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成功应用复苏性血管内主动脉球囊阻断术治疗8.5厘米的脾动脉破裂性动脉瘤。

Successful use of resuscitative endovascular balloon occlusion of the aorta in the treatment of ruptured 8.5-cm splenic artery aneurysm.

作者信息

Ologun Gabriel, Sharpton Keith, Granet Paul

机构信息

Department of Surgery, Robert Packer Hospital/Guthrie Clinic, Sayre, Pa.

Department of Surgery, Robert Packer Hospital/Guthrie Clinic, Sayre, Pa.

出版信息

J Vasc Surg. 2017 Dec;66(6):1873-1875. doi: 10.1016/j.jvs.2017.05.138. Epub 2017 Sep 27.

DOI:10.1016/j.jvs.2017.05.138
PMID:28958475
Abstract

Spontaneous rupture of splenic artery aneurysm is a rare cause of acute abdomen with hemorrhagic shock that is a life-threatening surgical emergency. We report a case of a spontaneous rupture of an 8.5-cm splenic artery aneurysm managed using resuscitative endovascular balloon occlusion of the aorta (ER-REBOA Catheter; Prytime Medical Inc, Boerne, Tex) for proximal control of the aorta before laparotomy. This is a minimally invasive technique that can be used as an adjunct to massive transfusion resuscitation and laparotomy for life-threatening intraperitoneal hemorrhage.

摘要

脾动脉动脉瘤自发性破裂是导致急性腹痛并伴有出血性休克的罕见原因，这是一种危及生命的外科急症。我们报告一例8.5厘米脾动脉动脉瘤自发性破裂的病例，在剖腹手术前，使用主动脉复苏性血管内球囊阻断术（ER-REBOA导管；Prytime Medical Inc，博尔尼，德克萨斯州）对主动脉进行近端控制。这是一种微创技术，可作为大量输血复苏和剖腹手术治疗危及生命的腹腔内出血的辅助手段。

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