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Hepatic artery aneurysm
Guidelines
Key sources
The following summarized guidelines for the evaluation and management of hepatic artery aneurysm are prepared by our editorial team based on guidelines from the European Society for Vascular Surgery (ESVS 2025) and the Society for Vascular Surgery (SVS 2020).
1
2
Diagnostic investigations
Diagnostic imaging: as per ESVS 2025 guidelines, obtain CTA for diagnosis, anatomical characterization, and procedure planning in patients with suspected visceral artery aneurysm.
B
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Screening for other aneurysms
Therapeutic procedures
Indications for repair: as per ESVS 2025 guidelines, perform urgent repair in patients with a symptomatic visceral artery aneurysm, regardless of size and location.
B
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Choice of repair
Specific circumstances
Patients with mycotic aneurysms
As per ESVS 2025 guidelines:
Perform urgent open surgical intervention and administer antibiotic therapy in patients with a mycotic visceral artery aneurysm.
B
Consider performing endovascular treatment and administering antibiotic therapy as a noncurative option in patients with a mycotic visceral artery aneurysm who are unfit for surgery.
C