台灣外科醫學會雜誌

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篇名	Endovascular Balloon Proximal Occlusion during Repair for Ruptured Abdominal Aortic Aneurysm Report of a Case
作者	Kuan-Ming Chiu, Tzu-Yu Lin, Shu-Hsun Chu
卷期/出版年月	40卷2期 (2007/4)
頁次	81-84
摘要	Surgery for ruptured abdominal aortic aneurysm still remains the first-line treatment despite extremely high risk. We report a 73-year-old man with ruptured abdominal aortic aneurysm who was successfully treated by open surgery. The critical part to achieve proximal control was simplified by the application of a readily available Foley catheter as endovascular balloon. A purse-string suture was used to seal the Foley catheter puncture hole. The balloon catheter was inserted and threaded into aneurysm neck bimanually. Loss of distal pulsations was confirmed prior to opening the aneurysm sac. Endoaneurysmorrhaphy with tube graft interposition was performed as routine manners. This simple and reproducible technique provides rapid and better proximal control in order to reduce blood loss and unnecessary dissection. It allows most of the cardiovascular surgeons to circumvent the rare but complicated cases.
關鍵詞	abdominal aortic aneurysm, rupture, balloon occlusion, Foley catheter
分類	Case Report