EVTM Academy

Learning tools for Endovascular Resuscitation and Trauma Management. Under development.

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EVTM Lectures

Mini Lectures

EVTM case – Iatrogenic bleeding Femoral artery. Tal Hörer, MD PhD.

7th EVTM Symposium 2021

Hot topics in EVTM applications

EVTM Symposium 2021 – Opening session: Keynote Talks – Hot topics in EVTM applications (Each talk is approximately 10 minutes.)

  • EndoVascular resuscitation and Trauma Management: Where do we stand.
    The unstable bleeding trauma patient- Where does EVTM come in?
  • Advances in endovascular surgery for bleeding control in rAAA, rTAA, acute dissections.
  • EVTM multidisciplinary issues – the vascular, trauma, IR, ED, anesthesiologist role.
  • Modern technology, new tools and EVTM (endografts, embolization and balloons) – where do we go?
  • What is new in trauma management for hemodynamic unstable patients? In South Africa, where does EVTM come in.
  • Developments in bleeding control in endovasular times – View of a senior vascular surgeon.
  • EndoVascular resuscitation – what is new, what is coming?
  • Round table discussion: How to go forward with EVTM?
Hot topics in Vascular access for the unstable patient

EVTM Symposium 2021 – Session 2: Hot topics in Vascular access for the unstable patient
(Each talk is approximately 10 minutes.)

  • Landmark papers on vascular access – review – Jim Manning (US).
  • The good vascular access for interventions – practical issues and lessons learned – Martin Delle (SE).
  • The difficult vascular access, tips, tricks and solutions – Anna Maria Ierardi (IT).
  • Complications, how to avoid and how to solve? Tips and tricks, cases – Claes Forssell (SE).
  • Surgical, non-surgical and open solutions for the failing access. Cases and examples – David Lindström (SE).
  • Vascular access for ECMO and patients with ongoing CPR – Lionel Lamhault (FR).
  • How do I gain access in the unstable patient? – Zoran Rancic (CH).
  • Vascular access in the pre-hosiptal enviroment. Challenges. Do we have any data? – Paul Rees (UK), Jon Barratt (UK), Max Marsden (UK).
  • Panelist debate: Hemodynamically unstable patients should get a femoral vascular access. PROS-CONS. By who?
Hot topics in Endografts and other tools for the bleeding patient

EVTM Symposium 2021 – Session 3: Hot topics in Endografts and other tools for the bleeding patient (Each talk is approximately 10 minutes.)

  • Landmark papers on Endografts in the endovascular era – review – Offer Galili (IL).
    rAAA tips and tricks – how to maximize survival – Aho Pekka (FI).
  • Thoracic rAA and endovascular solutions. Technical aspects and reflections on multidisciplinary work – Artai Pirouzram (SE).
  • Innovative solutions for ruptures – Greg Magee (US).
  • The ruptured, injured or iatrogenic iliac artery- endovascular and hybrid solutions – Martin Malina (UK).
  • rAAA – saving patients is a team effort – Pirkka Vikatmaa (FI).
  • Doing EVAR in rAAA – how to achieve best results and working with the anesthetic team – Zoran Rancic (CH).
  • In-situ laser fenestrations of aortic endografts. Case examples – David Lindström (SE).
  • Surgeon modified endografts and other special techniques for the acute patient. Technique and examples – Claes Forssell (SE).
  • What do we know about pediatric bleeding and the use of EVTM? (Trauma and non-trauma) – Alexis Smith (US).
  • Panelist debate: All endo? Or good old open surgery should not be forgotten.
Hot topics in Embolization and other solutions for the bleeding patient

EVTM Symposium 2021 – Session 4: Hot topics in Embolization and other solutions for the bleeding patient
(Each talk is approximately 10 minutes.)

  • Landmark papers on bleeding embolization – review – Anna Maria Ierardi (IT).
  • Chosing embolization agents – is there any data? Reflections – Martin Delle (SE).
  • Embolization in non-traumatic bleeders. Indications and solutions – Miklosh Bala (IL).
  • 100% EVAR for all rAAA – 12-year single center experience – David McGreevy (SE).
  • Embolization agents – what to use and how? – Edmund Søvik (NO).
  • Embolization or Multidiciplinary trauma team work? – Gad Shaked (IL).
  • What should be embolized in trauma patients? And when pelvic packing? Our experiences and tips – Ernest Moore (US).
  • Gynecologic bleeding and intervention – what and when? – Ilan Bruchin (IL).
  • Small vessel embolization in trauma – Aina Kratovska (LV).
  • Panelists debate: Embolize this patient! (Proactive) vs. Don’t touch! (conservative).
Hot Topics in imaging developments. CT, Ultrasound, Angiography and hybrid suites

EVTM Symposium 2021 – Session 5: Hot Topics in imaging developments. CT, Ultrasound, Angiography and hybrid suites
(Each talk is approximately 10 minutes.)

