Use of the intra-aortic balloon pump to stop gastrointestinal bleeding


      Temporary aortic occlusion can be lifesaving in selected conditions. We describe the unorthodox use of an intra-aortic balloon pump without counterpulsation to achieve temporary vascular control in a patient with shock caused by rapid upper gastrointestinal bleeding. The technique of aortic balloon occlusion has been reported in several clinical circumstances, primarily trauma. However, its use to increase blood pressure and gain time for resuscitation before laparotomy for catastrophic gastrointestinal bleeding has not previously been described. [Karkos CD, Bruce IA, Lambert ME. Use of the intra-aortic balloon pump to stop gastrointestinal bleeding. Ann Emerg Med. September 2001;38:328-331.]
      To read this article in full you will need to make a payment
      ACEP Member Login
      ACEP Members, full access to the journal is a member benefit. Use your society credentials to access all journal content and features.

      Purchase one-time access:

      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Ledgerwood AM
        • Kamers M
        • Lucas CE
        The role of thoracic aortic occlusion for massive hemoperitoneum.
        J Trauma. 1976; 16: 610-615
        • Baker CC
        • Thomas AN
        • Trunkey DD
        The role of emergency room thoracotomy in trauma.
        J Trauma. 1980; 20: 848-854
        • Millikan JS
        • Moore EE
        Outcome of resuscitative thoracotomy and descending aortic occlusion performed in the operating room.
        J Trauma. 1984; 24: 387-392
        • Wolf RK
        • Berry RE
        Transaxillary intra-aortic balloon tamponade in trauma.
        J Vasc Surg. 1986; 4: 95-97
        • Hyde GL
        • Sullivan DM
        Fogarty catheter tamponade of ruptured abdominal aortic aneurysms.
        Surg Gynecol Obstet. 1982; 154: 197-199
        • Loftus IM
        • Thompson MM
        • Fishwick G
        • et al.
        Technique for rapid control of bleeding from an aortoenteric fistula.
        Br J Surg. 1997; 84: 1114