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Updated: Jun 17, 2026

A New Murine Model of Endovascular Aortic Aneurysm Repair
Published on: July 7, 2013
Ruptured abdominal aortic aneurysm managed using resuscitative endovascular balloon occlusion of the aorta with a
Kenichiro Ishida1, Yosuke Matsumura2, Kai Kitabayashi3
1Department of Acute Medicine and Critical Care Medical Center NHO Osaka National Hospital Osaka Japan.
Background:
A ruptured abdominal aortic aneurysm (rAAA) is fatal. While Resuscitative endovascular balloon occlusion of the aorta (REBOA) contributes to hemodynamic stability, organ ischemia should be carefully considered.
Case Presentation:
A 69-year-old obese man with untreated hypertension presented with sudden back pain and hypotension. Computed tomography confirmed the presence of an rAAA. REBOA was initially planned in Zone 1 via the left brachial artery but was eventually switched to Zone 3 via the right femoral artery. Hemodynamic stability was achieved through blood transfusion and partial REBOA, followed by surgical intervention. The postoperative recovery was uneventful.
Conclusion:
Zone 1 REBOA via the left brachial approach provided safe aortic occlusion. Transitioning to Zone 3 REBOA, combined with meticulous organ perfusion management and blood transfusion, prevented ischemia-reperfusion complications.
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