2nd EVTM Symposium 7-9 June 2018
The second International round table Symposium on Trauma and Bleeding Management with Endovascular and Hybrid Surgical Methods, will take place in Örebro, Sweden: 7-9th June 2018.
Its about endovascular and open methods for hemmorage control (ENDOVASCULAR RESUSCITATION), REBOA, vascular injuries, complexed trauma, iatrogenic and spontaneous bleeding as well as PPH. REBOA for non-trauma and other endo methods… Exciting developments that are in clinical use!
Don’t miss the chance to be a part of this paradigm shift!
The preliminary program will be out next month and will change according to the developments in the field. Expect up-to-date reports on EVTM, REBOA data and much more…
Updates for the EVTM18:
We are proud to anounce the EVTM round tables 2018 chairs (confirmed):
Todd Rasmussen. Trauma/Vascular USA
Joe DuBose Trauma/vascular/ICU USA
Viktor Reva Trauma/vascular RU
Junichi Matsumoto. IR JP
Lauri Handolin Trauma FI
George Oosthuizen Trauma ZA
Boris Kessel Surgery/Trauma IL
Joe Love Trauma USA
Jonny Morrsion Vascular UK
Megan Brenner Trauma/Vascular USA
Tal Hörer Surgery/Vascular SE
We are working on the preliminary program and the list of speakers and panelists, working on buildning this platform on coopeartion and open discussion wich will differ from other congresses.
We hope to continue and expand the great cooperation with other centers and share more data.
We welcome the different societies that have joined us. We appreciate the great enthusiasm for the EVTM platform and working for cooperation.
Preliminary speakers and panelists (confirmed):
Local orgenizing comitte, speakers, panelists and staff:
Thomas Larzon, Artai Pirouzram, Asko Toivola, Rickard Lindgren, Kristofer Nilsson, Göran Wallin, Mats Dreifaldt, Kristian Thörn, Mathias Sandin, Shahin Mohseni, Olle Ljungqvist, Carolina Nilson, Mitra Sadeghi, Monica Clomen, Johan Josefsson, Jonas Berlin, Emanuel Dogan. TBA
and the Örebro University hospital students.
Some issues to be discussed and debated (preliminary):
|Early bleeding control interventions- Japan. Who? How? Updates –|
|Using endo (and hybrid) techniques in trauma- Evidance? Guidlines?|
|Using endo techniques in non-trauma (PPH, spontaneous, iatrogenic)- Evidance? Guidlines?|
|When to gain a vascular femoral access in bleeders? Any evidence? –|
|Never do REBOA in the chest injuries? True or myth? –|
|How to descide on REBOA zone? Ultrasound/X-ray? –|
|Clinical trials- The ABOTrauma registry update –|
|Clinical trials- The AORTA study (US) –|
|Clinical trials- The DIRECT IABO study (JP) –|
|Zone III REBOA for trauma- what is the data?|
|Pelvic fracture REBOA as part of EVTM concept (Packing/embolization) –|
|Complications with Zone III REBOA – What do we know?-|
|Embolization and REBOA simultaneousely- Feasable? –|
|REBOA as bridge to embolization- what can you do/use the time?|
|Military EVTM experience. Data! US military udapte-|
|Military EVTM experience. Data! “Other” military udapte-|
|The paramedic role for transfer REBOA?|
|Pre-hospital REBOA; Update (UK group?)|
|indications for REBOA in PPH-|
|Embolization in PPH- when/how?|
|Update on aorta occlusion balloon in PPH- lessons. Can we learn somthing for other bleeders?|
|What complications to expect after endovascular procedure? How to manage it? ICU aspects|
|What can we learn on the ICU period in REBOA treated patients? (USA/Sweden data)|
|Complications in the ABOTrauma registry –|
|Antithrombotic treatment in the ICU after EVTM. You have an endograft in. What to do next? Evidence?|
|Effect of REBOA, pREBOA and iREBOA on anaesthesia|
|Cardiac arrest and REBOA- any data?|
|New technologies for EVTM including balloons, endografts and embolization agents- an overview –|
|Sizing endografts for younger patients (Thorax, Abdomen, Iliac, Subclavian) –
And much more!
Information before EVTM17:
-More than 350 medical professions and 24 companies will be there.
-Abstract submission closed. Very exciting data is comming in and some will be presented in oral presenation.
-First report on the initial pre-hospital REBOA experience in military settings (USA)
-First REBOA data from Israel, South Africa, Italy and more will be presented.
-The faculty have confirmed – the majority of groups using REBOA will be represented!
-Worldwide experts practicing and developing REBOA as well as other EVTM methods will share their knowledge, experiences and update on current status.
-Many experienced surgeons, IR, vascular surgeons and ICU people will be there. It not only REBOA, but using new techniques for bleeding control.
-It’s a new concept: short presentations and up-to-dates as well as time for discussions and debates. A good oppurtunity to be active in these discussions as this will be an open forum. Come an join an active forum for discussions!
Some words on EVTM:
As endovascular methods develop, they can be incorporated into initial trauma care upon patients arrival. This includes adopting a multidisciplinary team approach, early femoral vascular access (AABCDE), Aortic Balloon Occlusion (ABO or REBOA), surgery on a sliding/angiography table, angiography, embolization, stent grafts and much more. We can use both open surgery and endo methods (hybrid) to control massive bleeding by having an EVTM approach at time of patients arrival or even in the field or battlefield (pre-hospital). Some of these methods have been in use for decades while some have been developed over the last 10 years. However, not all are used in primary trauma or bleeding management but techniques are under development. EVTM can also be used in other bleeders as PPH, GI, iatrogenic.
