Extra Anatomical Bypass for Common Femoral Artery Pseudoaneurysm following Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA)
Autor: | HJ Kruger, JH Couch, GV Oosthuizen |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: | |
Zdroj: | Journal of Endovascular Resuscitation and Trauma Management, Vol 5, Iss 1 (2021) |
Druh dokumentu: | article |
ISSN: | 2002-7567 2003-539X |
DOI: | 10.26676/jevtm.v5i1.190 |
Popis: | Background: Improvements in the instrumentation and guidelines for the use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) have increased its use as an adjunct in managing haemorrhagic shock. REBOA-related complications continue to be assessed and described. Methods: We describe a case of a femoral artery pseudoaneurysm within an infected groin wound after REBOA usage in a 25-year-old male after several bouts of sepsis and complications related to the initial penetrating injury and associated stay in the intensive care unit. Results: An extra-anatomical external iliac-to-superficial femoral artery bypass was performed using a 6-mm polytetrafluoroethylene graft to treat the femoral artery pseudoaneurysm successfully. Conclusion: REBOA is a well-described adjunct in the management of haemorrhagic shock. The immediate and delayed complications should be not overlooked. Deviations from the expected post-operative course should be promptly recognised and managed by a clinician with appropriate expertise. |
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