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J Cardiovasc Surg (Torino) ; 65(1): 49-63, 2024 Feb.
Article in English | MEDLINE | ID: mdl-38037721

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.


Subject(s)
Aneurysm , Embolization, Therapeutic , Humans , Renal Artery/diagnostic imaging , Radiology, Interventional , Aneurysm/diagnostic imaging , Aneurysm/surgery , Embolization, Therapeutic/adverse effects , Italy
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