  • Landmark papers on imaging in the bleeding patient – review – Anna Romagnoli (US).
  • Use of hybrid suites and hybrid rooms for vascular surgery; benefits, evidence? – Per Skoog (SE).
  • Use of hybrid ER suites with Gentry CT- is it working and is it worth the price? – Takahiro Kinoshita (JP).
  • Practical use of hybrid OR; don’t forget OPEN surgery – Martin Malina (UK).
  • Ultrasound and other tools for the unstable patients – Anna Romagnoli (US).
  • Experience from Latvia – what has been done and moving forward in Endovascular and hybrid bleeding management – Patricija Ivanova (LV).
  • Angiography suites – View of a heavy user and future prospectives – Stephan Haulon (FR).
  • Panelist debate: Hybrid suite is the place to be vs. Surgical suite with C arm is good enough.
Hot topics in Endovascular resuscitation: The non-trauma patient

EVTM Symposium 2021 – Session 6: Hot topics in Endovascular resuscitation: The non-trauma patient
(Each talk is approximately 10 minutes.)

  • Vascular access for patients in arrest or pre-arrest, how to do, tips and tricks – Paul Rees (UK), Jon Barratt (UK), Max Marsden (UK).
  • Endovascular occlusion methods in non-traumatic cardiac arrest. Experimental data – Emanuel Dogan (SE).
  • Indications for REBOA in non-trauma; are there any? – Zaff Qasim (US).
  • REBOA and SAAP as a bridge to ECMO? – Jim Manning (US).
  • Medical arrest and eCPR- physiology with rationale and future perspectives – Lionel Lamhault (FR).
  • Hybrid ER and applications for out of hospital cardiac arrest- view from Japan – Takahiro Kinoshita (JP).
  • Indications for ECMO (all) and what does the future hold? Who? When? By who? – Paul Rees (UK), Jon Barratt (UK) & Max Marsden (UK).
  • The REBOARREST trial – Jostein Brede (NO).
  • Panelist debate: REBOA or SAAP has no place in cardiac arrest, ECMO yes Pro: Con:.
#EVTM meets #DCR (Damage Control Resuscitation)

EVTM Symposium 2021 – Session 7: #EVTM meets #DCR (Damage Control Resuscitation)
(Each talk is approximately 10 minutes.)

  • Should military forces adopt REBOA in their arsenal? And who should do it? – Rigo Hoencamp (NL), Boudewijn v.d. Burg (NL).
  • Prehospital resuscitation: Blood/TXA and Calcium (indications and benefits) – Ernest Moore (US).
  • Prehospital ”RAPTOR” (REBOA vs ResQ foam) – Zaff Qasim (US).
  • Death from permissive hypotension? – Carlos Yanez (SP).
  • Circulation first, airway second: Time to identify meningful interventions – Mansoor Khan (UK).
  • Hybrid-ER vs conventional system (ED to OR system) – Federico Coccolini (IT).
  • How to work as a team during damage control and resuscitation – how to combine EVTM and DCR? – Chuck Fox (US).
  • Panelist debate: Scoop and control vs scoop and run.
Hot Topics in trauma applications of EVTM and REBOA

EVTM Symposium 2021 – Session 8: Hot Topics in trauma applications of EVTM and REBOA. Session by Shock Trauma Center Baltimore
(Each talk is approximately 10 minutes.)

  • Endovascular resuscitation at the Shock Trauma Center, now and in the future – Video presentation by Thomas Scalea (US).
  • Selecting patients for hybrid room resuscitation: art or science? – Jonathan Morrison (US).
  • Flow reversal and endovascular techniques for carotid injury – Rishi Kundi (US).
  • Balloon up or down? Anesthetic considerations during endovascular intervention – Video presentation by Justin Richards (US).
  • Rare injury management: Innominate Artery – Rishi Kundi (US).
  • Common injury management: Iliac artery – Jonathan Morrison (US).
  • Pre-hospital endovascular resuscitation horizons in Maryland – Video presentation by Samuel Galvagno (US).
  • Challenges in endovascular trauma surgery education – Joseph Herrold (US).
  • Panel debate: How to train the next generation of endovascular hemorrhage controller?
Hot topics in military and austere EVTM environments

EVTM Symposium 2021 – Session 9: Hot topics in military and austere EVTM environments
(Each talk is approximately 10 minutes.)

  • Overview by the DSTC founder – Ken Boffard (ZA).
  • REBOA in military use – View of a trauma surgeon – Frank Plani (ZA).
  • Updates from the UK military – Paul Rees (UK), Jon Barratt (UK), Max Marsden (UK).
  • Practical issues with EVTM, issues in military scenarios – Embolization? Endografts? Is it feasable? – Chuck Fox (US).
  • Our experience with austere EVTM/REBOA – Viktor Reva (RU).
  • Prehospital REBOA update. The London experience and data – Rob Greenhalgh (UK).
  • Use of partial REBOA (pREBOA) – data – Maya Paran (IL).
  • Panelist debate: But maybe REBOA is overused? Pros, cons, in austere environment.
Registry data, Experimental studies and developments within EVTM

EVTM Symposium 2021 – Session 10: Registry data, Experimental studies and developments within EVTM
(Each talk is approximately 10 minutes.)

