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
