欧洲血管外科学会2024版《腹主动脉-髂动脉动脉瘤管理临床实践指南》解读

Interpretation of the European Society for Vascular Surgery(ESVS)2024 Clinical Practice Guidelines on the Management of Abdominal Aorto-Iliac Artery Aneurysms

欧洲血管外科学会发布了2024版《腹主动脉-髂动脉动脉瘤管理临床实践指南》,对腹主动脉瘤和髂动脉病变的诊疗策略进行了全面而详细的介绍。该指南基于截至2023年8月的最佳证据,依据修改后的欧洲心脏病学学会评分系统制定了160条建议,较2019年版本新增59项全新建议。新版指南针对质量控制、流行病学与诊断筛查、小型腹主动脉瘤管理、腹主动脉瘤择期修复、破裂及症状性腹主动脉瘤管理、复杂腹主动脉瘤管理等方面的重要内容进行了证据总结与分级推荐。该指南对于指导国内血管外科腹主动脉-髂动脉瘤临床工作具有重大借鉴意义,但同时也需注意结合本土患者的实际情况开展个体化诊疗。本文对指南中相关部分进行了解读,供学者们参考讨论。

The European Society for Vascular Surgery(ESVS)released the ESVS 2024 Clinical Practice Guidelines on the Management of Abdominal Aorto-Iliac Artery Aneurysms,providing a comprehensive and detailed overview of diagnostic and treatment strategies for abdominal aortic aneurysms and iliac artery lesions.Based on the best available evidence as of August 2023,the guidelines include 160 recommendations according to the revised European Society of Cardiology grading system.This new edition features 59 additional recommendations compared to the 2019 version.Key topics covered in the guidelines include quality control,epidemiology,and diagnostic screening,management of small abdominal aortic aneurysms,elective repair of abdominal aortic aneurysms,management of ruptured and symptomatic abdominal aortic aneurysms,and management of complex abdominal aortic aneurysms,with evidencebased summaries and graded recommendations provided.These guidelines are of significant value for guiding clinical practice in vascular surgery for abdominal aorto-iliac artery aneurysms in domestic settings.However,it is essential to tailor individualized diagnosis and treatment plans to the specific conditions of local patients.This article interprets relevant sections of the guidelines for academic reference and discussion.