Mesh : Humans Renal Artery / diagnostic imaging Radiology, Interventional Aneurysm / diagnostic imaging surgery Embolization, Therapeutic / adverse effects Italy

来  源:   DOI:10.23736/S0021-9509.23.12809-6

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.
摘要:
本指引的目的是为分类提供建议,指示,患有内脏和肾动脉动脉瘤病理的患者的治疗和管理。采用的方法是GRADE-SIGN版本,并遵循同意质量报告清单的指示。临床问题,根据PICO(人口,干预,比较器,结果)模型,制定了,并据此进行了系统的文献综述。通过特定的方法清单对选定的文章进行了评估。为每个临床问题编制了考虑的判断,其中评估了可用证据的特征,以建立建议。总的来说,提出了79条临床实践建议。讨论了每个动脉区的治疗适应症和治疗选择,以及随访和医疗管理,在保守治疗的候选患者和接受治疗的患者中。这些指南提供的建议简化并改善了内脏和肾动脉动脉瘤患者的决策过程和诊断-治疗途径。建议广泛使用。
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