Guidelines and Evidence

in Vascular Trauma

Applied

Type

Reinforcement

Confidence

82%

Created

Apr 13, 2026

Evidence

1 source

Rationale

Articles 36322642 and 37389507 are both versions of the same 2022 ACC/AHA aortic disease guideline already cited in the section as Isselbacher EM, Preventza O, Hamilton Black J 3rd, et al. Adding a duplicate citation key would be redundant and potentially confusing; no change is warranted for those two articles. Article 33020812 (Czerny, ESC/EACTS/EAPCI expert consensus on TEVAR) is a relevant European counterpart to the existing ESVS TEVAR guidance and adds geographic balance to the TEVAR bullet, consistent with the international audience policy. It is added as a reinforcing citation to the TEVAR bullet. The BTAI abbreviation was also expanded on first use in that bullet as required by style rules.

Evidence

Czerny M et al. Current options and recommendations for the use of thoracic endovascular aortic repair in acute and chronic thoracic aortic disease: an expert consensus document of the ESC Working Group of Cardiovascular Surgery, the ESC Working Group on Aorta and Peripheral Vascular Diseases, the EAPCI and the EACTS. Eur J Cardiothorac Surg. 2021;59(1):65-73. PMID: 33020812. DOI: 10.1093/ejcts/ezaa313.
Verified source
PubMedDOI

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] [@czerny2020]
- **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]

**Cross-references**

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