Guidelines and Evidence

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**Key guidance documents (high yield)**

- **Extremity vascular trauma evaluation and management** principles (hard signs → immediate management; ankle-brachial index (ABI)/API-based screening; computed tomography angiography (CTA)/digital subtraction angiography (DSA) planning) are summarized in EAST guidance and remain foundational. [@feliciano2011]
- **Pelvic trauma hemorrhage control** (including embolization pathways) is addressed in WSES guidance. [@coccolini2017-wses]
- **resuscitative endovascular balloon occlusion of the aorta (REBOA) governance and system implementation** in civilian trauma systems is outlined in the ACS-COT/NAEMSP joint statement (patient selection, training, QA). [@bulger2019]
- **Descending thoracic aorta disease/thoracic endovascular aortic repair (TEVAR)** guidance informs blunt thoracic aortic injury (BTAI) technical decisions and complication mitigation strategies. [@riambau2017][@esvs2025]
- **ACC/AHA aortic disease guideline** provides contemporary standards relevant to TEVAR imaging surveillance and aortic management principles applicable to traumatic aortic injury follow-up, with updated emphasis on multidisciplinary teams and specialized aortic centers. [@aha2026]

**Cross-references**

- See [[endovascular trauma management (EVTM)]] for hybrid workflows, balloon occlusion, and endovascular adjunct integration into damage control resuscitation. [@trauma2016]