Prone Zone 3 REBOA Rescue for Postoperative Hemorrhagic After Sacrococcygeal Tumor Resection

Tyler J. York, Sonia Ajmera, Waseem Lutfi, Sophie Su, John M. Chandler, Matthew J. Michaels, James M. Schuster, Eric L. Zager, Kristy L. Weber, Benjamin Braslow, Niels D. Martin, Catherine E. Sharoky, Neil R. Malhotra, Jeremy W. Cannon*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

In this report, we describe a 41-year-old man who underwent resection of a large chordoma. During his postoperative recovery, he experienced delayed-onset non-compressive pelvic hemorrhage in the surgical resection bed resulting in nerve root compression. Zone 3 REBOA was prepositioned intra-operatively prior to placing the patient in the prone position for hematoma evacuation and exploration for surgical hemostasis. The balloon was completely inflated to facilitate exposure to the site of hemorrhage in this patient with a high risk for neurologic injury during this operative re-exploration.

Original languageEnglish
Pages (from-to)140-143
Number of pages4
JournalJournal of Endovascular Resuscitation and Trauma Management
Volume6
Issue number3
DOIs
StatePublished - 2022
Externally publishedYes

Keywords

  • Chordoma
  • Hemorrhagic Shock
  • Postoperative Hemorrhage
  • REBOA
  • Resuscitative Endovascular Balloon Occlusion of the Aorta

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