Intractable hemorrhage is a main cause of death in the emergency department (ED).
Acute care physicians also encounter various causes of life-threatening hemorrhagic
shock, including trauma, ruptured abdominal aortic aneurysms, and postpartum bleeding
secondary to placenta previa or placenta abruption. In a recent systematic review,
resuscitative endovascular balloon occlusion of the aorta (REBOA) in various clinical
settings was found to successfully elevate central blood pressure and control hemodynamic
status as an adjunct for surgical hemostasis in life-threatening hemorrhagic shock.
However, there are no published reports describing the use of REBOA to control the
hemorrhagic status for patients with hemodynamic shock caused by an ectopic pregnancy.
Recently, partial REBOA with a halfway balloon inflation increased survival time to
180 minutes, maintaining the central blood pressure and carotid blood flow. In this
study, we treated a patient with hemorrhagic shock caused by a ruptured ectopic pregnancy
who underwent an intraaortic balloon occlusion device deployment in the ED and successful
surgical hemostasis assisted with partial REBOA. We concluded that alternative and
aggressive use of partial REBOA is effective among patients with hemorrhagic shock
caused by an obstetrical disease.
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Article Info
Publication History
Published online: February 12, 2016
Accepted:
February 2,
2016
Received:
January 30,
2016
Footnotes
â?†Competing interests: None. The manuscript has not been published previously and is not under consideration for publication elsewhere.
��Authors' contributions: OE and TJ conceived and designed the study; OE collected data; and OT, OR and TY provided technical support.
Identification
Copyright
© 2016 Elsevier Inc. All rights reserved.
