Abstract
Ruptured abdominal aneurysm has now become a common surgical emergency, frequently amenable to successful resection and cure. The final result is often marred, however, by the effects of renal, coronary or cerebral ischemia resulting from dangerous hypotension during transportation of the patient to a vascular centre.
An aortic catheter has been developed which is passed by way of a brachial artery cut-down so that it rests in the abdominal aorta. The balloon at its tip is then filled with sodium diatrizoate (Hypaque) so that it completely obstructs the aortic lumen just above the level of the aneurysm. Accurate positioning of the balloon to carefully preserve renal blood flow is facilitated by fluoroscopic control. The use of this procedure in three patients has been very satisfactory, with a dramatic return of consciousness and of normal blood pressure, without the need for further blood replacement. Subsequent surgery with dissection of the aneurysm was aided by the presence of the palpable inflated balloon.
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- BAIRD R. J., FIROR W. B., BARR H. W. PROTECTION OF RENAL FUNCTION DURING SURGERY OF THE ABDOMINAL AORTA. Can Med Assoc J. 1963 Oct 5;89:705–708. [PMC free article] [PubMed] [Google Scholar]
- DOOLAN P. D., WIGGINS R. A., THIEL G. B., LEE K. J., MARTINEZ E. Acute renal insufficiency following aortic surgery: a discussion of the pathogenesis and a consideration of gangrene of an extremity as a complication. Am J Med. 1960 Jun;28:895–904. doi: 10.1016/0002-9343(60)90198-4. [DOI] [PubMed] [Google Scholar]
- HINDBERG J., NAKAMOTO S., KOLFF W. J. Anuria after operation for abdominal aortic aneurysm treated by hemodialysis with complete recovery. Surgery. 1961 Nov;50:755–757. [PubMed] [Google Scholar]
- POWERS S. R., Jr, BOBA A., STEIN A. The mechanism and prevention of distal tubular necrosis following aneurysmectomy. Surgery. 1957 Jul;42(1):156–162. [PubMed] [Google Scholar]