Future Paradigms

in Future Directions in Vascular Surgery

Applied

Type

Modification

Confidence

88%

Created

Apr 19, 2026

Evidence

1 source

Rationale

The stale citation esvs 2024 editors referred to the ESVS 2024 AAA guidelines and was used to support the claim that total endovascular aortic surgery is becoming the default approach. The newly provided article (PMID 41801947) is a review of those same ESVS 2024 guidelines and is designated as the superseding guideline target with the canonical key ESVS. Per the stale guideline replacement instructions, the old key has been replaced with ESVS for this claim rather than co-citing both, since they support the same claim within the same guideline family. The reference list entry has been updated accordingly and the new source added as entry 12.

Evidence

ESVS. Review of the European Society for Vascular Surgery (ESVS) 2024 Clinical Practice Guidelines on the Management of Abdominal Aorto-Iliac Artery Aneurysms: what is new and prospects for development. 2026. PMID: 41801947. DOI: 10.33029/1027-6661-2024-30-2-131-136.
Verified source
PubMedDOI

Content Changes

* **Total endovascular aortic surgery** as default [@esvs2024-editors][@esvs2024] [@aha2022-isselbacher-isselbacher].
* **Endovascular trauma management (EVTM) fully integrated into trauma care worldwide** [@horer2016] [@bulger2019].
* **Multidisciplinary aortic teams (MAT)** and the **hybrid vascular surgeon** (open + endovascular + artificial intelligence (AI) skills) as the new standard for complex aortic care [@mills2008] [@aha2022-isselbacher-isselbacher].
* **Predictive vascular medicine** using AI + genomics [@eur2020].
* **Expanded use of minimally invasive devices** even in emergency/field conditions [@morrison2014] [@bulger2019].
* **Shared decision-making (SDM)** as a fundamental requirement in the management of aortic disease to optimize patient-centered outcomes [@aha2022-isselbacher-isselbacher].

**References**

1. Patel VI, et al. Evolution of vascular surgery into an endovascular specialty. *J Vasc Surg*. 2017. PubMed
2. Powell JT, et al. Endovascular vs open repair of [[abdominal aortic aneurysm (AAA)]] – long-term results. *NEJM*. 2010. PubMed [@powell2010]
3. Wanhainen A, et al. ESVS 2024 Clinical Practice Guidelines on the Management of Abdominal Aorto-Iliac Artery Aneurysms. *Eur J Vasc Endovasc Surg*. 2024. [PubMed](https://pubmed.ncbi.nlm.nih.gov/38307694/) [@esvs2024-editors][@esvs2024]
4. Björck M, et al. ESVS 2025 Guidelines on Mesenteric and Renal Arteries. *Eur J Vasc Endovasc Surg*. 2025. [PubMed](https://pubmed.ncbi.nlm.nih.gov/40513642/) [@esvs2025]
5. Hörer TM, et al. [[EVTM]] paradigm in trauma and resuscitation. *J Trauma Acute Care Surg*. 2016. PubMed [@horer2016]
6. Mouawad NJ, et al. The role of robotics in vascular surgery. *Vascular*. 2020. PubMed [@mouawad2020]
7. Conte MS, et al. Global vascular guidelines on chronic limb-threatening ischemia. *J Vasc Surg*. 2019. PubMed [@conte2019-gvg]
8. Mani K, et al. The role of registries in vascular surgery (Swedvasc, Vascunet). *Eur J Vasc Endovasc Surg*. 2020. PubMed [@mani2020]
9. Daye D, Walker TG. Novel endovascular devices for peripheral interventions. *Tech Vasc Interv Radiol*. 2018. PubMed [@daye2018]
10. Loftus IM, et al. Future challenges in vascular surgery: global and societal perspectives. *Br J Surg*. 2021. PubMed
11. Isselbacher EM, et al. 2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease. *Circulation*. 2022. [PubMed](https://pubmed.ncbi.nlm.nih.gov/36322642/) [@aha2022-isselbacher-isselbacher]
12. ESVS. Review of the ESVS 2024 Clinical Practice Guidelines on the Management of Abdominal Aorto-Iliac Artery Aneurysms: what is new and prospects for development. 2026. [PubMed](https://pubmed.ncbi.nlm.nih.gov/41801947/) [@esvs2024]
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