Journal of Emergency Medicine Case Reports

2149-9934

Acil Tıp Uzmanları Derneği

10.33706/jemcr.747023

Clinical Sciences

Klinik Tıp Bilimleri

Use of REBOA As an Adjunct to The Conventional Femoral Cut-Down For Bleeding Control During Veno-Arterial ECMO Decannulation

https://orcid.org/0000-0001-8297-7525

Özlüer

Yunus Emre

ADNAN MENDERES UNIVERSITY, FACULTY OF MEDICINE

https://orcid.org/0000-0002-2336-8866

Avcil

Mücahit

ADNAN MENDERES UNIVERSITY, FACULTY OF MEDICINE

https://orcid.org/0000-0002-5414-8540

Yetiş

Çağaç

ADNAN MENDERES UNIVERSITY, FACULTY OF MEDICINE

https://orcid.org/0000-0002-0100-5263

Şeker Yaşar

Kezban

ADNAN MENDERES UNIVERSITY, FACULTY OF MEDICINE

11 23 2020

11 3 74 76 06 02 2020 10 03 2020

2010

Journal of Emergency Medicine Case Reports

Introduction One of the potential complications of Extracorporeal Life Support is the arterial bleeding during decannulation. We present a case that describes the use of REBOA for hemorrhage control during femoral decannulation.Case Report 42-old-male who was suffering from ARDS and cardiogenic shock was admitted to the Intensive Care Unit and Veno-arterial (VA) ECMO was commenced. On day 4, his cardiac performance improved and we decided that there was no longer a need for cardiac support with ECMO. Thus, a conversion from VA to Veno-venous (VV) ECMO was planned. An additional venous cannula was placed and the arterial cannula in the femoral artery was withdrawn and the femoral artery wall was repaired just after a Zone III total REBOA was achieved from the contralateral femoral artery. There were not any significant changes in blood pressure, heart rate, and lactate levels before and after the procedure. Conclusion REBOA might be a useful tool in the hands of non-vascular surgeons to avoid unintended bleeding during the decannulation of a large-bore arterial cannulae.

REBOA Extracorporeal Membrane Oxygenation decannulation bleeding control

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