Guidelines:

Choice of treatment
Timing of repair
Management of minimal aortic injury
Type of repair in the young patient
Management of left subclavian artery
Systemic heparinization
Spinal drainage
Choice of anesthesia
Femoral access technique
Choice of treatment
Consensus
We suggest that endovascular repair be performed preferentially over open surgical repair or nonoperative management
Grade of recommendationi
2
Quality of evidenceii
C
Timing of repair
Consensus
We suggest urgent (<24 hours) repair, and at the latest prior to hospital discharge
Grade of recommendationi
2
Quality of evidenceii
C
Management of minimal aortic injury
Consensus
We suggest expectant management with serial imaging for type I injuries
Grade of recommendationi
2
Quality of evidenceii
C
Type of repair in the young patient
Consensus
We suggest endovascular repair regardless of age if anatomically suitable
Grade of recommendationi
2
Quality of evidenceii
C
Management of left subclavian artery
Consensus
We suggest selective revascularization of the left subclavian artery
Grade of recommendationi
2
Quality of evidenceii
C
Systemic heparinization
Consensus
We suggest routine heparinization but at a lower dose than in elective TEVAR
Grade of recommendationi
2
Quality of evidenceii
C
Spinal drainage
Consensus
We do not suggest routine spinal drainage
Grade of recommendationi
2
Quality of evidenceii
C
Choice of anesthesia
Consensus
We suggest general anesthesia
Grade of recommendationi
2
Quality of evidenceii
C
Femoral access technique
Consensus
We suggest open femoral exposure
Grade of recommendationi
2
Quality of evidenceii
C
  1. 1 - strong
    2 - weak
  2. A - high
    B - moderate
    C - low or very low