Guidelines on the diagnosis, treatment and management of visceral and renal arteries aneurysms: a joint assessment by the Italian Societies of Vascular and Endovascular Surgery (SICVE) and Medical and Interventional Radiology (SIRM)
Carlo Pratesi, for the Italian Guidelines for Vascular and Endovascular Surgery Collaborators, Davide Esposito, Romeo Martini, Claudio NOVALI, Augusto Zaninelli, A Annese, Paolo Baggi, Raffaello Bellosta, Claudio Bianchini Massoni, Stefano Bonardelli, Serena Carriero, Rosa Cervelli, Emiliano Chisci, Roberto Cioni, Fabio CORVINO, Francesco De Cobelli, Fabrizio Fanelli, Aaron Fargion, Marco Femia, Antonio Freyrie, Andrea Gaggiano, Enrico Gallitto, Stefano Gennai, Emanuela Giampalma, Francesco GIURAZZA, Franco Grego, Giorgia Guazzarotti, Anna Maria Ierardi, Andrea Kahlberg, Daniele Mascia, Luca Mezzetto, Stefano Michelagnoli, Floriana Nardelli, Raffaella NIOLA, Massimo Lenti, Orsola PERRONE, Filippo PIACENTINO, Gabriele Piffaretti, Raffaele Pulli, Gino Puntel, Giovanni Puppini, Denis Rossato, Michele ROSSI, Roberto Silingardi, Pasqualino Sirignano, Francesco Squizzato, Marcello Andrea Tipaldi, Massimo VENTURINI, Gian Franco Veraldi, Antonio Vizzuso, Sara Allievi, Luca Attisani, Gianluigi Fino, Francesca Ghirardini, Paola Manzo, Mattia Migliari, Stephanie Steidler, Vittorio Miele, Maurizio Taurino, Massimiliano Orso, Maurizio Cariati
Abstract
The objective of these Guidelines is to provide recommendations for the classification, indication, treatment and management of patients suffering from aneurysmal pathology of the visceral and renal arteries. The methodology applied was the GRADE-SIGN version, and followed the instructions of the AGREE quality of reporting checklist. Clinical questions, structured according to the PICO (Population, Intervention, Comparator, Outcome) model, were formulated, and systematic literature reviews were carried out according to them. Selected articles were evaluated through specific methodological checklists. Considered Judgments were compiled for each clinical question in which the characteristics of the body of available evidence were evaluated in order to establish recommendations. Overall, 79 clinical practice recommendations were proposed. Indications for treatment and therapeutic options were discussed for each arterial district, as well as follow-up and medical management, in both candidate patients for conservative therapy and patients who underwent treatment. The recommendations provided by these guidelines simplify and improve decision-making processes and diagnostic-therapeutic pathways of patients with visceral and renal arteries aneurysms. Their widespread use is recommended.