Presenter: Nasser Algharem

Affiliation: King Khaled Hospital, Saudi Arabia

Abstract

This article reviews combat-related extremity arterial injuries (pseudoaneurysms, AVFs) managed by interventional radiology. Techniques included embolization, stent-grafts (Viabahn), and closed-loop balloon-stent systems, achieving hemorrhage control and limb salvage.

Introduction

Blast injuries require rapid, minimally invasive interventions. This series highlights IR’s role in combat trauma.

Case Study

Case 1: A 23-year-old with neck PSA treated by coil embolization.

Case 2: A 26-year-old with subclavian AVF managed by Viabahn stent-graft.

Case 3: A 27-year-old with popliteal PSA resolved via percutaneous stenting.

All cases showed resolved bleeding and improved function.

Conclusions

1.Embolization and stent-grafts are first-line for combat arterial injuries.

2.Innovative techniques address complex collateral flow.

3.Multidisciplinary teams enhance battlefield trauma care.