Photos and Videos
Angiography after intubation, open removal of penetrating object.
REBOA (Resuscitative endovascular balloon occlusion of the aorta) or ABO (Aortic Balloon Occlusion) is a key technique in the bridging solution to arrest hemorrhage.
The EVTM team has in cooperation with partner Mentice developed a poster describing the main features of the REBOA Technique. Key points are gaining arterial access, fixing the wire and position the balloon, but there are of course a lot more to consider.
Embolisation of internal iliac artery can (rarely in healthy individuals) cause ischemia to the gluteal region as seen here (non trauma case)
In part of this great lecture you can see the usage of ABO/REBOA in a trauma patient.
M_DT ANGIO_20150803_Post ABO akut blödning. dissektion
Penetrating wounds. Introducer in the Rt femoral artery
Multiple knife wounds. The patient is on angio table. Not used in this case. Diaphragm injury.
Non trauma case. Done in the surgical suite. Blind puncture. 5 Fr intorducer, used later on for angiography
This is fluroscopy guided puncture. It is a semi blind method for femoral access. Fast and effective, especialy in the bleeding patient.
Upside-down ABO in Zone I illustrating disclocation (in a pig model). We have a clinical case with Zone III disclocations. To be published separately.
A simple way to take out a sbuclavian artery catheter with minimal invasvive method. This can (and has been) used for subclavian bleeding.
Access via R brachial artery (6Fr). Advanta or other stentgraft with minimal oversizing. Angiography via introducer. We used this method in several trauma cases. Fast and effective with no need for thoracotomy but might need hematoma evacuation.
Ongoing extravasation from the subclavian artery on anfiogram. PTA balloon can control the bleeding from the brachial artery or from a femoral access. THan to be considered if to do open surgery or stentgraft or hybrid (combined).