Prone Zone 3 REBOA Rescue for Postoperative Hemorrhagic After Sacrococcygeal Tumor Resection

In this report, we describe a 41-year-old man who underwent resection of a large chordoma. During his post-operative recovery, he experienced delayed-onset non-compressive pelvic hemorrhage in the surgical resection bed resulting in nerve root compression. Zone 3 REBOA was prepositioned intra-operat...

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Bibliographic Details
Published in:Journal of endovascular resuscitation and trauma management 2023-01, Vol.6 (3), p.140-143
Main Authors: York, Tyler J, Ajmera, Sonia, Lutfi, Waseem, Su, Sophie, Chandler, John M, Michaels, Matthew J, Schuster, James M, Zager, Eric L, Weber, Kristy L, Braslow, Benjamin, Martin, Niels D, Sharoky, Catherine E, Malhotra, Neil R, Cannon, Jeremy W
Format: Article
Language:English
Subjects:
Chordoma
Hemorrhagic Shock
Postoperative Hemorrhage
REBOA
Resuscitative Endovascular Balloon Occlusion of the Aorta
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Summary:In this report, we describe a 41-year-old man who underwent resection of a large chordoma. During his post-operative recovery, he experienced delayed-onset non-compressive pelvic hemorrhage in the surgical resection bed resulting in nerve root compression. Zone 3 REBOA was prepositioned intra-operatively prior to placing the patient in the prone position for hematoma evacuation and exploration for surgical hemostasis. The balloon was completely inflated to facilitate exposure to the site of hemorrhage in this patient with a high risk for neurologic injury during this operative re-exploration.
ISSN:2003-539X
2002-7567
2003-539X
DOI:10.26676/jevtm.268