Background Internal bleeding from pelvic fractures is difficult to stop with external compression and necessitates other resuscitation techniques such as endovascular balloon occlusion of the aorta (REBOA). This minimally invasive procedure stops the bleeding by inflating a balloon in the aorta, and has been used successfully in emergency departments and operations theaters. If REBOA also is fe...

The treatment of a patient who had iatrogenic basilar artery thrombosis after endovascular occlusion of a recently ruptured wide-necked basilar apex aneurysm with a nondetachable silicone balloon is described. The rationale for the choice of a nondetachable balloon, the need for anticoagulation in the postoperative period, the timing of thrombolysis, and the choice of thrombolytic agents are di...

A patient developed monocular blindness 23 minutes into a temporary balloon occlusion test of the carotid artery, on the side being tested. His vision returned to normal 1 minute after the balloon was deflated. The authors emphasize the importance of complete frequent neurologic examination during this kind of test.

Introduction: The strategic use of temporary intracranial arterial occlusion is an important technique in aneurysm surgery. Metal clips similar to permanent aneurysm clips are employed but they are not ideally suited to the task. Methods: Balloon occluders placed around intracranial arteries at the Circle of Willis can provide immediate control of intra-luminal flow. These remotely controlled d...

Congenital solitary arteriovenous fistulas unassociated with arteriovenous malformations are rare. Five patients with this condition were treated by endovascular procedures: three by transarterial balloon occlusion and two by coil and silk suture embolization. Of the three patients treated by balloon occlusion, complete angiographic obliteration was achieved in two, and one patient had subtotal...

PURPOSE To define the role of angiography and embolization in the treatment of patients who have arterial injuries during transsphenoidal surgery. METHODS We retrospectively studied the arterial hemorrhagic complications, their management, and the clinical outcomes that occurred in 21 of the more than 1800 patients who had transsphenoidal surgery for pituitary adenomas. RESULTS Of the 21 pa...

OBJECTIVE To describe the technical feasibility and usefulness of extrahepatic biliary stone removal by balloon sphincteroplasty and occlusion balloon pushing. MATERIALS AND METHODS Fifteen patients with extrahepatic bile duct stones were included in this study. Endoscopic stone removal was not successful in 13 patients, and two patients refused the procedure due to endoscopy phobia. At first...

PURPOSE The purpose of this study is to quantify hepatic arterial flow (HAF) in liver transplants with splenic steal syndrome (SSS) pre- and post-test balloon occlusion of the splenic artery utilizing Doppler ultrasound (DUS) and quantitative digitally subtracted angiography (Q-DSA). METHODS A total of 193 liver transplants were evaluated retrospectively. Hepatic arterial velocity (HAV) and H...

OBJECTIVE In the present study, we aimed to determine the protective effect of the perfusion of the distal aorta with diltiazem and ringer lactate solution on the spinal cord. METHODS Twenty-seven New Zealand rabbits were used in which spinal cord ischemia was provided by occlusion of the aorta for thirty minutes. Experimental animals were divided into four groups: group A (n=4), the sham ope...

Acutely ruptured intracerebral berry aneurysms are usually treated by surgical clipping. In some instances, however, an endovascular approach to aneurysm obliteration may be considered. Since the pioneering work of Serbinenko [1] and Shcheglov (paper presented at the annual meeting of the ASNR, March 1989), there has been encouraging progress in the endovascular treatment of intracranial berry ...