SIR 2024
Arterial Interventions and Peripheral Arterial Disease (PAD)
Star Chen, BS (he/him/his)
MSIV
Lewis Katz School of Medicine, Temple University
Financial relationships: Full list of relationships is listed on the CME information page.
Shane Lee, MD
Interventional Radiology Attending
Temple University Health System
Disclosure information not submitted.
Derek Lee, MD
Clinical Assistant Professor, Vascular and Interventional Radiology
Temple University Hospital
Disclosure information not submitted.
Emily Cuthbertson, MD
Clinical Associate Professor, Interventional Radiology
Temple University Hospital
Disclosure information not submitted.
Joseph Panaro, MD
Clinical Associate Professor, Interventional Radiology
Temple University Hospital
Disclosure information not submitted.
Perry Gerard, MD, FACR, MBA
Professor of Radiology
New York Medical College- Westchester Medical Center
Disclosure information not submitted.
Jared Meshekow, MD MPH
Clinical Assistant Professor, Vascular and Interventional Radiology
Temple University Hospital
Disclosure information not submitted.
· Understand the role and utilization of interventional radiology in the overall context of upper extremity vascular trauma management.
· Examine the various clinical indications for specific upper extremity procedures as well as their basic methodologies.
· Develop a working knowledge of the potential complications, and outcomes of upper extremity trauma interventions.
Background: The incidence of upper extremity vascular injury in trauma patients is rare, but if left untreated, can lead to significant morbidity and mortality. Vascular injuries to the upper extremities can be blunt, penetrating, or a combination of both.Open surgery has historically been the gold standard and treatment of choice for vascular injuries due to their high mortality and morbidity rates. The growth of endovascular techniques may make it unnecessary for patients who have sustained upper extremity trauma to undergo operative treatment as long as they are suitable candidates for endovascular treatment. Several organizations provide recommendations on the management of vascular injuries, including the Western Trauma Association (WTA) and the Eastern Association for the Surgery of Trauma (EAST). In some cases, endovascular interventions may be more appropriate to address certain vascular injuries, while in others, surgical repair is preferred. With this exhibit, trainees and interventional radiologists will learn how to effectively manage upper extremity trauma and how to determine whether a patient is a candidate for endovascular repair.
Clinical Findings/Procedure Details:
I. Overview of upper extremity vascular injury mechanisms.
II. Review EAST and WTA Classifications of Vascular Injury and management recommendations.
III. Endovascular techniques for the treatment of upper extremity posttraumatic vascular injury.
IV. Multidisciplinary team strategies to improve clinical care and outcomes for patients with vascular extremity trauma to the upper extremities.
Conclusion and/or Teaching Points:
Interventional radiology plays a pivotal role in the management of upper extremity vascular trauma by offering minimally invasive approaches to treat potentially life-threatening injuries. Advances in imaging technology and IR techniques have improved outcomes and reduced the need for extensive surgical interventions. Early recognition of vascular injuries, close collaboration between trauma surgeons and interventional radiologists, and ongoing education on the latest IR procedures are essential for optimal patient care.