THE USE OF BALLOON CATHETER INTO THE INFRARENAL AORTA FOR PREVENTION OF MASSIVE HEMORRHAGE DURING REVISION HIP REPLACEMENT AT HIGH RISK: A CASE REPORT

Introduc on: Intraopera ve bleeding is one of the most dangerous compli- ca ons of revision surgery of the hip. In this study we present our experience and the method used to prevent a massive hemorrhage during revision sur- gery of hip replacement. Materials and methods: In May 2014 in our department we have performed revision surgery of hip implants in a pa ent with asep c loosening of the cup that had taken con guity for a distance of 2.5 cm with the right external iliac artery. During surgery with the help of an interven onal radiologist using ultrasound guided catheteriza on of the le common femoral artery it was posi oned a valved introducer with apex in infrarenal abdominal aorta. It was later made the revision surgery for hip replacement. Results: The opera on has been carried out and there has not been any bleeding during the extrac on of the cup. The nal angiographic control sup- ports the absence of vascular lesions. Conclusions: The use of this protec on has allowed the team to perform the surgery with less anxiety and stress. In fact, the radiologist in case of bleeding was ready to in ate the ball and create a transient ischemia for the me required to repair the artery and the conclusion of the interven on. Our opinion is that this is a safe and reproducible method to u lize in selected cases at risk of major bleeding.