The possibilities to accelerate vortex electrons with orbital angular momentum (OAM) to relativistic energies and to produce vortex ions, protons, and other charged particles crucially depend on whether the OAM is conserved during the acceleration and on how phase space of the wave packet evolves. We show that both the OAM and a mean emittance of the packet, the latter obeying the Schrödinger uncertainty relation, are conserved in axially symmetric fields of electric and magnetic lenses, typical for accelerators and electron microscopes, as well as in Penning traps. Moreover, a linear approximation of weakly inhomogeneous fields works much better for single packets than for classical beams. We analyze quantum dynamics of the packet’s rms radius ⟨ρ 2⟩, relate this dynamics to a generalized form of the van Cittert–Zernike theorem, applicable at arbitrary distances from a source and for non-Gaussian packets, and adapt the Courant–Snyder formalism to describe the evolution of the packet’s phase space. The vortex beams can therefore be accelerated, focused, steered, trapped, and even stored in azimuthally symmetric fields and traps, somewhat analogously to the classical angular-momentum-dominated beams. We also give a quantum version of the Busch theorem, which states how one can produce vortex electrons with a magnetized cathode during either field- or photoemission, as well as vortex ions and protons by using a magnetized stripping foil employed to change a charge state of ions. Spatial coherence of the packets plays a crucial role in these applications and we provide the necessary estimates for particles of different masses.