| Aortic occlusion balloon catheter technique is useful for uncontrollable massive intraabdominal bleeding after hepato-pancreato-biliary surgery. | |
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MedLine Citation:
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PMID: 16627217 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Massive intraabdominal hemorrhage sometimes requires urgent hemostatic surgical intervention. In such cases, its rapid stabilization is crucial to reestablish a general hemodynamic status. We used an aortic occlusion balloon catheter in patients with massive intraabdominal hemorrhage occurring after hepato-pancreato-biliary surgery. An 8-French balloon catheter was percutaneously inserted into the aorta from the femoral artery, and the balloon was placed just above the celiac artery. Fifteen minutes inflation and 5 minutes deflation were alternated during surgery until the bleeding was surgically controlled. An aortic occlusion balloon catheter was inserted on 13 occasions in 10 patients undergoing laparotomy for hemostasis of massive hemorrhage. The aorta was successfully occluded on 12 occasions in nine patients. Both systolic pressure and heart rate were normalized during aortic occlusion, and the operative field became clearly visible after adequate suction of leaked blood. Bleeding sites were then easily found and controlled. Hemorrhage was successfully controlled in 7 of 10 patients (70%), and they were discharged in good condition. The aortic occlusion balloon catheter technique was effective for easily controlling massive intraabdominal bleeding by hemostatic procedure after hepato-pancreato-biliary surgery. |
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Authors:
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Fumihiko Miura; Tadahiro Takada; Takenori Ochiai; Takehide Asano; Takashi Kenmochi; Hodaka Amano; Masahiro Yoshida |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract Volume: 10 ISSN: 1091-255X ISO Abbreviation: J. Gastrointest. Surg. Publication Date: 2006 Apr |
Date Detail:
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Created Date: 2006-04-21 Completed Date: 2006-10-20 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9706084 Medline TA: J Gastrointest Surg Country: United States |
Other Details:
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Languages: eng Pagination: 519-22 Citation Subset: IM |
Affiliation:
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Department of Surgery, Teikyo University, School of Medicine, Tokyo, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abdomen Aged Aorta, Abdominal* Balloon Occlusion* / instrumentation Bile Ducts, Extrahepatic / surgery Blood Loss, Surgical Blood Pressure / physiology Celiac Artery Digestive System Surgical Procedures* Female Femoral Artery Heart Rate / physiology Hemostasis, Surgical / methods Hemostatic Techniques* / instrumentation Hepatectomy Humans Laparotomy Male Middle Aged Pancreatectomy Pancreaticoduodenectomy Postoperative Hemorrhage / therapy* Retrospective Studies Survival Rate |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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