What are the guideline sources, guidelines and references for Hepatic artery aneurysm ?
Guideline 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 Society for Vascular Surgery (SVS 2020). 1 Guidelines 1. Diagnostic investigations Diagnostic imaging: Obtain CT angiography as the diagnostic tool of choice in patients with suspected hepatic artery aneurysm. B Obtain mesenteric angiography for preoperative planning of patients with hepatic artery aneurysm considered for intervention. B Screening for other aneurysms: Consider obtaining abdominal axial imaging to screen for concomitant intra-abdominal aneurysms if CT angiography has not obtained at the time of hepatic artery aneurysm diagnosis. C Consider obtaining one-time screening CT angiography or MRA of the head, neck and chest in patients with nonatherosclerotic causes of hepatic artery aneurysm. C https://web.pathway.md/diseases/rectSqCrDBU1EYeH9 1/2 6/24/23, 12:41 PM Hepatic artery aneurysm Pathway 2. Therapeutic procedures Indications for repair: repair all hepatic artery pseudoaneurysms, regardless of cause, as soon as the diagnosis is made, given the high propensity of rupture and significant antecedent mortality. A Show 3 more Choice of repair: perform an endovascular intervention as the first approach, if anatomically feasible (if this approach maintains arterial circulation to the liver), in all patients with hepatic artery aneurysms. A Show 2 more 3. Follow-up and surveillance Surveillance imaging: consider obtaining annual follow-up with CT angiography or non-contrast- enhanced CT to monitor patients with asymptomatic hepatic artery aneurysm. 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/rectSqCrDBU1EYeH9 2/2