Kohan Lindsay A, Kundi Rishi, Sjeklocha Lucas, Haase Daniel, Niederhaus Silke V
Department of Surgery, University of Maryland School of Medicine, Baltimore, MD.
Department of Endovascular Trauma Surgery, R Adams Cowley Shock Trauma Center, Baltimore, MD.
J Vasc Surg Cases Innov Tech. 2025 May 26;11(4):101860. doi: 10.1016/j.jvscit.2025.101860. eCollection 2025 Aug.
Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a temporizing measure for severe, acute hemorrhage until definitive treatment. REBOA has demonstrated utility in the trauma setting, but never in transplant-related complications. We report a case of a ruptured pseudoaneurysm two weeks after simultaneous pancreas-kidney transplant complicated by hemorrhagic shock with REBOA utilization allowing for hemorrhage control before emergent pancreas graft explant. The patient had a successful operation and is recovering well. There is sparse literature describing the use of REBOA in nontraumatic hemorrhage, but this represents the successful use in a transplant-related complication.
主动脉内复苏球囊阻断术（REBOA）是一种用于严重急性出血的临时措施，直至进行确定性治疗。REBOA已在创伤环境中显示出效用，但从未用于移植相关并发症。我们报告一例在胰肾联合移植术后两周发生假性动脉瘤破裂并伴有失血性休克的病例，通过使用REBOA实现了出血控制，随后紧急切除胰腺移植物。患者手术成功，恢复良好。关于REBOA在非创伤性出血中的应用文献稀少，但这是其在移植相关并发症中成功应用的案例。
