Editor's Choice - European Society for Vascular Surgery (ESVS) 2025 Clinical Practice Guidelines on the Management of Vascular Trauma

被引：1

作者：

Wahlgren, Carl Magnus ^{[1
,2
]}

Aylwin, Christopher ^{[3
]}

Davenport, Ross A. ^{[3
]}

Davidovic, Lazar B. ^{[4
]}

Dubose, Joseph J. ^{[5
]}

Gaarder, Christine ^{[6
,7
]}

Heim, Catherine ^{[8
]}

Jongkind, Vincent ^{[9
]}

Jorgensen, Joakim ^{[6
,7
]}

Kakkos, Stavros K. ^{[10
]}

Mcgreevy, David T. ^{[11
]}

Ruffino, Maria Antonella ^{[12
]}

de Ceniga, Melina Vega ^{[13
]}

Vikatmaa, Pirkka ^{[14
]}

Ricco, Jean-Baptiste ^{[15
]}

Brohi, Karim ^{[3
]}

ESVS Guidelines Committee, George A.

Antoniou, George A. ^{[16
,17
]}

Boyle, Jonathan R. ^{[18
,19
]}

Coscas, Raphael ^{[20
]}

Dias, Nuno, V ^{[21
,22
]}

Mees, Barend M. E. ^{[23
]}

Trimarchi, Santi ^{[24
,25
]}

Twine, Christopher P. ^{[26
,27
]}

Van Herzeele, Isabelle ^{[28
]}

Wanhainen, Anders ^{[29
,30
]}

Blair, Paul ^{[31
]}

Civil, Ian D. S. ^{[32
,33
]}

Engelhardt, Michael ^{[34
]}

Mitchell, Erica L. ^{[35
]}

Piffaretti, Gabriele ^{[36
]}

Wipper, Sabine ^{[37
]}

机构：

[1] Karolinska Inst, Stockholm, Sweden

[2] Karolinska Univ Hosp, Dept Vasc Surg, Stockholm, Sweden

[3] Queen Mary Univ London, Blizard Inst, Ctr Trauma Sci, London, England

[4] Univ Belgrade, Univ Clin Ctr Serbia, Fac Med, Clin Vasc & Endovasc Surg, Belgrade, Serbia

[5] Univ Texas Austin, Austin, TX USA

[6] Univ Oslo, Oslo Univ Hosp, Dept Traumatol, Oslo, Norway

[7] Univ Oslo, Inst Clin Med, Oslo, Norway

[8] Univ Hosp, Anaesthet Dept, Lausanne, Switzerland

[9] Amsterdam UMC, Amsterdam, Netherlands

[10] Univ Patras, Dept Vasc Surg, Patras, Greece

[11] Orebro Univ, Orebro Univ Hosp, Orebro, Sweden

[12] EOC, Imaging Inst Southern Switzerland, Intervent Radiol, Lugano, Switzerland

[13] Univ Hosp Galdakao Usansolo, Dept Angiol & Vasc Surg, Galdakao, Spain

[14] NHG Finland, Helsinki, Finland

[15] Einden Co, Poitiers, France

[16] Manchester Univ NHS Fdn Trust, Manchester Vasc Ctr, Manchester, England

[17] Univ Manchester, Manchester Acad Hlth Sci Ctr, Sch Med Sci, Div Cardiovasc Sci, Manchester, England

[18] Univ Cambridge, Cambridge Univ Hosp NHS Trust, Cambridge, England

[19] Univ Cambridge, Dept Surg, Cambridge, England

[20] Inria, Boulogne Billancourt, France

[21] Lund Univ, Dept Clin Sci Malmo, Malmo, Sweden

[22] Skane Univ Hosp, Vasc Ctr Malmo, Malmo, Sweden

[23] Maastricht UMC, Maastricht, Netherlands

[24] Univ Milan, Dept Clin & Community Sci, Milan, Italy

[25] Fdn IRCCS Ca Granda Osped Maggiore Policlin, Cardiac Thorac Vasc Dept, Milan, Italy

[26] North Bristol NHS Trust, Bristol, England

[27] Univ Bristol, Bristol, England

[28] Ghent Univ Hosp, Dept Thorac & Vasc Surg, Ghent, Belgium

[29] Uppsala Univ, Dept Surg Sci, Vasc Surg, Uppsala, Sweden

[30] Umea Univ, Dept Diag & Intervent, Surg, Umea, Sweden

[31] Northern Ireland Deanery, Belfast, Antrim, North Ireland

[32] Auckland City Hosp, Auckland, New Zealand

[33] Univ Auckland, Fac Med & Hlth Sci, Auckland, New Zealand

[34] Mil Hosp Ulm, Dept Vasc & Endovasc Surg, Ulm, Germany

[35] Univ Tennessee Hlth & Sci Univ, Memphis, TN USA

[36] Univ Insubria, Sch Med, Dept Med & Surg, Varese, Italy

[37] Med Univ Innsbruck, Dept Vasc Surg, Innsbruck, Austria

来源：

EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY | 2025年 / 69卷 / 02期

关键词：

THORACIC AORTIC INJURY; BLUNT CEREBROVASCULAR INJURY; LEFT SUBCLAVIAN ARTERY; COMPUTED-TOMOGRAPHY ANGIOGRAPHY; INFERIOR VENA-CAVA; TEMPORARY INTRAVASCULAR SHUNTS; ASSOCIATION CRITICAL DECISIONS; LONG-TERM OUTCOMES; PENETRATING EXTREMITY TRAUMA; MESENTERIC VENOUS INJURIES;

D O I：

10.1016/j.ejvs.2024.12.018

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Objective: The European Society for Vascular Surgery (ESVS) has developed clinical practice guidelines for the care of patients with vascular trauma with the aim of assisting physicians in selecting the optimal management strategy. Methods: The guidelines are based on scientific evidence completed with expert opinion. By summarising and evaluating the best available evidence, recommendations for the evaluation and treatment of patients have been formulated. The recommendations are graded according to the ESVS evidence grading system, where the strength (class) of each recommendation is graded from Ito III, and the letters A to C mark the level of evidence. Results: A total of 105 recommendations have been issued on the following topics: general principles for vascular trauma care and resuscitation including technical skill sets, bleeding control and restoration of perfusion, graft materials, and imaging; management of vascular trauma in the neck, thoracic aorta and thoracic outlet, abdomen, and upper and lower extremities; post-operative considerations after vascular trauma; and paediatric vascular trauma. In addition, unresolved vascular trauma issues and the patients' perspectives are discussed. Conclusion: The ESVS clinical practice guidelines provide the most comprehensive, up to date, evidence based advice to clinicians on the management of vascular trauma. Article history: Received 22 November 2024, Accepted 9 December 2024, Available online 13 January 2025 (c) 2024 The Authors. Published by Elsevier B.V. on behalf of European Society for Vascular Surgery. This is an open access article under the CC BY-NC- ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

引用

页码：179 / 237

页数：59

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