脉血流以控制出血的病例报告。与主动脉封堵球囊导管（AOBC）相比，ASD测量球囊具有一些不同的特性。由于无需鞘管即可使用，对于一些患有外周动脉疾病且股动脉直径较小的患者群体，ASD测量球囊可能比AOBC更受青睐。
