Guidelines and Evidence
Type
ReinforcementConfidence
82%
Created
Apr 13, 2026
Evidence
1 source
Rationale
Article 36322642 is the primary Circulation publication of the 2022 ACC/AHA aortic disease guideline already referenced in this section under Isselbacher EM, Preventza O, Hamilton Black J 3rd, et al. The chapter's existing citation list already includes both 'isselbacher2022' and 'isselbacher2022-isselbacher', suggesting dual-keying of this guideline is intentional. Adding Isselbacher EM et al. 2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease: A Report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines. Circulation. 2022. PMID: 36322642. as a co-citation on the existing bullet reinforces the reference without duplicating content or restructuring the section. Article 37389507 (PMID 37389507, flagged, relevance 68/100) is a 2023 JTCVS republication of the same guideline and adds no new clinical content; it is not integrated to avoid redundancy and because it was flagged rather than auto-passed. No European guideline equivalent for traumatic aortic injury management (e.g., ESVS TEVAR guideline) was provided among the submitted articles, so no geographic balance adjustment is needed beyond what already exists via Riambau V, Bockler D, Brunkwall J, et al.
Evidence
This guideline provides recommendations to guide clinicians in the diagnosis, genetic evaluation and family screening, medical therapy, endovascular and surgical treatment, and long-term surveillance of patients with aortic disease across its multiple clinical presentation subsets.
Content Changes
<!-- type: guidelines --> **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 BTAIblunt thoracic aortic injury (BTAI) technical decisions and complication mitigation strategies. [@riambau2017] - **ACC/AHA aortic disease guideline** provides contemporary standards relevant to TEVAR imaging surveillance and aortic management principles applicable to traumatic aortic injury follow-up. [@isselbacher2022] [@aha2022-isselbacher] **Cross-references** - See [[endovascular trauma management (EVTM)]] for hybrid workflows, balloon occlusion, and endovascular adjunct integration into damage control resuscitation. [@trauma2016]