Oda Katsuhiko, Takahashi Makoto, Terao Naoya, Akanuma Rina, Hasegawa Takahiko, Usuda Masahiro, Kawatsu Satoshi
Department of Cardiovascular Surgery, Iwate Prefectural Central Hospital, Morioka, Iwate, Japan.
Department of Digestive Surgery, Iwate Prefectural Central Hospital, Morioka, Iwate, Japan.
Ann Thorac Surg Short Rep. 2024 Jan 20;2(2):306-308. doi: 10.1016/j.atssr.2023.12.017. eCollection 2024 Jun.
Foley balloons have been used to secure emergency hemostasis for cardiac or vascular injuries since the 1960s. However, using a single large balloon may have drawbacks, such as insufficient hemostasis and blood flow impairment. We have encountered 3 major intraoperative laceration cases since 2011. The laceration sites (lengths) were at the inferior vena cava (2.5 cm), main pulmonary artery (2 cm), and right ventricle (5 cm). We successfully managed these patients by using multiple small (10F-14F, half-inflated) Foley balloons. Using small Foley balloons may overcome the drawbacks of using 1 large balloon and effectively manage large lacerations.
自20世纪60年代以来，Foley球囊已被用于心脏或血管损伤的紧急止血。然而，使用单个大球囊可能存在缺点，如止血不充分和血流受损。自2011年以来，我们遇到了3例主要的术中撕裂伤病例。撕裂伤部位（长度）分别位于下腔静脉（2.5厘米）、主肺动脉（2厘米）和右心室（5厘米）。我们通过使用多个小的（10F - 14F，半充盈）Foley球囊成功治疗了这些患者。使用小Foley球囊可能克服使用单个大球囊的缺点，并有效处理大的撕裂伤。
