TY - JOUR
T1 - Editor's Choice – European Society for Vascular Surgery (ESVS) 2024 Clinical Practice Guidelines on the Management of Abdominal Aorto-Iliac Artery Aneurysms
AU - Wanhainen, Anders
AU - van Herzeele, Isabelle
AU - Bastos Goncalves, Frederico
AU - Bellmunt Montoya, Sergi
AU - Berard, Xavier
AU - Boyle, Jonathan R.
AU - D'Oria, Mario
AU - Prendes, Carlota F.
AU - Karkos, Christos D.
AU - Kazimierczak, Arkadiusz
AU - Koelemay, Mark J. W.
AU - Kölbel, Tilo
AU - Mani, Kevin
AU - Melissano, Germano
AU - Powell, Janet T.
AU - Trimarchi, Santi
AU - Tsilimparis, Nikolaos
AU - ESVS Guidelines Committee
AU - Antoniou, George A.
AU - Björck, Martin
AU - Coscas, Raphael
AU - Dias, Nuno V.
AU - Kolh, Philippe
AU - Lepidi, Sandro
AU - Mees, Barend M. E.
AU - Resch, Timothy A.
AU - Ricco, Jean Baptiste
AU - Tulamo, Riikka
AU - Twine, Christopher P.
AU - Document Reviewers
AU - Branzan, Daniela
AU - Cheng, Stephen W. K.
AU - Dalman, Ronald L.
AU - Dick, Florian
AU - Golledge, Jonathan
AU - Haulon, Stephan
AU - van Herwaarden, Joost A.
AU - Ilic, Nikola S.
AU - Jawien, Arkadiusz
AU - Mastracci, Tara M.
AU - Oderich, Gustavo S.
AU - Verzini, Fabio
AU - Yeung, Kak Khee
N1 - Publisher Copyright: © 2023 The Authors
PY - 2024/2/1
Y1 - 2024/2/1
N2 - Objective: The European Society for Vascular Surgery (ESVS) has developed clinical practice guidelines for the care of patients with aneurysms of the abdominal aorta and iliac arteries in succession to the 2011 and 2019 versions, with the aim of assisting physicians and patients in selecting the best management strategy. Methods: The guideline is based on scientific evidence completed with expert opinion on the matter. By summarising and evaluating the best available evidence, recommendations for the evaluation and treatment of patients have been formulated. The recommendations are graded according to a modified European Society of Cardiology grading system, where the strength (class) of each recommendation is graded from I to III and the letters A to C mark the level of evidence. Results: A total of 160 recommendations have been issued on the following topics: Service standards, including surgical volume and training; Epidemiology, diagnosis, and screening; Management of patients with small abdominal aortic aneurysm (AAA), including surveillance, cardiovascular risk reduction, and indication for repair; Elective AAA repair, including operative risk assessment, open and endovascular repair, and early complications; Ruptured and symptomatic AAA, including peri-operative management, such as permissive hypotension and use of aortic occlusion balloon, open and endovascular repair, and early complications, such as abdominal compartment syndrome and colonic ischaemia; Long term outcome and follow up after AAA repair, including graft infection, endoleaks and follow up routines; Management of complex AAA, including open and endovascular repair; Management of iliac artery aneurysm, including indication for repair and open and endovascular repair; and Miscellaneous aortic problems, including mycotic, inflammatory, and saccular aortic aneurysm. In addition, Shared decision making is being addressed, with supporting information for patients, and Unresolved issues are discussed. Conclusion: The ESVS Clinical Practice Guidelines provide the most comprehensive, up to date, and unbiased advice to clinicians and patients on the management of abdominal aorto-iliac artery aneurysms.
AB - Objective: The European Society for Vascular Surgery (ESVS) has developed clinical practice guidelines for the care of patients with aneurysms of the abdominal aorta and iliac arteries in succession to the 2011 and 2019 versions, with the aim of assisting physicians and patients in selecting the best management strategy. Methods: The guideline is based on scientific evidence completed with expert opinion on the matter. By summarising and evaluating the best available evidence, recommendations for the evaluation and treatment of patients have been formulated. The recommendations are graded according to a modified European Society of Cardiology grading system, where the strength (class) of each recommendation is graded from I to III and the letters A to C mark the level of evidence. Results: A total of 160 recommendations have been issued on the following topics: Service standards, including surgical volume and training; Epidemiology, diagnosis, and screening; Management of patients with small abdominal aortic aneurysm (AAA), including surveillance, cardiovascular risk reduction, and indication for repair; Elective AAA repair, including operative risk assessment, open and endovascular repair, and early complications; Ruptured and symptomatic AAA, including peri-operative management, such as permissive hypotension and use of aortic occlusion balloon, open and endovascular repair, and early complications, such as abdominal compartment syndrome and colonic ischaemia; Long term outcome and follow up after AAA repair, including graft infection, endoleaks and follow up routines; Management of complex AAA, including open and endovascular repair; Management of iliac artery aneurysm, including indication for repair and open and endovascular repair; and Miscellaneous aortic problems, including mycotic, inflammatory, and saccular aortic aneurysm. In addition, Shared decision making is being addressed, with supporting information for patients, and Unresolved issues are discussed. Conclusion: The ESVS Clinical Practice Guidelines provide the most comprehensive, up to date, and unbiased advice to clinicians and patients on the management of abdominal aorto-iliac artery aneurysms.
UR - http://www.scopus.com/inward/record.url?scp=85183781381&partnerID=8YFLogxK
U2 - 10.1016/j.ejvs.2023.11.002
DO - 10.1016/j.ejvs.2023.11.002
M3 - Article
C2 - 38307694
SN - 1078-5884
VL - 67
SP - 192
EP - 331
JO - European Journal of Vascular and Endovascular Surgery
JF - European Journal of Vascular and Endovascular Surgery
IS - 2
ER -