Survival of a hemodynamically unstable pediatric liver trauma patient with aortic balloon occlusion catheter during air transport: A case report

BackgroundThe utility of resuscitative endovascular balloon occlusion of the aorta (REBOA) in children remains unclear.Case PresentationAn 11-year-old patient with liver trauma with massive extravasation was transported to a local hospital, where an emergency trauma surgery was unavailable. Following the placement of REBOA as a bridge to hemostasis, she was transferred to our hospital by a firefighting helicopter with balloon occlusion. Immediately, she underwent damage control laparotomy and transcatheter arterial embolization. She was subsequently discharged from the hospital 6 months after the accident without complications.ConclusionREBOA as a bridge to hemostasis may be useful for pediatric patients. An 11-year-old patient with liver trauma underwent resuscitative endovascular balloon occlusion of the aorta (REBOA) inflation during air transportation. REBOA as a bridge to hemostasis may be useful for pediatric patients.image