Carl Magnus Wahlgren, Christopher Aylwin, Ross A Davenport, Lazar B Davidovic, Joseph J DuBose, Christine Gaarder, Catherine Heim, Vincent Jongkind, Joakim JørgensenIn, Stavros K Kakkos, David T McGreevy, Maria Antonella Ruffino, Melina Vega de Ceniga, Pirkka Vikatmaa, Jean-Baptiste Ricco, Karim Brohi, George A Antoniou, Jonathan R Boyle, Raphaël Coscas, Nuno V Dias, Barend M E Mees, Santi Trimarchi, Christopher P Twine, Isabelle Van Herzeele, Anders Wanhainen, Paul Blair, Ian D S Civil, Michael Engelhardt, Erica L Mitchell, Gabriele Piffaretti, Sabine Wipper
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引用次数: 0
摘要
目的：欧洲血管外科学会（ESVS欧洲血管外科学会（ESVS）为血管创伤患者的治疗制定了临床实践指南，旨在帮助医生选择最佳治疗策略：方法：该指南基于科学证据和专家意见。通过总结和评估现有的最佳证据，制定了对患者进行评估和治疗的建议。这些建议根据 ESVS 证据分级系统进行分级，其中每项建议的强度（等级）从 I 到 III 分级，字母 A 到 C 标示证据级别：共发布了 105 项建议，涉及以下主题：血管创伤护理和复苏的一般原则，包括技术技能、出血控制和恢复灌注、移植材料和成像；颈部、胸主动脉和胸腔出口、腹部、上下肢血管创伤的处理；血管创伤术后注意事项；儿科血管创伤。此外，还讨论了尚未解决的血管创伤问题和患者的观点：ESVS临床实践指南为临床医生提供了最全面、最新、以证据为基础的血管创伤管理建议。
European Society for Vascular Surgery (ESVS) 2025 Clinical Practice Guidelines on the Management of Vascular Trauma.
Objective: The European Society for Vascular Surgery (ESVS) has developed clinical practice guidelines for the care of patients with vascular trauma with the aim of assisting physicians in selecting the optimal management strategy.
Methods: The guidelines are based on scientific evidence completed with expert opinion. 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 the ESVS evidence 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 105 recommendations have been issued on the following topics: general principles for vascular trauma care and resuscitation including technical skill sets, bleeding control and restoration of perfusion, graft materials, and imaging; management of vascular trauma in the neck, thoracic aorta and thoracic outlet, abdomen, and upper and lower extremities; post-operative considerations after vascular trauma; and paediatric vascular trauma. In addition, unresolved vascular trauma issues and the patients' perspectives are discussed.
Conclusion: The ESVS clinical practice guidelines provide the most comprehensive, up to date, evidence based advice to clinicians on the management of vascular trauma.
期刊介绍：
The European Journal of Vascular and Endovascular Surgery is aimed primarily at vascular surgeons dealing with patients with arterial, venous and lymphatic diseases. Contributions are included on the diagnosis, investigation and management of these vascular disorders. Papers that consider the technical aspects of vascular surgery are encouraged, and the journal includes invited state-of-the-art articles.
Reflecting the increasing importance of endovascular techniques in the management of vascular diseases and the value of closer collaboration between the vascular surgeon and the vascular radiologist, the journal has now extended its scope to encompass the growing number of contributions from this exciting field. Articles describing endovascular method and their critical evaluation are included, as well as reports on the emerging technology associated with this field.
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