Management of post-pancreatectomy haemorrhage using resuscitative endovascular balloon occlusion of the aorta
Delayed massive post-pancreatectomy haemorrhage (PPH) is a highly lethal complication after pancreatectomy. Angiographic procedures have led to improved outcomes in the management of these patients. In the setting of an acute haemorrhage, laparotomy and packing are often required to help stablise the patient. However, re-operative surgery in the post-pancreatectomy setting is technically challenging.
A novel strategy of incorporating the resuscitative endovascular balloon occlusion of the aorta (REBOA) is described.
Two patients where the specific application of this technique uses the REBOA were described.
The REBOA serves as a useful adjunct in haemorrhage control and haemodynamic stablisation to allow successful management of delayed massive PPH.
KeywordsPancreatectomy Bleeding Complication Mortality Fistula
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
Human and animal rights
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards; informed consent was obtained from all individual participants included in the study.
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