SVS Guidelines Bundle

Abdominal Aortic Aneurysm

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13 ➤ The SVS recommends straight tube grafts for OSR of AAA in the absence of significant disease of the iliac arteries. (1-A) ➤ The SVS recommends performing the proximal aortic anastomosis as close to the renal arteries as possible. (1-A) ➤ The SVS recommends that all portions of an aortic graft be excluded from direct contact with the intestinal contents of the peritoneal cavity. (1-A) ➤ The SVS recommends reimplantation of a patent IMA under circumstances that suggest an increased risk of colonic ischemia. (1-A) ➤ The SVS recommends preserving blood flow to at least one hypogastric artery in the course of OSR. (1-A) ➤ The SVS suggests concomitant surgical treatment of other visceral arterial disease at the time of OSR in symptomatic patients who are not candidates for catheter-based intervention. (2-B) ➤ The SVS suggests concomitant surgical repair of an AAA and coexistent cholecystitis or an intra-abdominal tumor in patients who are not candidates for EVAR or staged intervention. (2-C)

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