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Aorta Balloon Occlusion in Trauma: Three Cases Demonstrating Multidisciplinary Approach Already on Patient’s Arrival to the Emergency Room

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Abstract

Purpose

To describe the usage of aortic balloon occlusion (ABO), based on a multidisciplinary approach in severe trauma patients, emphasizing the role of the interventional radiologist in primary trauma care.

Methods

We briefly discuss the relevant literature, the technical aspects of ABO in trauma, and a multidisciplinary approach to the bleeding trauma patient. We describe three severely injured trauma patients for whom ABO was part of initial trauma management.

Results

Three severely injured multi-trauma patients were treated by ABO as a bridge to surgery and embolization. The procedures were performed by an interventional radiologist in the early stages of trauma management.

Conclusions

The interventional radiologist and the multidisciplinary team approach can be activated already on severe trauma patient arrival. ABO usage and other endovascular methods are becoming more widely spread, and can be used early in trauma management, without delay, thus justifying the early activation of this multidisciplinary approach.

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Acknowledgments

We would like to thank Mr. Jon Kimber for language revision.

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Authors and Affiliations

  1. Trauma Unit, Hillel Yaffe Medical Center, Hadera, Israel

    Alexander Korin & Boris Kessel

  2. Department of Cardiothoracic and Vascular Surgery, Örebro University Hospital, Örebro University, 701 85, Örebro, Sweden

    Tal M. Hörer

  3. Department of Radiology, Hillel Yaffe Medical Center, Hadera, Israel

    Dan Hebron

  4. Department of General Surgery, Bnai-Zion Medical Center, Haifa, Israel

    Forat Swaid

  5. Department of Vascular Surgery, Hillel Yaffe Medical Center, Hadera, Israel

    Offer Galili

  6. Surgical Division, Hillel Yaffe Medical Center, Hadera, Israel

    Ricardo Alfici

Authors
  1. Tal M. Hörer
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  2. Dan Hebron
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  3. Forat Swaid
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  4. Alexander Korin
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  5. Offer Galili
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  6. Ricardo Alfici
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  7. Boris Kessel
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Corresponding author

Correspondence to Tal M. Hörer.

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Conflict of interest

All authors (TH, DH, SF, KA, GO, AR, BK) declare that they do not have any conflict of interest in this manuscript, in any way.

Ethical considerations

The writing of this manuscript was in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was given by the patients or next of kin in non-surviving patients.

Informed consent

Informed consent was obtained from all individual participants included in the study. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Hörer, T.M., Hebron, D., Swaid, F. et al. Aorta Balloon Occlusion in Trauma: Three Cases Demonstrating Multidisciplinary Approach Already on Patient’s Arrival to the Emergency Room. Cardiovasc Intervent Radiol 39, 284–289 (2016). https://doi.org/10.1007/s00270-015-1212-2

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  • DOI: https://doi.org/10.1007/s00270-015-1212-2

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