Table of contents
Visceral artery aneurysms
What's new
The European Society for Vascular Surgery (ESVS) has published updated guidelines on the management of mesenteric artery and vein diseases, including visceral artery aneurysms and dissections. Computed tomography angiography (CTA) is recommended for diagnosis, anatomical assessment, and procedural planning in patients with suspected visceral artery aneurysms. For asymptomatic visceral artery aneurysms <30 mm and pancreaticoduodenal artery aneurysms <15 mm, annual surveillance for the first 3 years is advised, followed by individualized follow-up, preferably with duplex ultrasound or, if not feasible, CTA. Urgent repair is recommended for all symptomatic visceral artery aneurysms, regardless of size and location. Endovascular repair is preferred over open surgery in anatomically suitable patients. Endovascular or open repair is suggested for asymptomatic splenic, hepatic, celiac, superior mesenteric, or renal artery aneurysms ≥30 mm, and for pancreaticoduodenal artery aneurysms ≥15 mm. .
Guidelines
Key sources
Diagnostic investigations
Therapeutic procedures
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Choice of repair
Specific circumstances
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Patients with mycotic aneurysms
Patients with visceral artery dissection (conservative management)
Patients with visceral artery dissection (indications for repair)
Patients with visceral artery dissection (imaging surveillance)