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Editor´s Choice - European Society for Vascular Surgery (ESVS) 2025 Clinical Practice Guidelines on the Management of Diseases of the Mesenteric and Renal Arteries and Veins

Koelemaij, Mark ; Geelkerken, Robert ; Kärkkäinen, Jussi ; Leone, Nikola ; Antoniou, George ; de Bruin, Jorg ; Gombert, Alexander ; Gottsäter, Anders LU ; Iborra, Elena and Ronchey, Sonia , et al. (2025) In European Journal of Vascular and Endovascular Surgery 70(2). p.153-218
Abstract
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... (More)
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. (Less)
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organization
publishing date
type
Contribution to journal
publication status
published
subject
in
European Journal of Vascular and Endovascular Surgery
volume
70
issue
2
pages
153 - 218
publisher
Elsevier
external identifiers
  • pmid:40513642
ISSN
1532-2165
DOI
10.1016/j.ejvs.2025.06.010
language
English
LU publication?
yes
id
2e4e211f-0d0b-4234-a4fc-9d14a2bbe651
date added to LUP
2025-10-27 11:46:16
date last changed
2025-10-29 03:00:08
@article{2e4e211f-0d0b-4234-a4fc-9d14a2bbe651,
  abstract     = {{Objective: The European Society for Vascular Surgery (ESVS) has developed clinical practice guidelines for the<br/>care of patients with diseases of the mesenteric and renal arteries and veins, in succession to the first 2017<br/>guidelines, with the aim of assisting physicians and patients in selecting the best management strategy.<br/>Methods: These guidelines are based on scientific evidence and expert opinion. By summarising and evaluating<br/>the best available evidence, recommendations for the diagnosis and treatment of patients have been formulated.<br/>The recommendations are graded according to the new ESVS clinical practice guidelines class of recommendation<br/>grading system, where the strength (class) of each recommendation is graded from I to III, and the letter A to C<br/>marks the level of evidence.<br/>Results: A total of 102 recommendations have been issued on the management of chronic arterial mesenteric<br/>ischaemia, median arcuate ligament syndrome, acute arterial mesenteric ischaemia, non-occlusive mesenteric<br/>ischaemia, venous mesenteric thrombosis and ischaemia, occlusive disease of the renal arteries and veins,<br/>visceral artery aneurysms, and spontaneous isolated dissection of the visceral arteries.<br/>Conclusion: These 2025 ESVS clinical practice guidelines provide comprehensive and up to date advice to<br/>physicians and patients on the management of diseases of the mesenteric and renal arteries and veins.}},
  author       = {{Koelemaij, Mark and Geelkerken, Robert and Kärkkäinen, Jussi and Leone, Nikola and Antoniou, George and de Bruin, Jorg and Gombert, Alexander and Gottsäter, Anders and Iborra, Elena and Ronchey, Sonia and Spanos, Konstantinos and van den Berg, Jos and Wipper, Sabine and Bastos Goncalves, Frederico and Björck, Martin and Coscas, Raphael and Leipidi, Sandro and Resch, Timothy and Ricco, Jean-Baptiste and Tulamo, Rikka and Anders, Wanhainen and Oliver, Corcos and Huber, Thomas and Oberhuber, Alexander and Reintam Blaser, Annika and Tolonen, Matti}},
  issn         = {{1532-2165}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{153--218}},
  publisher    = {{Elsevier}},
  series       = {{European Journal of Vascular and Endovascular Surgery}},
  title        = {{Editor´s Choice - European Society for Vascular Surgery (ESVS) 2025 Clinical Practice Guidelines on the Management of Diseases of the Mesenteric and Renal Arteries and Veins}},
  url          = {{https://lup.lub.lu.se/search/files/231452907/ESVS_GL_final.pdf}},
  doi          = {{10.1016/j.ejvs.2025.06.010}},
  volume       = {{70}},
  year         = {{2025}},
}