Browsing by Author "Couch, JH"

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    Extra anatomical bypass for common femoral artery pseudoaneurysm following Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA)
    (Orebro University Hospital, 2021-06-04) Kruger, HJ; Couch, JH; Oosthuizen, GV
    Background: Improvements in the instrumentation and guidelines for the use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) have increased its use as an adjunct in managing haemorrhagic shock. REBOArelated complications continue to be assessed and described. Methods: We describe a case of a femoral artery pseudoaneurysm within an infected groin wound after REBOA usage in a 25-year-old male after several bouts of sepsis and complications related to the initial penetrating injury and associated stay in the intensive care unit. Results: An extra-anatomical external iliac-to-superficial femoral artery bypass was performed using a 6-mm polytetrafluoroethylene graft to treat the femoral artery pseudoaneurysm successfully. Conclusion: REBOA is a well-described adjunct in the management of haemorrhagic shock. The immediate and delayed complications should be not overlooked. Deviations from the expected post-operative course should be promptly recognised and managed by a clinician with appropriate expertise.