  • REBOA in animal studies – Current data – Sivan Barkai (IL).
  • Landmark papers on REBOA – Yelena Gribets Tiosano (IL).
  • Thoracic blunt trauma- update on current data – Greg Magee (US).
  • The junior point of view; Experimental data – Daniel Sheffer (IL).
  • eCPR (ECMO) vs SAAP vs REBOA in cardiac arrest, experimental data – Viktor Reva (RU).
  • Post partum bleeding- strategies and data – Ilan Bruchin (IL).
  • ABOTrauma registry – update – Mitra Sadeghi (SE), David McGreevy (SE).
  • Panelist discussion: upcoming experimental models-what is missing?
Hot topics in anesthesia and critical care. Joined session with #THOR

EVTM Symposium 2021 – Session 11: Hot topics in anesthesia and critical care. Joined session with #THOR.
(Each talk is approximately 10 minutes.)

  • The pathophysiology of blood failure – Pat Thompson (UK).
  • Prehospital airway management for patients with traumatic blood failure – Tony Hudson (UK).
  • Permissive hypotension in massive hemorrhage – Tom Woolley (UK).
  • Whole blood and cold platelets for hemostatic resuscitation – Geir Strandenes (NO).
  • Discussion: Implemenation of critical care issues in EVTM- future aspects.
New and rising EVTM technologies, access devices, imaging and endografts.

EVTM Symposium 2021 – Session 12: New and rising EVTM technologies, access devices, imaging and endografts.
(Each talk is approximately 10 minutes.)

  • How to close a vascular access – my tools – Claes Forssell (SE).
  • How to close a vascular access- pros and cons – Zoran Rancic (CH).
  • Advances in hybrid room and endovascular suites. What do we use and what we want in the future! – David Lindström (SE).
  • Hemorrhage from Wire injury; Commonly Overlooked Serious Complication to Endovascular Surgery – Martin Malina (UK).
  • Coming soon: Extended partial REBOA: the latest human data and case studies from North America – Jonathan Morrison (US).
  • More on visceral endografts in rAAA and rTAA – Greg Magee (US).
  • Novel technologies for the emergent situation – from imaging to RAPTOR – Maarit Venermo (FI).
  • Iliac and visceral endografts – what is out there and what to choose – Per Skoog (SE), Artai Pirouzram (SE).
  • Endovascular methods in arterial and venous injuries – Anahita Dua (US).
  • Discussion.

Expert Interviews

Expert interviews from EVTM Symposium 2017 in Örebro, Sweden.

EVTM Expert Interviews: Chuck Fox

EVTM Expert Interviews: Melanie Hoehn

EVTM Run through Europe

EVTM Expert Interviews: Prof. Ernest E. Moore from the 2019 EVTM Workshop in Örebro, Sweden

EVTM Expert Interviews: Prof. Todd Rasmussen and Prof. Kenneth Boffard from the 2018 EVTM Symposium in Örebro, Sweden

EVTM Expert Interviews: Creator and Chair of the BEST Course

EVTM Expert Interviews: Omar Jibrel

EVTM Expert Interviews: Simone Fajer

EVTM Expert Interviews: Frank Plani and Martin Delle

EVTM Procedures

Endovascular Procedures and Open Vascular Procedures

Pelvic packing
The surgical technique of preperitoneal pelvic packing for control of acute exsanguinating hemorrhage.
(Age-restricted content.)

Mattox Maneuver
Mattox Maneuver, also known as a left medial visceral rotation, is a surgical step to explore and handle Zone 1 and 2 retroperitoneal injuries. Aorta, left iliac and pelvic vessels.
(Age-restricted content.)

Kocher manoeuvre
Kocher manoeuvre is a surgical manoeuvre to expose structures in the retroperitoneum behind the duodenum and pancreas. In vascular surgery, it is described as a method to expose the abdominal aorta.
(Age-restricted content.)

Aortic clamp below diaphragm
Learn how to place and aortic clamp below the diaphragm.
(Age-restricted content.)

Abdominal packing
Learn how to pack an abdomen.
(Age-restricted content.)

Subclavian injury – brachial, axillary and subclavian artery exposure
Learn how to expose the brachial and distal subclavian/proximal axillary artery.
(Age-restricted content.)

Longitudinal exposure of Common Femoral Artery and Vein
Learn how to expose the common femoral artery and vein using a longitudinal incision.
(Age-restricted content.)

Transverse exposure of Common Femoral Artery and Vein
Learn how to place a direct the common femoral artery and vein using a transverse incision.
(Age-restricted content.)

The EVTM REBOA Catheter Demonstration Video
REBOA is a large vessel balloon occlusion catheter designed for hemodynamic instability.