SVS Guidelines Bundle

Visceral Aneurysms

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Key Points 2 ➤ These evidence-based practice guidelines offer recommendations to inform the diagnosis, treatment options, screening, and follow up of visceral aneurysms. The ultimate treatment goal should be to prevent aneurysm expansion and potential rupture by exclusion from the arterial circulation while maintaining necessary distal or collateral bed perfusion. SVS Clinical Practice Guidelines on the Management of Visceral Aneurysms Hepatic Artery · Symptomatic · Size >2cm · Growth >0.5cm/year · Endovascular 1 st if anatomically feasible Renal Artery · Symptomatic · Size > 3cm · All sizes ▶ in women of childbearing age ▶ in patients with refractory hypertension and renal artery stenosis · Open surgery 1 st if acceptable risk Pancreaticoduodenal and Gastroduodenal Arteries · Repair all aneurysms regardless of size · Endovascular 1 st if anatomically feasible Superior Mesenteric Artery · Repair all aneurysms regardless of size · Endovascular 1 st if anatomically feasible Jejunal and Ileal Arteries · Symptomatic · Size >2cm · Endovascular 1 st if anatomically feasible Colic Artery · Repair all aneurysms regardless of size · Endovascular 1 st if anatomically feasible Celiac Artery · All pseudoaneurysms · Size > 2cm · Endovascular 1 st if anatomically feasible Splenic Artery · All pseudoaneurysms · Size > 3cm · All sizes in women of childbearing age · Endovascular 1 st if anatomically feasible Gastric and Gastroepiploic Arteries · Repair all aneurysms regardless of size · Endovascular 1 st if anatomically feasible

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