EVTM Academy

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

EVTM Procedures

Pelvic packing
The surgical technique of preperitoneal pelvic packing for control of acute exsanguinating hemorrhage.

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).

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.

Aortic clamp below diaphragm
Learn how to place and aortic clamp below the diaphragm

Abdominal packing
Learn how to pack an abdomen

Subclavian injury – brachial, axillary and subclavian artery exposure
Learn how to expose the brachial and distal subclavian/proximal axillary artery.

Longitudinal exposure of Common Femoral Artery and Vein
Learn how to expose the common femoral artery and vein using a longitudinal incision.

Transverse exposure of Common Femoral Artery and Vein
Learn how to place a direct the common femoral artery and vein using a transverse incision.

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

EVTM Lectures

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.