Extra Anatomical Bypass for Common Femoral Artery Pseudoaneurysm following Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA)

Abstract

Background: Improvements in the instrumentation and guidelines for the use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) has increased the use of it as an adjunct in managing haemorrhagic shock. REBOA-related 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 ICU stay. Results: An extra-anatomical external iliac-to-superficial femoral artery bypass was performed using a 6mm polytetrafluoroethylene graft to treat the FAP 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 postoperative course should be promptly recognised and managed by a clinician with appropriate expertise.