PMID- 23159478 OWN - NLM STAT- MEDLINE DCOM- 20130220 LR - 20161125 IS - 1097-6809 (Electronic) IS - 0741-5214 (Linking) VI - 57 IP - 1 DP - 2013 Jan TI - Technique of supraceliac balloon control of the aorta during endovascular repair of ruptured abdominal aortic aneurysms. PG - 272-5 LID - S0741-5214(12)01933-7 [pii] LID - 10.1016/j.jvs.2012.09.001 [doi] AB - Endovascular aneurysm repair is being used increasingly to treat ruptured abdominal aortic aneurysms (RAAAs). Approximately 25% of RAAAs undergo complete circulatory collapse before or during the procedure. Patient survival depends on obtaining and maintaining supraceliac balloon control until the endograft is fully deployed. This is accomplished with a sheath-supported compliant balloon inserted via the groin contralateral to the side to be used for insertion of the endograft main body. After the main body is fully deployed, a second balloon is placed within the endograft, and the first balloon is removed so that extension limbs can be placed in the contralateral side. A third balloon can be placed via the contralateral side and ipsilateral extensions deployed as necessary. This technique of supraceliac balloon control is important to achieving good outcomes with RAAAs. In addition to minimizing blood loss, this technique minimizes visceral ischemia and maintains aortic control until the aneurysm rupture site is fully excluded. CI - Copyright (c) 2013 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved. FAU - Berland, Todd L AU - Berland TL AD - Division of Vascular Surgery, New York University Langone Medical Center, New York, NY 10016, USA. FAU - Veith, Frank J AU - Veith FJ FAU - Cayne, Neal S AU - Cayne NS FAU - Mehta, Manish AU - Mehta M FAU - Mayer, Dieter AU - Mayer D FAU - Lachat, Mario AU - Lachat M LA - eng PT - Journal Article DEP - 20121115 PL - United States TA - J Vasc Surg JT - Journal of vascular surgery JID - 8407742 SB - IM MH - Aortic Aneurysm, Abdominal/diagnostic imaging/physiopathology/surgery/*therapy MH - Aortic Rupture/diagnostic imaging/physiopathology/surgery/*therapy MH - Aortography MH - *Balloon Occlusion/instrumentation MH - *Blood Vessel Prosthesis Implantation MH - Catheters MH - *Endovascular Procedures MH - Hemodynamics MH - Humans MH - Treatment Outcome EDAT- 2012/11/20 06:00 MHDA- 2013/02/21 06:00 CRDT- 2012/11/20 06:00 PHST- 2012/05/25 00:00 [received] PHST- 2012/05/25 00:00 [revised] PHST- 2012/09/02 00:00 [accepted] PHST- 2012/11/20 06:00 [entrez] PHST- 2012/11/20 06:00 [pubmed] PHST- 2013/02/21 06:00 [medline] AID - S0741-5214(12)01933-7 [pii] AID - 10.1016/j.jvs.2012.09.001 [doi] PST - ppublish SO - J Vasc Surg. 2013 Jan;57(1):272-5. doi: 10.1016/j.jvs.2012.09.001. Epub 2012 Nov 15.