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Celiac artery aneurysm

Key sources
The following summarized guidelines for the evaluation and management of celiac artery aneurysm are prepared by our editorial team based on guidelines from the Society for Vascular Surgery (SVS 2020).
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Guidelines

1.Diagnostic investigations

Diagnostic imaging: consider obtaining CTA as the initial diagnostic tool of choice for celiac artery aneurysms.
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  • Screening for other aneurysms

2.Therapeutic procedures

Indications for repair: perform emergent intervention for Ruptured celiac artery aneurysms.
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  • Choice of repair

3.Surgical interventions

Surgical ligation: consider performing ligation if sufficient collateral circulation to the liver can be documented in patients with Ruptured celiac artery aneurysm discovered at laparotomy.
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4.Follow-up and surveillance

Surveillance imaging
Consider obtaining annual surveillance with CTA to assess for growth in size in patients with celiac artery aneurysm being observed with a nonoperative or noninterventional approach.
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Consider obtaining periodic surveillance with appropriate imaging studies to assess for the possibility of endoleak or aneurysm reperfusion that could lead to a continued risk of aneurysm growth or rupture after endovascular intervention.
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