A CASE OF SEVERE LIVER INJURY IN WHICH REBOA WAS USEFUL IN LONG-DISTANCE TRANSFER TO HOSPITAL : A CASE REPORT

Abstract

　　A 46-year-old man was diagnosed with severe liver injury with hemorrhagic shock, and required transfer to our hospital. Blood transfusion and resuscitative endovascular balloon occlusion of the aorta (REBOA) had already been performed at the previous hospital, and damage-control surgery was performed on admission to our hospital. A total of 148 minutes of aortic blockade management was performed. In general, ischemic complications occur when REBOA is used for longer than 40 minutes ; however, a combination of partial REBOA and intermittent REBOA avoided REBOA-related complications. Maintenance of circulation by REBOA may be an option for transferring patients with hemorrhagic shock.