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Management of Vascular Trauma

European Society for Vascular Surgery (ESVS) 2025 Clinical Practice Guidelines on the Management of Vascular Trauma https://esvs.org/wp-content/uploads/2... #VascularTrauma #ESVSGuidelines #DamageControl #REBOA #CTAngiography #Endovascular #OpenSurgery #LimbSalvage #BluntTrauma #PenetratingTrauma #PediatricVascularTrauma #TraumaSurgery This video summarises the European Society for Vascular Surgery 2025 Clinical Practice Guidelines on Vascular Trauma Management. Developed by multidisciplinary experts, these guidelines provide evidence-graded recommendations (Class 1-3, Level A-C). Key principles include prompt haemorrhage control following damage control resuscitation and massive transfusion protocols. Early Tranexamic Acid administration is recommended. CT Angiography is the first-line diagnostic for stable patients, while unstable patients go directly to theatre. REBOA is not routinely recommended for exsanguinating torso haemorrhage due to evidence suggesting increased mortality. Management varies by injury location (neck, thorax, abdomen, extremities), mechanism (penetrating/blunt), and severity, guided by an ESVS grading system. Rapid restoration of arterial flow is prioritised for threatened limbs/organs. Both open and endovascular techniques are essential, requiring 24/7 access to a competent team. Endovascular repair is increasingly used, particularly for stable patients and specific injuries like thoracic aortic injuries or bleeding side branches, while open repair remains vital for unstable patients and complex injuries. Pediatric trauma management requires specialised considerations. The guidelines acknowledge significant evidence gaps and the need for future research. Clinical judgment is paramount in applying the guidance.