Balloon control for ruptured AAAs: when and when not to use?
(2014) In Journal of Cardiovascular Surgery 55(2). p.161-167- Abstract
- Emergency endovascular aneurysm repair (eEVAR) for ruptured abdominal aortic aneurysm (rAAA) must be carried out instantly. This requires firm logistics that include the ability to cross-clamp the aorta without delay. The present article focuses on the technique of balloon control of the aorta in eEVAR with aspects on indications as well as the organization of this type of vascular service. Transfemoral insertion of the occlusion balloon under local anesthesia is advocated and described. The use of dual balloons shortens the time of visceral ischemia without necessitating repeat declamping until the aneurysm has been completely excluded. Staged declamping upon completion is necessary just as in open repair. A "balloon test" is suggested to... (More)
- Emergency endovascular aneurysm repair (eEVAR) for ruptured abdominal aortic aneurysm (rAAA) must be carried out instantly. This requires firm logistics that include the ability to cross-clamp the aorta without delay. The present article focuses on the technique of balloon control of the aorta in eEVAR with aspects on indications as well as the organization of this type of vascular service. Transfemoral insertion of the occlusion balloon under local anesthesia is advocated and described. The use of dual balloons shortens the time of visceral ischemia without necessitating repeat declamping until the aneurysm has been completely excluded. Staged declamping upon completion is necessary just as in open repair. A "balloon test" is suggested to better identify those high risk patients with a rAAA who may benefit from endovascular rAAA repair. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/4379667
- author
- Malina, Martin LU and Holst, Jan LU
- organization
- publishing date
- 2014
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Journal of Cardiovascular Surgery
- volume
- 55
- issue
- 2
- pages
- 161 - 167
- publisher
- Edizioni Minerva Medica
- external identifiers
-
- pmid:24670824
- wos:000335936600004
- scopus:84900422186
- ISSN
- 0021-9509
- language
- English
- LU publication?
- yes
- id
- e7de314f-0849-4222-bc5b-07518be9ae2f (old id 4379667)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/24670824?dopt=Abstract
- date added to LUP
- 2016-04-01 13:09:14
- date last changed
- 2022-04-06 02:55:59
@article{e7de314f-0849-4222-bc5b-07518be9ae2f,
abstract = {{Emergency endovascular aneurysm repair (eEVAR) for ruptured abdominal aortic aneurysm (rAAA) must be carried out instantly. This requires firm logistics that include the ability to cross-clamp the aorta without delay. The present article focuses on the technique of balloon control of the aorta in eEVAR with aspects on indications as well as the organization of this type of vascular service. Transfemoral insertion of the occlusion balloon under local anesthesia is advocated and described. The use of dual balloons shortens the time of visceral ischemia without necessitating repeat declamping until the aneurysm has been completely excluded. Staged declamping upon completion is necessary just as in open repair. A "balloon test" is suggested to better identify those high risk patients with a rAAA who may benefit from endovascular rAAA repair.}},
author = {{Malina, Martin and Holst, Jan}},
issn = {{0021-9509}},
language = {{eng}},
number = {{2}},
pages = {{161--167}},
publisher = {{Edizioni Minerva Medica}},
series = {{Journal of Cardiovascular Surgery}},
title = {{Balloon control for ruptured AAAs: when and when not to use?}},
url = {{http://www.ncbi.nlm.nih.gov/pubmed/24670824?dopt=Abstract}},
volume = {{55}},
year = {{2014}},
}