Recommendations
4
Renal Artery Aneurysm (RAA)
Recommendation
Grade/
LOE
4. Additional screening
4.1 We suggest screening female patients with RAA for fibromuscular
dysplasia with a focused history and one-time axial imaging study (ie,
CTA or MRA) to assess for cerebrovascular, mesenteric, and iliac artery
dysplasia.
2-C
5. Follow-up and surveillance
5.1 We suggest completion imaging aer open surgical reconstruction for
RAA, before hospital discharge, by way of axial imaging with CTA or
MRA or arteriography in select cases, and long-term follow-up with
surveillance imaging.
2-C
5.2 For patients managed nonoperatively, we suggest annual surveillance
imaging until two consecutive studies are stable. ereaer, surveillance
imaging may be extended to every 2–3 years.
2-B
(cont'd)