Future Paradigms

in Future Directions in Vascular Surgery

Applied

Type

Modification

Confidence

92%

Created

Apr 26, 2026

Evidence

1 source

Rationale

The article provided (PMID 36480976, AHA) is the superseding ACC/AHA guideline explicitly focused on multidisciplinary teams, specialized centers, and the evolving complexity of aortic disease management — all of which are the core claims in this 'Future Paradigms' section previously supported by the stale aha 2022 isselbacher isselbacher citation. Per the stale guideline replacement instructions, all three instances of aha 2022 isselbacher isselbacher in the body text have been replaced with AHA since the newer guideline covers the same claim patterns. The reference list entry has been updated accordingly. No content was removed; only the citation authority was updated to the more current source.

Evidence

AHA. ACC/AHA Aortic Disease Guidelines: What Was Simple Is Now Complex-Moving to Multidisciplinary Teams, Specialized Centers. J Am Coll Cardiol. 2026. PMID: 36480976.

Verified source

PubMed DOI

Content Changes

removedadded

* **Total endovascular aortic surgery** as default [@esvs2024] [@aha2022-isselbacher-isselbacher].[@aha2026].
* **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].[@aha2026].
* **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].[@aha2026].

**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]
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. IsselbacherAHA. EM,ACC/AHA etAortic al.Disease 2022Guidelines: ACC/AHAWhat GuidelineWas forSimple theIs DiagnosisNow andComplex-Moving Managementto ofMultidisciplinary AorticTeams, Disease.Specialized *Circulation*.Centers. 2022.*J [PubMed](https://pubmed.ncbi.nlm.nih.gov/36322642/)Am [@aha2022-isselbacher-isselbacher]Coll Cardiol*. 2026. [PubMed](https://pubmed.ncbi.nlm.nih.gov/36480976/) [@aha2026]
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]

Go to section in textbook Dispute / Submit evidence All updates