The Society for Vascular Surgery clinical practice guidelines on the management of visceral aneurysms
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Rabih A Chaer1, Christopher J Abularrage2, Dawn M Coleman3
1Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pa.
Insights
These clinical practice guidelines provide evidence-based recommendations for managing visceral artery aneurysms. They detail size thresholds for repair and discuss surgical and endovascular strategies for renal, splenic, celiac, and hepatic artery aneurysms.
Area of Science:
- Vascular Surgery
- Medical Guidelines
Background:
- Visceral artery aneurysms (VAAs) are rare but can lead to serious complications.
- Management strategies for VAAs have lacked standardized, evidence-based guidance.
Purpose of the Study:
- To establish evidence-based clinical practice guidelines for the management of visceral artery aneurysms.
- To provide recommendations on repair indications, surgical techniques, and endovascular approaches.
Main Methods:
- Systematic review of existing literature on visceral artery aneurysms.
- Development of consensus-based recommendations by a panel of experts from the Society for Vascular Surgery.
Main Results:
- Evidence-based size thresholds for repair of common visceral artery aneurysms (renal, splenic, celiac, hepatic) are defined.
- Specific open surgical and endovascular repair strategies are outlined.
- Criteria for repair at smaller sizes, including in women of childbearing age and for false aneurysms, are discussed.
Conclusions:
- These guidelines offer crucial recommendations for the care of patients with visceral artery aneurysms.
- They provide much-needed, standardized guidance for clinicians treating these complex vascular conditions.
Abstract:
These Society for Vascular Surgery Clinical Practice Guidelines describe the care of patients with aneurysms of the visceral arteries. They include evidence-based size thresholds for repair of aneurysms of the renal arteries, splenic artery, celiac artery, and hepatic artery, among others. Specific open surgical and endovascular repair strategies are also discussed. They also describe specific circumstances in which aneurysms may be repaired at smaller sizes than these size thresholds, including in women of childbearing age and false aneurysms. These Guidelines offer important recommendations for the care of patients with aneurysms of the visceral arteries and long-awaited guidance for clinicians who treat these patients.
