Survival of a hemodynamically unstable pediatric liver trauma patient with aortic balloon occlusion catheter during air transport: A case report

Yuichi Miyake; Yuko Okishio; Naoaki Shibata; Shuji Kawashima; Toru Nasu; Kentaro Ueda

doi:10.1002/ams2.955

Survival of a hemodynamically unstable pediatric liver trauma patient with aortic balloon occlusion catheter during air transport: A case report

Acute Med Surg. 2024 Apr 23;11(1):e955. doi: 10.1002/ams2.955. eCollection 2024 Jan-Dec.

Authors

Yuichi Miyake¹, Yuko Okishio¹, Naoaki Shibata^{1

2}, Shuji Kawashima¹, Toru Nasu^{1

3}, Kentaro Ueda¹

Affiliations

¹ Department of Emergency and Critical Care Medicine Wakayama Medical University Wakayama Japan.
² Department of Emergency Medicine National Hospital Organization Minami Wakayama Medical Center Wakayama Japan.
³ Department of Emergency Medicine Katsuragi Hospital Osaka Japan.

Abstract

Background: The utility of resuscitative endovascular balloon occlusion of the aorta (REBOA) in children remains unclear.

Case presentation: An 11-year-old patient with liver trauma with massive extravasation was transported to a local hospital, where an emergency trauma surgery was unavailable. Following the placement of REBOA as a bridge to hemostasis, she was transferred to our hospital by a firefighting helicopter with balloon occlusion. Immediately, she underwent damage control laparotomy and transcatheter arterial embolization. She was subsequently discharged from the hospital 6 months after the accident without complications.

Conclusion: REBOA as a bridge to hemostasis may be useful for pediatric patients.

Keywords: REBOA; air transport; pediatric REBOA; pediatric trauma; resuscitative endovascular balloon occlusion of the aorta.

Publication types

Case Reports