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Balloon control for ruptured AAAs: when and when not to use?

Malina, Martin LU and Holst, Jan LU (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:
author
organization
publishing date
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
2014-04-04 19:58:36
date last changed
2017-01-29 03:41:53
@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?},
  volume       = {55},
  year         = {2014},
}