Intra-operative Use of Resuscitative Endovascular Balloon Occlusion of the Aorta for Maintaining Bloodless Operative Field and Facilitating Hemostasis: A Case Report

Abstract

The use of resuscitative endovascular balloon occlusion of the aorta (REBOA) in hemorrhagic shock due to truncal or junctional trauma has recently been reported. While the usefulness of REBOA in trauma patients has been described in the literature, its efficacy on survival and indication remains unclear. For bleeding control of the truncal or junctional trauma below the diaphragm, REBOA is used, and it increases the blood flow to the brain and heart. These are well-known benefits of REBOA; however, there are few discussions about the benefit of REBOA in maintaining a bloodless operative field and facilitating hemostasis. We encountered a case of hemorrhagic shock due to pancreatic head injury, which required REBOA for catastrophic bleeding control, resulting in a good operation field and facilitating hemostasis. The use of REBOA to maintain a bloodless operation field in hemodynamically unstable patients who suffer truncal or junctional trauma and/or the use of REBOA for hemostasis, which is difficult to deal with due to continuous bleeding, may be a good indication.