Key result
Placement of a 34-mm Amplatzer atrial septal defect sizing balloon into the suprarenal aorta successfully controlled massive bleeding from a ruptured abdominal aneurysm.
Case Report (n=1)
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An atrial septal defect sizing balloon can be effectively used off-label for rapid suprarenal aortic occlusion to control massive bleeding in ruptured abdominal aortic aneurysm, offering a sheathless alternative for patients with small femoral arteries.
We describe the case of a 57-year-old woman referred to our emergency service with ruptured abdominal aneurysm. We placed a 34-mm Amplatzer sizing balloon II into the suprarenal level of aorta to immediately control the active massive bleeding and to get the patient out of hemorrhage shock into the stable condition. After the bleeding control, endovascular repair was successfully performed. This is the first case report, to our knowledge, of atrial septal defect (ASD) sizing balloon use for blocking the blood flow through aorta to control the bleeding. ASD sizing balloon has some different properties compared to aortic occlusion balloon catheter (AOBC). Due to availability of sheathless usage, ASD sizing balloon may be preferred over AOBC for some of patient groups with peripheral artery diseases and small femoral artery diameters.
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Çakır et al. (2014) conducted a case report in Ruptured abdominal aneurysm (n=1). Amplatzer sizing balloon II (ASD sizing balloon) was evaluated on Bleeding control and stabilization. Placement of a 34-mm Amplatzer atrial septal defect sizing balloon into the suprarenal aorta successfully controlled massive bleeding from a ruptured abdominal aneurysm.
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