Stay Current in Pediatric Surgery

Update Course Rewind: Vascular Trauma Management 2024


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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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