Mark J Koelemay, Robert H Geelkerken, Jussi Kärkkäinen, Nicola Leone, Elena Iborra, George Antoniou, Jorg de Bruin, Alexander Gombert, Anders Gottsäter, Sonia Ronchey, Konstantinos Spanos, Jos C van den Berg, Sabine Wipper, Frederico Bastos Gonçalves, Martin Björck, Raphael Coscas, Sandro Lepidi, Timothy A Resch, Jean-Baptiste Ricco, Riikka Tulamo, Anders Wanhainen, Thomas S Huber, Annika Reintam Blaser, Olivier Corcos, Alexander Oberhuber, Matti Tolonen
{"title":"欧洲血管外科学会（ESVS） 2025年关于肠系膜和肾动脉和静脉疾病管理的临床实践指南。","authors":"Mark J Koelemay, Robert H Geelkerken, Jussi Kärkkäinen, Nicola Leone, Elena Iborra, George Antoniou, Jorg de Bruin, Alexander Gombert, Anders Gottsäter, Sonia Ronchey, Konstantinos Spanos, Jos C van den Berg, Sabine Wipper, Frederico Bastos Gonçalves, Martin Björck, Raphael Coscas, Sandro Lepidi, Timothy A Resch, Jean-Baptiste Ricco, Riikka Tulamo, Anders Wanhainen, Thomas S Huber, Annika Reintam Blaser, Olivier Corcos, Alexander Oberhuber, Matti Tolonen","doi":"10.1016/j.ejvs.2025.06.010","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>The European Society for Vascular Surgery (ESVS) has developed clinical practice guidelines for the care of patients with diseases of the mesenteric and renal arteries and veins, in succession to the first 2017 guidelines, with the aim of assisting physicians and patients in selecting the best management strategy.</p><p><strong>Methods: </strong>These guidelines are based on scientific evidence and expert opinion. By summarising and evaluating the best available evidence, recommendations for the diagnosis and treatment of patients have been formulated. The recommendations are graded according to the new ESVS clinical practice guidelines class of recommendation grading system, where the strength (class) of each recommendation is graded from I to III, and the letter A to C marks the level of evidence.</p><p><strong>Results: </strong>A total of 102 recommendations have been issued on the management of chronic arterial mesenteric ischaemia, median arcuate ligament syndrome, acute arterial mesenteric ischaemia, non-occlusive mesenteric ischaemia, venous mesenteric thrombosis and ischaemia, occlusive disease of the renal arteries and veins, visceral artery aneurysms, and spontaneous isolated dissection of the visceral arteries.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7000,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"European Society for Vascular Surgery (ESVS) 2025 Clinical Practice Guidelines on the Management of Diseases of the Mesenteric and Renal Arteries and Veins.\",\"authors\":\"Mark J Koelemay, Robert H Geelkerken, Jussi Kärkkäinen, Nicola Leone, Elena Iborra, George Antoniou, Jorg de Bruin, Alexander Gombert, Anders Gottsäter, Sonia Ronchey, Konstantinos Spanos, Jos C van den Berg, Sabine Wipper, Frederico Bastos Gonçalves, Martin Björck, Raphael Coscas, Sandro Lepidi, Timothy A Resch, Jean-Baptiste Ricco, Riikka Tulamo, Anders Wanhainen, Thomas S Huber, Annika Reintam Blaser, Olivier Corcos, Alexander Oberhuber, Matti Tolonen\",\"doi\":\"10.1016/j.ejvs.2025.06.010\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>The European Society for Vascular Surgery (ESVS) has developed clinical practice guidelines for the care of patients with diseases of the mesenteric and renal arteries and veins, in succession to the first 2017 guidelines, with the aim of assisting physicians and patients in selecting the best management strategy.</p><p><strong>Methods: </strong>These guidelines are based on scientific evidence and expert opinion. By summarising and evaluating the best available evidence, recommendations for the diagnosis and treatment of patients have been formulated. The recommendations are graded according to the new ESVS clinical practice guidelines class of recommendation grading system, where the strength (class) of each recommendation is graded from I to III, and the letter A to C marks the level of evidence.</p><p><strong>Results: </strong>A total of 102 recommendations have been issued on the management of chronic arterial mesenteric ischaemia, median arcuate ligament syndrome, acute arterial mesenteric ischaemia, non-occlusive mesenteric ischaemia, venous mesenteric thrombosis and ischaemia, occlusive disease of the renal arteries and veins, visceral artery aneurysms, and spontaneous isolated dissection of the visceral arteries.</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":55160,\"journal\":{\"name\":\"European Journal of Vascular and Endovascular Surgery\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":5.7000,\"publicationDate\":\"2025-06-11\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"European Journal of Vascular and Endovascular Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.ejvs.2025.06.010\",\"RegionNum\":1,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PERIPHERAL VASCULAR DISEASE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Journal of Vascular and Endovascular Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.ejvs.2025.06.010","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PERIPHERAL VASCULAR DISEASE","Score":null,"Total":0}
European Society for Vascular Surgery (ESVS) 2025 Clinical Practice Guidelines on the Management of Diseases of the Mesenteric and Renal Arteries and Veins.
Objective: The European Society for Vascular Surgery (ESVS) has developed clinical practice guidelines for the care of patients with diseases of the mesenteric and renal arteries and veins, in succession to the first 2017 guidelines, with the aim of assisting physicians and patients in selecting the best management strategy.
Methods: These guidelines are based on scientific evidence and expert opinion. By summarising and evaluating the best available evidence, recommendations for the diagnosis and treatment of patients have been formulated. The recommendations are graded according to the new ESVS clinical practice guidelines class of recommendation grading system, where the strength (class) of each recommendation is graded from I to III, and the letter A to C marks the level of evidence.
Results: A total of 102 recommendations have been issued on the management of chronic arterial mesenteric ischaemia, median arcuate ligament syndrome, acute arterial mesenteric ischaemia, non-occlusive mesenteric ischaemia, venous mesenteric thrombosis and ischaemia, occlusive disease of the renal arteries and veins, visceral artery aneurysms, and spontaneous isolated dissection of the visceral arteries.
Conclusion: 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.
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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