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Case Reports
. 2015 Aug 29;1(3-4):21-24.
doi: 10.1016/j.tcr.2015.07.002. eCollection 2015 Apr.

Transcarotid balloon occlusion of the brachiocephalic artery to control bleeding due to sharp injuries of the right subclavian artery

Denis A Skrypnik  1   2 , Roman A Vinogradov  1   2 , Victoria P Magamet  1   2 , Alexey L Kovalenko  1   2
Affiliations
Case Reports

Transcarotid balloon occlusion of the brachiocephalic artery to control bleeding due to sharp injuries of the right subclavian artery

Denis A Skrypnik et al. Trauma Case Rep. .

Abstract

We present a new manoeuvre of transcarotid balloon occlusion of the brachiocephalic artery to control bleeding due to sharp injuries of the right subclavian artery. To control the bleeding, we employed a temporary balloon occlusion of the brachiocephalic artery with a 6.0 Fogarty balloon catheter, which was introduced through ECA retrogradely into the aorta, inflated and pulled back. Described manoeuvre is simple, rapid performed, relatively safe and it is capable of decreasing the morbidity and mortality rates of patients with sharp injuries to the right subclavian artery.

Keywords: Balloon bleeding control; Balloon occlusion of the brachiocephalic artery; Sharp subclavian artery injury; Transcarotid balloon occlusion.

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Figures

Fig. 1
Fig. 1
Retrogradely insertion 6.0 Fogarty balloon catheter through the arteriotomy of the a.carotis externa.
Fig. 2
Fig. 2
Principal scheme of transcarotid balloon occlusion of the brachiocephalic artery.
Fig. 3
Fig. 3
Damaged area of a.subclavia after separation and clamping.
See this image and copyright information in PMC

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