Surgical Management of Carotid Artery Injuries
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Carotid artery injury forces the surgeon to balance two immediate threats: uncontrolled hemorrhage and cerebral ischemia. In this lecture, vascular surgeon Ihor Rusanov discusses how these decisions change with the patient’s hemodynamics, neurological status, injury zone, associated trauma, available resources, and evacuation time.
The session moves from neck anatomy and a safe sequence for carotid exposure to hard and soft signs of vascular injury, ultrasound and CT angiography, and damage-control strategies across Role 1–4. Particular attention is given to one of the most difficult choices in vascular trauma: when to ligate, when a temporary shunt can buy valuable time, and when definitive reconstruction is realistic.
The lecture also examines technical details that can influence neurological outcome, including proximal and distal vascular control, careful shunt placement, clamp sequence, cerebral reperfusion, thrombectomy, and assessment of distal flow. Real clinical cases from wartime practice and a detailed Q&A show how textbook algorithms change when time, expertise, and resources are limited—and why apparently simple carotid injuries can become some of the most consequential decisions in trauma surgery.
The session moves from neck anatomy and a safe sequence for carotid exposure to hard and soft signs of vascular injury, ultrasound and CT angiography, and damage-control strategies across Role 1–4. Particular attention is given to one of the most difficult choices in vascular trauma: when to ligate, when a temporary shunt can buy valuable time, and when definitive reconstruction is realistic.
The lecture also examines technical details that can influence neurological outcome, including proximal and distal vascular control, careful shunt placement, clamp sequence, cerebral reperfusion, thrombectomy, and assessment of distal flow. Real clinical cases from wartime practice and a detailed Q&A show how textbook algorithms change when time, expertise, and resources are limited—and why apparently simple carotid injuries can become some of the most consequential decisions in trauma surgery.
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
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 Now playing
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.
Surgical Management of Carotid Artery Injuries