Case Club -- Neuro IR Emergencies

Monday, March 31, 2025

1:15 PM – 2:30 PM CT

Location: Music City Center, 202 A

CE: 1.25

Content Level: 100 (foundational)

Coordinator(s)

Joseph Gemmete, MD, FACR, FSIR

Former Clinical Professor
Radiology, Neurosurgery, Neurology, and Otolaryngology Michigan Medicine, United States
Manraj Heran, MD (he/him/his)

Diagnostic and Interventional Neuroradiologist; Pediatric Interventional Radiologist
BC Children's Hospital; Vancouver General Hospital, Canada

This case club session focuses on the urgent management of Neurointerventional radiology (NIR) emergencies, providing a practical approach to challenging clinical scenarios. Topics include the evaluation and treatment of epistaxis, emphasizing the role of embolization in refractory cases. The session will explore management strategies for carotid blow-out syndrome and penetrating trauma, highlighting rapid interventions to control life-threatening hemorrhage. Discussions on blunt cerebrovascular injury and dissection will address diagnostic imaging, grading, and endovascular solutions to prevent stroke. Finally, the session will cover ENT emergencies from tumor bleeding, outlining tailored approaches to manage hemodynamic instability while preserving critical anatomy. Real-life cases will facilitate interactive learning and decision-making.

Learning Objectives:

Discuss the role of Neuro IR in the treatment of epistaxis. Describe the technique, dangeous anastomoses, and outcomes.
Describe the role of Neuro IR in the treatment of carotid blowout, penetrating and blunt trauma. Describe the technique, pitfalls, and outcomes.
Discuss the role of Neuro IR in the treatment of head and neck emergencies related to tumoral hemorrhage.

Presentations:

1:15 PM – 1:30 PM CT

Epistaxis: Fundamentals of IR Management
Speaker: Joseph J. Gemmete, MD, FACR, FSIR – Radiology, Neurosurgery, Neurology, and Otolaryngology Michigan Medicine
1:30 PM – 1:45 PM CT

Management of Carotid Blowout/penetrating HEENT Injury
Speaker: Jesse Jones, MD – University of Alabama at Birmingham
1:45 PM – 2:00 PM CT

IR Management of Dissection/blunt Cerebrovascular Injury
Speaker: Joseph J. Gemmete, MD, FACR, FSIR – Radiology, Neurosurgery, Neurology, and Otolaryngology Michigan Medicine
2:00 PM – 2:15 PM CT

The Role of IR in HEENT Tumoural Hemorrhage
Speaker: Manraj Kanwal Singh Heran, MD (he/him/his) – BC Children's Hospital; Vancouver General Hospital
2:15 PM – 2:30 PM CT

Q&A