Endovascular Management of Blast-Related Head and Neck Vascular Injuries
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How do you control carotid bleeding located one centimetre from the skull base, manage a fragment penetrating the vessel lumen, or decide whether an injured vertebral artery should be reconstructed or sacrificed?
Ivan Darii presents real cases of blast and penetrating head and neck trauma treated at a military hospital near Kharkiv. The lecture connects the Denver grading scale with practical decisions: observation and antithrombotic therapy, urgent stent-graft placement, embolisation, thrombectomy, vessel sacrifice, or a hybrid open and endovascular approach.
The session also explores the diagnostic value of CT angiography, selective cerebral angiography and CT perfusion; interpretation of ischaemic core and penumbra; selection of self-expanding and heparin-bonded stent grafts; and antiplatelet strategies when major surgery and bleeding risks compete. The clinical details reveal why apparently minor findings, metallic artefacts and delayed vascular complications can radically change the treatment plan.
Ivan Darii presents real cases of blast and penetrating head and neck trauma treated at a military hospital near Kharkiv. The lecture connects the Denver grading scale with practical decisions: observation and antithrombotic therapy, urgent stent-graft placement, embolisation, thrombectomy, vessel sacrifice, or a hybrid open and endovascular approach.
The session also explores the diagnostic value of CT angiography, selective cerebral angiography and CT perfusion; interpretation of ischaemic core and penumbra; selection of self-expanding and heparin-bonded stent grafts; and antiplatelet strategies when major surgery and bleeding risks compete. The clinical details reveal why apparently minor findings, metallic artefacts and delayed vascular complications can radically change the treatment plan.
TRAUMA-02
Course
Vascular Trauma and Perfusion Control in Combat Injuries
01
58:38
Ballistic Vascular Injury Management: Hemorrhage Control, Shunts and Limb SalvageProfessor David Hampton of the University of Chicago breaks down the management of ballistic vascular injuries—from hemorrhage control and temporary shunting to fasciotomy, revascularization and definitive repair.
02
53:58
One Leg Good, Two Legs Better: The Tricky TrifurcationJonathan Morrison explores one of trauma surgery’s hardest decisions: when a severely injured lower limb can be meaningfully salvaged, when amputation is safer, and why restoring perfusion is only the beginning.
03
1:17:48
Prolonged Tourniquets: Ischemia, Reperfusion and Compartment SyndromeWhat happens when a tourniquet stays on for hours? A practical combat-trauma lecture on limb ischemia, reperfusion injury, compartment syndrome and fasciotomy, combining military evidence with lessons emerging from Ukrainian experience.
04
49:30
EVTM in Trauma: Early Vascular Access, REBOA and Hybrid Hemorrhage ControlA practical overview of Endovascular Resuscitation and Trauma Management (EVTM), from early femoral access and REBOA to embolization, stent grafting and hybrid surgery in critically unstable patients.
05
1:15:30 Now playing
Endovascular Management of Blast-Related Head and Neck Vascular InjuriesA case-driven lecture on diagnosing and treating complex head and neck vascular injuries after blast and penetrating trauma, based on frontline military hospital experience.
06
1:09:35
Surgical Management of Carotid Artery InjuriesA practical lecture on carotid artery injuries in combat trauma: surgical exposure, damage-control decisions, temporary shunting, ligation, reconstruction, stroke prevention, and the realities of care across Role 2–4.
Endovascular Management of Blast-Related Head and Neck Vascular Injuries