PURPOSE: To introduce a new interventional method for CT-guided @entity432 in @entity1 with life-threatening @entity548 . MATERIALS AND METHODS: Three male @entity1 (age 18, 30, and 45 years) with @entity1230 underwent CT-guided balloon occlusion of the aorta after CT identified an active @entity548 site and the @entity1 became unstable (systolic blood pressure, BP < 80 mm Hg) despite resuscitation continuous volume. Using a right femoral approach, a 9F sheath was immediately introduced and the positions of the guide wire and balloon catheter (20 x 40 mm) were intermittently checked with CT scans and CT fluoroscopy. In one case, a C-clamp was applied to the pelvic ring under CT guidance for emergency stabilization of an unstable pelvic @entity174 . RESULTS: CT-guided @entity432 and the mounting of the pelvic C-clamp were technically successful. Intervention time was 4 to 6 minutes for @entity432 . All @entity1 became at least temporarily stable hemodynamically with the blood pressure rising above 100 mmHg. The infrarenal occlusion catheters were left in place up to 60 minutes. Suprarenal occlusion was not performed. Two @entity1 died due to protracted shock and complex injuries (injury severity score (ISS: 50 - 64). CONCLUSION: CT-guided aortic occlusion provides fast and effective bleeding control immediately after completion of the diagnostic CT. The procedure can be combined with other specific emergency surgical or interventional procedures. Experience with more @entity1 is necessary for further evaluation of this new technique.

[CT-guided XXXX in traumatic abdominal and pelvic bleeding].

@entity1 :: ('9606', 'Species') :: ['patients'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fracture'] @entity548 :: ('MESH:D006470', 'Disease') :: ['abdominal or pelvic bleeding'] @entity1230 :: ('MESH:D009104', 'Disease') :: ['multiple trauma'] @entity432 :: ('MESH:D001157', 'Disease') :: ['aortic balloon occlusion']
@entity432 :: (MESH:D001157,Disease) :: ['aortic balloon occlusion']
