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

ESVS guidelines committee; Carl Magnus Wahlgren; Christopher Aylwin; Ross A Davenport; Lazar B Davidovic; Joseph J DuBose; Christine Gaarder; Catherine Heim; Vincent Jongkind; Joakim JørgensenIn; Stavros K Kakkos; David T McGreevy; Maria Antonella Ruffino; Melina Vega de Ceniga; Pirkka Vikatmaa; Jean-Baptiste Ricco; Karim Brohi; George A Antoniou; Jonathan R Boyle; Raphaël Coscas; Nuno V Dias; Barend M E Mees; Santi Trimarchi; Christopher P Twine; Isabelle Van Herzeele; Anders Wanhainen; Paul Blair; Ian D S Civil; Michael Engelhardt; Erica L Mitchell; Gabriele Piffaretti

doi:10.1016/j.ejvs.2024.12.018

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

ESVS guidelines committee, Carl Magnus Wahlgren^*, Christopher Aylwin, Ross A Davenport, Lazar B Davidovic, Joseph J DuBose, Christine Gaarder, Catherine Heim, Vincent Jongkind, Joakim JørgensenIn, Stavros K Kakkos, David T McGreevy, Maria Antonella Ruffino, Melina Vega de Ceniga, Pirkka Vikatmaa, Jean-Baptiste Ricco, Karim Brohi, George A Antoniou, Jonathan R Boyle, Raphaël CoscasNuno V Dias, Barend M E Mees, Santi Trimarchi, Christopher P Twine, Isabelle Van Herzeele, Anders Wanhainen, Paul Blair, Ian D S Civil, Michael Engelhardt, Erica L Mitchell, Gabriele Piffaretti

^*Corresponding author for this work

Bristol Medical School (THS)

Research output: Contribution to journal › Article (Academic Journal) › peer-review

34 Citations (Scopus)

Abstract

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 I to 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.

Original language	English
Pages (from-to)	179-237
Number of pages	59
Journal	European Journal of Vascular and Endovascular Surgery
Volume	69
Issue number	2
Early online date	13 Jan 2025
DOIs	https://doi.org/10.1016/j.ejvs.2024.12.018
Publication status	Published - 1 Feb 2025

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© 2024 The Authors

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ESVS guidelines committee, Wahlgren, C. M., Aylwin, C., Davenport, R. A., Davidovic, L. B., DuBose, J. J., Gaarder, C., Heim, C., Jongkind, V., JørgensenIn, J., Kakkos, S. K., McGreevy, D. T., Ruffino, M. A., Vega de Ceniga, M., Vikatmaa, P., Ricco, J.-B., Brohi, K., Antoniou, G. A., Boyle, J. R., ... Piffaretti, G. (2025). Editor's Choice -- European Society for Vascular Surgery (ESVS) 2025 Clinical Practice Guidelines on the Management of Vascular Trauma. European Journal of Vascular and Endovascular Surgery, 69(2), 179-237. https://doi.org/10.1016/j.ejvs.2024.12.018

@article{ef4b57e675264c988fb8e956632ece81,

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

abstract = "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 I to 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.",

author = "\{ESVS guidelines committee\} and Wahlgren, \{Carl Magnus\} and Christopher Aylwin and Davenport, \{Ross A\} and Davidovic, \{Lazar B\} and DuBose, \{Joseph J\} and Christine Gaarder and Catherine Heim and Vincent Jongkind and Joakim J{\o}rgensenIn and Kakkos, \{Stavros K\} and McGreevy, \{David T\} and Ruffino, \{Maria Antonella\} and \{Vega de Ceniga\}, Melina and Pirkka Vikatmaa and Jean-Baptiste Ricco and Karim Brohi and Antoniou, \{George A\} and Boyle, \{Jonathan R\} and Rapha{\"e}l Coscas and Dias, \{Nuno V\} and Mees, \{Barend M E\} and Santi Trimarchi and Twine, \{Christopher P\} and \{Van Herzeele\}, Isabelle and Anders Wanhainen and Paul Blair and Civil, \{Ian D S\} and Michael Engelhardt and Mitchell, \{Erica L\} and Gabriele Piffaretti",

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year = "2025",

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day = "1",

doi = "10.1016/j.ejvs.2024.12.018",

language = "English",

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ESVS guidelines committee, Wahlgren, CM, Aylwin, C, Davenport, RA, Davidovic, LB, DuBose, JJ, Gaarder, C, Heim, C, Jongkind, V, JørgensenIn, J, Kakkos, SK, McGreevy, DT, Ruffino, MA, Vega de Ceniga, M, Vikatmaa, P, Ricco, J-B, Brohi, K, Antoniou, GA, Boyle, JR, Coscas, R, Dias, NV, Mees, BME, Trimarchi, S, Twine, CP, Van Herzeele, I, Wanhainen, A, Blair, P, Civil, IDS, Engelhardt, M, Mitchell, EL & Piffaretti, G 2025, 'Editor's Choice -- European Society for Vascular Surgery (ESVS) 2025 Clinical Practice Guidelines on the Management of Vascular Trauma', European Journal of Vascular and Endovascular Surgery, vol. 69, no. 2, pp. 179-237. https://doi.org/10.1016/j.ejvs.2024.12.018

Editor's Choice -- European Society for Vascular Surgery (ESVS) 2025 Clinical Practice Guidelines on the Management of Vascular Trauma. / ESVS guidelines committee; Wahlgren, Carl Magnus; Aylwin, Christopher et al.
In: European Journal of Vascular and Endovascular Surgery, Vol. 69, No. 2, 01.02.2025, p. 179-237.

Research output: Contribution to journal › Article (Academic Journal) › peer-review

TY - JOUR

T1 - Editor's Choice -- European Society for Vascular Surgery (ESVS) 2025 Clinical Practice Guidelines on the Management of Vascular Trauma

AU - ESVS guidelines committee

AU - Wahlgren, Carl Magnus

AU - Aylwin, Christopher

AU - Davenport, Ross A

AU - Davidovic, Lazar B

AU - DuBose, Joseph J

AU - Gaarder, Christine

AU - Heim, Catherine

AU - Jongkind, Vincent

AU - JørgensenIn, Joakim

AU - Kakkos, Stavros K

AU - McGreevy, David T

AU - Ruffino, Maria Antonella

AU - Vega de Ceniga, Melina

AU - Vikatmaa, Pirkka

AU - Ricco, Jean-Baptiste

AU - Brohi, Karim

AU - Antoniou, George A

AU - Boyle, Jonathan R

AU - Coscas, Raphaël

AU - Dias, Nuno V

AU - Mees, Barend M E

AU - Trimarchi, Santi

AU - Twine, Christopher P

AU - Van Herzeele, Isabelle

AU - Wanhainen, Anders

AU - Blair, Paul

AU - Civil, Ian D S

AU - Engelhardt, Michael

AU - Mitchell, Erica L

AU - Piffaretti, Gabriele

PY - 2025/2/1

Y1 - 2025/2/1

N2 - 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 I to 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.

AB - 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 I to 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.

U2 - 10.1016/j.ejvs.2024.12.018

DO - 10.1016/j.ejvs.2024.12.018

M3 - Article (Academic Journal)

C2 - 39809666

SN - 1078-5884

VL - 69

SP - 179

EP - 237

JO - European Journal of Vascular and Endovascular Surgery

JF - European Journal of Vascular and Endovascular Surgery

IS - 2

ER -

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

Abstract

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