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Peer-reviewedCC BYEuropean Journal of Vascular and Endovascular Surgery

Editor's Choice – European Society for Vascular Surgery (ESVS) 2026 Clinical Practice Guidelines on the Management of Vascular Graft and Endograft Infections

19 more authors
4 affiliations
  1. 1Xavier Berard (Bordeaux , France
  2. 2(Chair ; Strasbourg , France , Ben Saleem (Co-chair; Groningen , the Netherlands ),
  3. 3Hamid Gavali (Uppsala and Umeå , Sweden
  4. 4Mathilde Puges (Bordeaux , France ),

Abstract

OBJECTIVE: The European Society for Vascular Surgery (ESVS) has developed clinical practice guidelines for the care of patients with vascular graft or endograft infection (VGEI), in succession to the 2020 version, with the aim of assisting physicians and patients in selecting the best management strategy. METHODS: The guidelines are based on scientific evidence complemented with expert opinion. By summarising and evaluating the best available evidence, recommendations for the evaluation and management of patients with VGEI have been formulated. The recommendations are graded according to the ESVS grading system, where the strength (class) of each recommendation is graded from I to III, and the level of evidence from A to C. RESULTS: Eighty-one recommendations have been issued across the following main topics: definitions, diagnosis, multidisciplinary team management, antimicrobial therapy, management of intracavity or extracavity VGEI, and follow up. A chapter addresses the concept of shared decision making, with supporting information for patients. A final chapter addresses unresolved issues. CONCLUSION: These ESVS clinical practice guidelines provide comprehensive, up to date advice to clinicians and patients on the management of VGEI.

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BibTeX
@article{lejay2026editors,
  title = {{Editor's Choice – European Society for Vascular Surgery (ESVS) 2026 Clinical Practice Guidelines on the Management of Vascular Graft and Endograft Infections}},
  author = {Anne Lejay and Ben R. Saleem and Tara D. Barwick and Adam W. Beck and X. Berard and Wolf Hans Eilenberg and Hamid Gavali and Barbara Hasse and Ivika Heinola and Oliver Lyons and Paolo Perini and Mathilde Pugès and Nicholas M. Price and Karl Sörelius and Marjan Wouthuyzen‐Bakker and Thomas Rudolf Wyss and Jonathan Boyle and Nuno V. Dias and Isabelle VAN HERZEELE and Sandro Lepidi and Barend Mees and Timothy A. Resch and Tiago Ribeiro and Santi Trimarchi and Anders Wanhainen and Nabil Chakfé and Marta Hernandez-Meneses and Andreas Kahlberg and Manar Khashram and Zoltán Szeberin and Clark J. Zeebregts},
  journal = {European Journal of Vascular and Endovascular Surgery},
  year = {2026},
  month = jul,
  doi = {10.1016/j.ejvs.2026.05.035},
  url = {https://doi.org/10.1016/j.ejvs.2026.05.035},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Editor's Choice – European Society for Vascular Surgery (ESVS) 2026 Clinical Practice Guidelines on the Management of Vascular Graft and Endograft Infections
AU  - Anne Lejay
AU  - Ben R. Saleem
AU  - Tara D. Barwick
AU  - Adam W. Beck
AU  - X. Berard
AU  - Wolf Hans Eilenberg
AU  - Hamid Gavali
AU  - Barbara Hasse
AU  - Ivika Heinola
AU  - Oliver Lyons
AU  - Paolo Perini
AU  - Mathilde Pugès
AU  - Nicholas M. Price
AU  - Karl Sörelius
AU  - Marjan Wouthuyzen‐Bakker
AU  - Thomas Rudolf Wyss
AU  - Jonathan Boyle
AU  - Nuno V. Dias
AU  - Isabelle VAN HERZEELE
AU  - Sandro Lepidi
AU  - Barend Mees
AU  - Timothy A. Resch
AU  - Tiago Ribeiro
AU  - Santi Trimarchi
AU  - Anders Wanhainen
AU  - Nabil Chakfé
AU  - Marta Hernandez-Meneses
AU  - Andreas Kahlberg
AU  - Manar Khashram
AU  - Zoltán Szeberin
AU  - Clark J. Zeebregts
PY  - 2026
DA  - 2026/07/14
JO  - European Journal of Vascular and Endovascular Surgery
DO  - 10.1016/j.ejvs.2026.05.035
UR  - https://doi.org/10.1016/j.ejvs.2026.05.035
AB  - OBJECTIVE: The European Society for Vascular Surgery (ESVS) has developed clinical practice guidelines for the care of patients with vascular graft or endograft infection (VGEI), in succession to the 2020 version, with the aim of assisting physicians and patients in selecting the best management strategy. METHODS: The guidelines are based on scientific evidence complemented with expert opinion. By summarising and evaluating the best available evidence, recommendations for the evaluation and management of patients with VGEI have been formulated. The recommendations are graded according to the ESVS grading system, where the strength (class) of each recommendation is graded from I to III, and the level of evidence from A to C. RESULTS: Eighty-one recommendations have been issued across the following main topics: definitions, diagnosis, multidisciplinary team management, antimicrobial therapy, management of intracavity or extracavity VGEI, and follow up. A chapter addresses the concept of shared decision making, with supporting information for patients. A final chapter addresses unresolved issues. CONCLUSION: These ESVS clinical practice guidelines provide comprehensive, up to date advice to clinicians and patients on the management of VGEI.
SN  - 1078-5884
SN  - 1532-2165
ER  -