A case of usefulness of resuscitative endovascular balloon occlusion of the aorta (REBOA) in a ruptured renal artery aneurysm in a rem ote island involving long-distance transport

resuscitative endovascular occlusion of the aorta, R EBOA , hem orrhagic shock

Abstract

The case was a 49-year-old male. He visited the Ogasawara Village Clinic complaining sudden dull pain in the right costal margin, and went into shock vital. An emergency physician placed the REBOA in the thoracic aorta in the local ambulance. He survived through the 5-hour air transport and was brought to Tokyo Metropolitan Hiroo Hospital, where renal artery parental occlusion (PAO) was immediately performed by interventional radiology (IVR). Finally the patient discharged home without complications. Keeping the REBOA available in the remote area may be useful for transporting patients with hemorrhagic shock.