VAM 2023: Vascular trauma session to highlight the current role of endovascular therapy

Sherene Shalhub, MD,

A focused session on vascular trauma yesterday took a deep dive into emerging issues and controversies in the field.

Moderated by Sherene Shalhub, MD, of Oregon Health & Science University, Portland, Oregon, and Rishi Kundi, MD, of the R Adams Cowley Shock Trauma Center, Baltimore, Maryland, at­tendees can expect a series of presentations and discussions geared towards building a comprehensive update on the management of vascular injury.

The current role of endovascular therapy is a key theme running through the core of the session, moderator Shalhub tells VS@VAM, pointing out a number of the important learning points attendees can expect to be covered by the course.

“Endovascular and hybrid techniques are increasingly dominant in the treatment of vascular trauma, and in some cases are the standard of care,” adds Kundi, touching on the significance of the session. “Vascular surgeons should work to not only familiarize themselves with vascular trauma surgery, but to seize the opportunity that trauma presents. There is nobody better to lead the discussion of vascular injury than vascular surgeons.”

Elina Quiroga, MD, opens the session with a presentation on thoracic endovascular aortic repair (TEVAR) for blunt thoracic aortic injury (BTAI)—taking the audience through what we know now that wasn’t known five years ago. Following Quiroga, Kathryn E. Bowser, MD, will give attendees an overview of the principles of blunt arterial injury management.

Among other key learning objectives, Shalhub pinpoints that attendees of the session should take away an understanding of the state-of-the-art in both the open surgical and medical management of arterial injuries. In this arena, Anna Romagnoli, MD, addresses controversies in peripheral arterial vascular injuries— taking in both endovascular and open surgical approaches.

Another area of focus in the session, according to Shalhub, is a review the management of major venous injuries, with a particular focus on those to the inferior vena cava. This is a topic covered in depth by Adenauer Goes Jr., MD, whose presentation touches on injuries to the inferior vena cava and iliac veins.


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