HYBRID EMERGENCY ROOM SYSTEM HELPS SAVE PATIENT WITH TRAUMATIC ABDOMINAL AORTIC INJURY : A CASE REPORT

DOI
  • MATSUNAGA Hiroki
    Department of Tertiary Emergency Medical Center (Trauma and Critical Care), Tokyo Metropolitan Bokutoh Hospital
  • TAKAHASHI Masamichi
    Department of Radiology, Tokyo Metropolitan Bokutoh Hospital
  • OHKURA Yoshihiro
    Department of Tertiary Emergency Medical Center (Trauma and Critical Care), Tokyo Metropolitan Bokutoh Hospital
  • SHIMIZU Yusuke
    Department of Tertiary Emergency Medical Center (Trauma and Critical Care), Tokyo Metropolitan Bokutoh Hospital
  • MAEHARA Hiromu
    Department of Tertiary Emergency Medical Center (Trauma and Critical Care), Tokyo Metropolitan Bokutoh Hospital
  • KITAGAWA Kanta
    Department of Tertiary Emergency Medical Center (Trauma and Critical Care), Tokyo Metropolitan Bokutoh Hospital
  • YAMAKAWA Jun
    Department of Tertiary Emergency Medical Center (Trauma and Critical Care), Tokyo Metropolitan Bokutoh Hospital
  • SUGIYAMA Kazuhiro
    Department of Tertiary Emergency Medical Center (Trauma and Critical Care), Tokyo Metropolitan Bokutoh Hospital
  • MIKAMI Manabu
    Department of Tertiary Emergency Medical Center (Trauma and Critical Care), Tokyo Metropolitan Bokutoh Hospital
  • HAMABE Yuichi
    Department of Tertiary Emergency Medical Center (Trauma and Critical Care), Tokyo Metropolitan Bokutoh Hospital

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Other Title
  • 鈍的腹部大動脈損傷に対し, ハイブリッドERでステントグラフト留置により救命した1例

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Abstract

<p>　　Traumatic abdominal aortic injury is rare and has a high mortality rate, which makes its prompt diagnosis and treatment crucial. Patients presenting with bleeding are managed surgically, whereas those with stable vital signs are managed conservatively. Our hospital has a hybrid emergency room (ER), equipped with a computed tomography (CT) scanner, fluoroscope, and an operating theater allowing for emergent resuscitation, diagnosis, and treatment of patients in one location. We present a case of a man in his 70s who was admitted to our hybrid ER. He was in shock after a road-traffic accident. CT revealed an abdominal aortic injury with extravasation. We performed resuscitative endovascular balloon occlusion of the aorta from the femoral artery to Zone 3. Subsequently, coiling and stent grafts from bilateral femoral arteries were placed to stop bleeding and save the patient. This report highlights the usefulness of a hybrid ER system in managing a patient with traumatic abdominal aortic injury.</p>

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