GuidelineCurrent

ESVS — ESVS 2026 Clinical Practice Guidelines on Descending Thoracic and Thoraco-Abdominal Aortic Diseases

ESVS, 2026

Initial anti-impulse treatment and structured surveillance for uncomplicated acute Type B dissection; routine TEVAR is not indicated outside trials. Consider selected early expansion or initial diameter >40 mm through an aortic team, preferably subacute. Complicated disease requires urgent repair assessment.

Conditional recommendationLow certainty

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Clinical Context & Relevant Topics (1)

Disease Reference

Acute Aortic Syndromes

Emergency classification, anti-impulse medical stabilization, and surgical vs endovascular management of aortic dissection, intramural hematoma, and penetrating atherosclerotic ulcer.

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