[Intraluminal balloon occlusion of the aorta in traumatic massive hemorrhage]

Management of massive abdominal hemorrhage is a major challenge in trauma care. In this clinical setting high aortic blockade is known to be effective, as it stops arterial bleeding and restores the vital central circulation. Balloon occlusion of the descending aorta provides an alternative to thoracotomy with aortic cross-clamping, thereby avoiding this major surgical procedure. For introduction of the balloon the recommended technique is cut-down and insertion of the balloon to the femoral artery. More research and clinical experience are needed to define useful indications and to explore the long-term consequences of aortic balloon occlusion.