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Bagateliya Z.A.

Botkin Hospital;
Russian Medical Academy of Continuous Professional Education

Grekov D.N.

Botkin Hospital;
Russian Medical Academy of Continuous Professional Education

Kolotilshchikov A.A.

Russian Medical Academy of Continuous Professional Education

Petrishin M.V.

Russian Medical Academy of Continuous Professional Education

Ageeva A.A.

Russian Medical Academy of Continuous Professional Education

Resuscitative endovascular balloon occlusion of the aorta (REBOA) in a multi-field center for a patient with severe combined abdominal trauma

Authors:

Bagateliya Z.A., Grekov D.N., Kolotilshchikov A.A., Petrishin M.V., Ageeva A.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2025;(8): 117‑124

DOI: 10.17116/hirurgia2025081117

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Table of contents

RESUSCITATIVE ENDOVASCULAR BALLOON OCCLUSION OF THE AORTA (REBOA) IN A MULTI-FIELD CENTER FOR A PATIENT WITH SEVERE COMBINED ABDOMINAL TRAUMA
RESUSCITATIVE ENDOVASCULAR BALLOON OCCLUSION OF THE AORTA (REBOA) IN A MULTI-FIELD CENTER FOR A PATIENT WITH SEVERE COMBINED ABDOMINAL TRAUMA

To cite this article:

Bagateliya ZA, Grekov DN, Kolotilshchikov AA, Petrishin MV, Ageeva AA. Resuscitative endovascular balloon occlusion of the aorta (REBOA) in a multi-field center for a patient with severe combined abdominal trauma. Pirogov Russian Journal of Surgery. 2025;(8):117‑124. (In Russ.)
https://doi.org/10.17116/hirurgia2025081117

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
Abstract:

OBJECTIVE

To improve the treatment strategy in patients with severe combined abdominal trauma using minimally invasive technique (REBOA).

MATERIAL AND METHODS

We present a patient with severe combined abdominal trauma (traffic accident) who underwent REBOA.

RESULTS

The patient admitted to the intensive care unit in 65 min after traffic accident. Examination including eFAST and CT was performed within 25 min. The REBOA took 7 minutes. After that, the patient was transferred to the operating theatre under ongoing intensive therapy. The patient underwent emergency surgery: angiography, embolization of splenic arteries, fixation of anterior semicircle of the pelvis and right iliac wing with external fixation device, surgical treatment of wounds of the right shoulder and left forearm, open fractures of the patellae on both sides, plaster immobilization, external fixation of the right humerus and left forearm using the Ilizarov apparatus A prerequisite for successful treatment is «Damage-control» tactics (total surgery time was 102 min). After that, further treatment was continued in the intensive care unit. Intraoperative and early postoperative transfusion therapy was performed (packed red blood cells 1268 ml, fresh frozen plasma 1475 ml, platelets 420 ml). ICU-stay was 16 days, hospital-stay — 32 days.

CONCLUSION

Minimally invasive REBOA technology is important in the treatment of patients with severe combined abdominal trauma. Further accumulation of experience with subsequent analysis and evaluation of results is necessary.

Keywords:

resuscitative endovascular balloon occlusion of the aorta
severe abdominal trauma
unstable patient
endovascular technologies

Authors:

Bagateliya Z.A.

Botkin Hospital;
Russian Medical Academy of Continuous Professional Education

Grekov D.N.

Botkin Hospital;
Russian Medical Academy of Continuous Professional Education

Kolotilshchikov A.A.

Russian Medical Academy of Continuous Professional Education

Petrishin M.V.

Russian Medical Academy of Continuous Professional Education

Ageeva A.A.

Russian Medical Academy of Continuous Professional Education

Received:

14.03.2025

Accepted:

12.04.2025

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