This one-of-a-kind guide gets endovascular and trauma specialists up to date on the rapidly evolving field of vascular injury management

New technologies have created fresh opportunities to explore improved care options for patients with vascular injuries, and the discipline of vascular surgery is increasingly moving toward wider use of endovascular treatments. Edited by highly experienced, dual-trained trauma and vascular/endovascular surgeons, Vascular Injury: Endovascular and Open Management examines the process of medical, open, or endovascular management of contemporary vascular injury.

Detailed description of endovascular technical elements help endovascular specialists adapt their traditional vascular surgery approaches to trauma; at the same time, the book familiarizes trauma specialists with an expanded technical skillset, as well as the strengths/limitations of technologies not provided elsewhere in traditional trauma training.

Vascular Injury: Endovascular and Open Management covers:

Vascular injury training, diagnosis, and management
General open vascular repair for trauma
Basics of endovascular trauma management
Endovascular tools and techniques for trauma applications
Cervical, upper extremity, and axillo-subclavian injuries
Thoracic arch and proximal great vessels
Abdominal aortic and Iliac artery injury
General principles of post-operative management and surveillance
Hybrid trauma care environments and vascular trauma teams, and more

1. A brief history of vascular injury training, diagnosis and management

a. Trauma David Feliciano, University of Maryland

b. Vascular / Endovascular Joe DuBose, University of Maryland

2. Contemporary diagnosis of vascular injury

a. Vascular / Trauma David Kauvar Brooke Army Medical Center

b. Zach Authors SAMMC Vascular

i. Specifics

1. Physical exam (Hard / Soft signs, ABI)

2. CTA (sensitivity / specificity / limitations)

3. Traditional angiography

4. Ultrasound (Duplex / IVUS)

5. MRA

3. General Open Vascular Repair for Trauma Principles, Tools and Techniques

a. Trauma Elizabeth Benjamin Emory University

b. Vascular Ravi Rajani Emory University

i. Specifics of Techniques

1. Basic principles of open vascular operations

2. Basic tools

a. Clamps

b. Fogarty thrombectomy catheters (selection)

c. Suture selection

d. Pledget reinforcement

3. Selection for and conduct of specific techniques

a. Primary repair

b. Patch angioplasty

c. rSVG interposition

d. Synthetic interposition

4. Basics of Endovascular Trauma Management

a. Trauma / Vascular Megan Brenner - Riverside

b. Endovascular Yosuke Mastumura / Junichi Chiba University Hospital, Japan

c. Vascular Derek Roberts Ontario Canada

i. Techniques for access

1. Anatomic landmarks at various sites

2. Ultrasound techniques

3. Flouroscopy guided

ii. Sheath types

iii. Wire Options

iv. Catheter Options

v. Access site closure

1. Manual compression

2. Percutaneous closure devices

3. Open closure techniques

5. Endovascular Tools and Techniques for Trauma Applications

a. Trauma / Vascular Jonny Morrison University of Maryland

b. Vascular / Vascular Rishi Kundi University of Maryland

i. Occlusive Balloons

1. REBOA

ii. Embolic agents and devices

iii. Stents and stent grafts

iv. Basic inventory table

6. Vascular Damage Control

a. Trauma Matt Bradley Walter Reed Medical Center

b. Vascular Joe White Walter Reed Medical Center

c. Vascular Todd Rasmussen Walter Reed Medical Center

i. Specifics

1. Principles When? Why? in what situations

2. What? Open (ligation / shunt) and Endovascular (Balloon occlusion / embolization / temporary stent graft)

a. Shunt types

3. How? - technique description for above


SPECIFIC VASCULAR INJURIES Secton Editor Joe DuBose


7. Cervical Vascular Injury

a. Trauma Eugene Moore / Clay Burlew Denver General Hospital

b. Vascular Melanie Hoehn Denver General

8. Upper extremity injury (Brachial, radial, ulnar)

a. Trauma Mark Bowyer, USUHS

b. Vascular / Trauma Sundeep Gilani, University of New Mexico

9. Axillo-Subclavian Injuries

a. Trauma Tom Scalea University of Maryland

i. Richard Betzold, MD University of Maryland

b. Vascular Joe DuBose, MD University of Maryland