Femoral Arterial Closure After REBOA using the Fascia Suture Technique: First Experiences in a Military Setting

Femoral vascular closure after REBOA can be challenging, and large-caliber sheaths combined with acute traumatic coagulopathy may lead to serious bleeding complications. The Fascia Suture Technique (FST) has been proposed as a safe easy-to-use and cheap method for reliable vascular closure. We prese...

Full description

Saved in:
Bibliographic Details
Published inJournal of Endovascular Resuscitation and Trauma Management Vol. 2; no. 2; pp. 72 - 76
Main Authors Reva, Viktor A, Hörer, Tal M, Samokhvalov, Igor M, Larzon, Thomas
Format Journal Article
LanguageEnglish
Published Örebro University 02.06.2018
Subjects
Arterial Trauma
Fascia
Fascial Closure
REBOA
Suture
Vascular Closure
Online AccessGet full text

Cover

More Information
Summary:Femoral vascular closure after REBOA can be challenging, and large-caliber sheaths combined with acute traumatic coagulopathy may lead to serious bleeding complications. The Fascia Suture Technique (FST) has been proposed as a safe easy-to-use and cheap method for reliable vascular closure. We present two cases of critically unstable patients for whom this technique was successfully used after REBOA placement through 8 Fr and 10 Fr sheaths at a Role 2 medical treatment facility. In one case, the FST was used for closure of both the femoral artery and vein. The femoral vascular closure took 6–7 minutes for each procedure (in both cases). No additional sutures were needed before reliable hemostasis was achieved. No hematoma or any other complication was noted during air transportation or afterward during a 6-month follow-up period. This report demonstrates the feasibility and effectiveness of using the FST in austere environments.
ISSN:2002-7567
2003-539X
DOI:10.26676/jevtm.v2i2.48