Update Course Rewind: Vascular Trauma Management 2024

Topic overview

In this 2024 Update Course Rewind, pediatric surgeons Drs. Regan Williams and Katie Russell share new updates on the management of thoracic aortic injuries. Classified as a “Black Diamond” practice—indicating unproven approaches for early adopters—this session reviews how Thoracic Endovascular Aortic Repair (TEVAR) is emerging as a less invasive and effective treatment option in pediatric patients, especially adolescents.

Host: Lizzy Lee, PA-C

Key Takeaways:

• Prioritize stabilization and life-threatening injuries before addressing thoracic aortic injury.

• Thoracic aortic injuries in children are rare and can be easily missed—maintain a high index of suspicion.

• A widened mediastinum on chest X-ray should prompt a CT chest to evaluate for vascular injury.

• Decisions should be guided by patient age, injury severity, and available expertise at your institution.

• Collaboration with vascular surgeons or interventional radiologists is essential for optimal care.

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