What are the guideline sources, guidelines and references for Renal artery aneurysm ?
Guideline sources The following summarized guidelines for the evaluation and management of renal artery aneurysm (RAA) are prepared by our editorial team based on guidelines from the Society for Vascular Surgery (SVS 2020). 1 Guidelines 1. Diagnostic investigations Diagnostic imaging: obtain CT angiography as first-line imaging in patients with suspected RAA. B Show 2 more Screening for fibromuscular dysplasia: consider screening female patients of childbearing age with RAA for FMD with a focused history and one-time axial imaging study (CT angiography or MRA) to assess for cerebrovascular, mesenteric, and iliac artery dysplasia. C 2. Medical management https://web.pathway.md/diseases/recoNeKayqcE3U1Eg 1/2 6/24/23, 2:57 PM Renal artery aneurysm Pathway Antiplatelet therapy: consider initiating daily antiplatelet therapy (aspirin, 81 mg) in patients with RAA. C 3. Therapeutic procedures Indications for repair: perform emergent intervention for any size RAA resulting in patient symptoms or rupture. B Show 3 more Endovascular repair: consider using endovascular techniques for the elective repair of anatomically appropriate RAA to include stent graft exclusion of main RAA in patients with poor operative risk and embolization of distal and parenchymal aneurysms. C 4. Perioperative care Postoperative imaging: consider obtaining completion imaging after open surgical reconstruction for RAA, before hospital discharge, by way of axial imaging with CT angiography or MRA or arteriography in selected patients, and long-term follow-up with surveillance imaging. C 5. Surgical interventions Surgical repair: consider performing open surgical reconstruction for the elective repair of most RAAs in patients with acceptable operative risk. C Show 2 more 6. Follow-up and surveillance Surveillance imaging: Consider obtaining annual surveillance imaging until two consecutive studies are stable and every 2-3 years thereafter in patients with RAA managed nonoperatively. C Consider obtaining long-term surveillance imaging in patients with repaired RAA. C References 1. Rabih A Chaer, Christopher J Abularrage, Dawn M Coleman et al. The Society for Vascular Surgery clinical practice guidelines on the management of visceral aneurysms. J Vasc Surg. 2020 Jul;72 1S 3S 39S. Open https://web.pathway.md/diseases/recoNeKayqcE3U1Eg 2/2