We believe that the EVTM concept is here to stay and should be applied in all severe trauma cases, even in the pre-hospital environment and battlefield. EVTM can be used in both developed and less developed countries, with an old C-arm or in a modern hybrid suite.
There are also some brand new developments in EVTM regarding REBOA including partial REBOA (pREBOA) vs total REBOA (tREBOA), intermitted REBOA (iREBOA), field REBOA (fREBOA), deflated REBOA (dREBOA) or transfer REBOA – Very exciting times!
-In cooperation with Tokai (Rescue Balloon), Cook Medical, GORE, Philips, Prytime (ER-REBOA), 3Dimprigo, BBraun, Toshiba, Bolton and other companies, Örebro regional council, Örebro research council, Örebro University Hospital. Finnish trauma Society, Italian trauma society, DIRECT (Japan), Russia surgical and vascular societies, Seldinger society, Swedish society of aneasthesia and intensive care, Brazilian vascular and surgical societies, Netherlands emergency doctor’s association. Swedish Seldiner society (IR), South Africa trauma association and others are partners in this venture!
-The EVTM symposium received EU accreditation (CME point system)- EACCME
- “Top Stent Manual” to be launched in the symposium and will be distributed free of charge to all participants. It’s being printed now!
- Launch of the JEVTM (the Journal) and EVTM society planned!
- New medical products will be launched (Rescue Balloon, ER REBOA and others)
- Stent-grafts, embolization agents and other products
- New exciting data, first REBOA experience and data (human and animal studies)
–Some of the exciting issues in the symposium:
USA REBOA vs JAPAN REBOA: Head to head discussion on how to do REBOA, indications and tips
Up-to-date: What do we know on REBOA by now? When to use and how?
Up-to-date: First report on modern battlefield REBOA cases!
Usage of Endovascular technologies in bleeding- endografts, embolization and more.
Major vessels and embolization
REBOA for non-trauma (PPH, GI bleeding and more)
And much more!
Who should do REBOA and where? Indications?
pREBOA, iREBOA, transfer and field REBOA? Report on first experimental transfer REBOA
REBOA for penetrating or/and blunt injuries? When NOT to use REBOA?
Vascular access already on admission?
Open or Endo in trauma? When and how?
Multidisciplinary approach in trauma patients?
Timing of endovascular and hybrid procedures; Exfix/preperitoneal packing first in pelvic bleeding?
REBOA- Data, experimental issues
New data on pREBOA, Multi-centre studies (ABOTrauma Registry, AORTA, IABO-DIRECT)
Stent grafts for major vessels trauma, current data. Blunt Aorta Injuries
Embolization for bleeding, current data
New Endo and hybrid technologies
Faculty EVTM 2017:
The speakers and panellists will include enthusiastic people: trauma, vascular, interventional radiologists, military, ER and ICU professionals and teams working with these issues. List of the faculty is below:
|Stravis Spiliopoulos (GR)||Rickard Lindgren (SE)|
|Shas Cacala (SA)||Joe Love (USA)|
|Gareth Davies (UK)||Lars Lönn (DK) (TBA)|
|Bijan Darvish (SE)||Yosuke Matsamura (JP)|
|Martin Delle (SE)||Junichi Matsumoto (JP)|
|Marko Dragas (SR)||Jonny Morrison (UK)|
|Josef Dubose (USA)||Louis Riddez (SW)|
|Daniël Eefting (NL)||Kristofer Nilsson (SE)|
|Mårten Falkenberg (SE)||George Oosthuzien (SA)|
|Gareth Greir (UK)||Kennet Boffard (SA)|
|Ali Hallal (LB)||Zane Perkins (UK)|
|Lauri Handolin (FIN)||Artai Pirouzram (SE)|
|Dan Hebron (IS)||Zaffer Qasim (USA)|
|Patrick Vriens (NL)||Zoran Rancic (CH)|
|Seppo Hiippala (FIN)||Todd Rasmussen (US)|
|Lisa Hile (USA)||Viktor Reva (RU)|
|Melanie Hoehn (USA)||Shahin Mohseni (SE)|
|Rigo Hoencamp (NL)||Samy Sadek (UK)|
|Jan Holst (SE)||Joao Sahagoff (BR)|
|Tal Hörer (SE)||Mathias Sandin (SE)|
|Kodji Idoguchi (JP)||Per Skoog (SE)|
|Kenji Inaba (USA)||Benjamin Starnes (USA)|
|Jan Jansen (UK)||Edmund Sövik (NO)|
|Michael Johanson (USA)||Martin Malina (SE, UK)|
|Boris Kessel (IL)||Mauro Sago (IT)|
|David King (USA)||Pantelis Vassiliu (GR)|
|Yuri Kon (JP)||Thomas Vogl (GE)|
|Thomas Larzon (SE)||Carl Wahlgren (SE)|
|Robbie Lendrum (UK)||Göran Wallin (SE)|
|Peep Talving (ES)
Igor Samokhvalov (RU)
Laura Moore (USA)
Charles Fox (USA)
Jaime Tisnado (USA)
Eitan Heldenberg (IL)
Tim Williams (US)
Vincent Riambau (SP)
Tal Hörer (Chair), Rickard Lindgren, Göran Wallin, Artai Pirouzram, Mathias Sandin, Kristofer Nilsson, Johan Josefsson, Jonas Berlin, Monica Clomen, Mitra Sadeghi, Thomas Larzon, Chatarina Lindahl, Åsa Strandberg, Shahin Mohseni, Kjell Ågren and Olle Ljungqvist.
In cooperation with the Örebro medical students surgical society.