Guidelines and Evidence
Type
ModificationConfidence
92%
Created
Apr 15, 2026
Evidence
1 source
Rationale
The 2017 Riambau ESVS guideline cited for descending thoracic aorta/TEVAR guidance has been directly superseded by the ESVS 2026 Clinical Practice Guidelines on the Management of Descending Thoracic and Thoraco-Abdominal Aortic Diseases (PMID 41448425). Per the stale guideline replacement instructions, the stale Riambau V, Bockler D, Brunkwall J, et al citation is replaced with European Society for Vascular Surgery (ESVS) for the same claim. Both sources address the same subject matter (ESVS guidance on descending thoracic aortic disease and TEVAR), so there is no material reason to retain both. The ACC/AHA guideline Isselbacher EM, Preventza O, Hamilton Black J 3rd, et al is preserved to maintain geographic guideline balance between European and US standards. All other existing content and citations are unchanged.
Evidence
These 2025 ESVS clinical practice guidelines provide comprehensive and up to date advice to physicians and patients on the management of diseases of the mesenteric and renal arteries and veins.
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]The ESVS 2026 Clinical Practice Guidelines on the Management of Descending Thoracic and Thoraco-Abdominal Aortic Diseases represent the current authoritative European standard for TEVAR indications, technique, and follow-up. [@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. [@isselbacher2022] **Cross-references** - See [[endovascular trauma management (EVTM)]] for hybrid workflows, balloon occlusion, and endovascular adjunct integration into damage control resuscitation. [@trauma2016]