CIRSE Standards of Practice for the Endovascular Treatment of Visceral and Renal Artery Aneurysms and Pseudoaneurysms

Cardiovasc Intervent Radiol. 2024 Jan;47(1):26-35. doi: 10.1007/s00270-023-03620-w. Epub 2023 Nov 29.


Background: Endovascular treatment of visceral and renal artery aneurysms and pseudoaneurysms is an effective, minimally invasive treatment that has been successfully used since the early 1990s, with refined and expanded techniques and tools currently offering excellent outcomes. Due to increased detection of such lesions in recent years, many of which are asymptomatic, revision of the indications for intervention and the correct endovascular treatment approaches has become essential.

Purpose: This document will presume that the indication for treatment is clear and approved by the multidisciplinary team and will define the standards required for the performance of each intervention, as well as their relative advantages and limitations. CIRSE Standards of Practice documents are not intended to impose a standard of clinical patient care, but recommend a reasonable approach to, and best practices for, the performance of the endovascular treatment of visceral and renal artery aneurysms and pseudoaneurysms.

Methods: The writing group was established by the CIRSE Standards of Practice Committee and consisted of five clinicians with internationally recognised expertise in endovascular treatments. The writing group reviewed the existing literature on visceral and renal artery aneurysms and pseudoaneurysms, performing an evidence search using PubMed to identify publications in English and relating to human subjects from 1990 to 2022. The final recommendations were formulated through consensus.

Results: Endovascular treatment has an established role in the successful management of visceral and renal artery aneurysms and pseudoaneurysms, and this Standards of Practice document provides up-to-date recommendations for its safe performance.

Keywords: Aneurysm; Coils; Covered stents; Embolization; Flow diverters; Pseudoaneurysm.

MeSH terms

  • Aneurysm* / diagnostic imaging
  • Aneurysm* / surgery
  • Aneurysm, False* / diagnostic imaging
  • Aneurysm, False* / surgery
  • Embolization, Therapeutic* / methods
  • Endovascular Procedures* / methods
  • Humans
  • Renal Artery / diagnostic imaging
  • Renal Artery / surgery
  • Treatment Outcome