Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pa.
Division of Vascular Surgery, Johns Hopkins Hospital, Baltimore, Md.
J Vasc Surg. 2020 Jul;72(1S):3S-39S. doi: 10.1016/j.jvs.2020.01.039. Epub 2020 Mar 20.
These Society for Vascular Surgery Clinical Practice Guidelines describe the care of patients with aneurysms of the visceral arteries. They include evidence-based size thresholds for repair of aneurysms of the renal arteries, splenic artery, celiac artery, and hepatic artery, among others. Specific open surgical and endovascular repair strategies are also discussed. They also describe specific circumstances in which aneurysms may be repaired at smaller sizes than these size thresholds, including in women of childbearing age and false aneurysms. These Guidelines offer important recommendations for the care of patients with aneurysms of the visceral arteries and long-awaited guidance for clinicians who treat these patients.
这些血管外科学会临床实践指南描述了内脏动脉动脉瘤患者的治疗护理。指南中包含了肾动脉、脾动脉、腹腔动脉和肝动脉等内脏动脉瘤修复的循证大小阈值。还讨论了特定的开放手术和血管内修复策略。指南还描述了在这些大小阈值以下可能进行动脉瘤修复的具体情况,包括育龄妇女和假性动脉瘤。这些指南为内脏动脉动脉瘤患者的治疗提供了重要建议,也为治疗这些患者的临床医生提供了期待已久的指导。