Table of contents
Expand All Topics
Pancreaticoduodenal artery aneurysm
Guidelines
Key sources
The following summarized guidelines for the evaluation and management of pancreaticoduodenal artery aneurysm are prepared by our editorial team based on guidelines from the European Society for Vascular Surgery (ESVS 2025).
1
Diagnostic investigations
Therapeutic procedures
Specific circumstances
Patients with mycotic aneurysms
As per ESVS 2025 guidelines:
Perform urgent open surgical intervention and administer antibiotic therapy in patients with a mycotic visceral artery aneurysm.
B
Consider performing endovascular treatment and administering antibiotic therapy as a noncurative option in patients with a mycotic visceral artery aneurysm who are unfit for surgery.
C
Follow-up and surveillance
Surveillance imaging
As per ESVS 2025 guidelines:
Consider obtaining annual surveillance for the first 3 years and individualized thereafter, preferably with duplex ultrasound and otherwise CTA, in patients with an asymptomatic pancreaticoduodenal artery aneurysm with a diameter < 15 mm.
C
Consider obtaining individualized surveillance with duplex ultrasound or CTA in case of inadequate sonographic image quality in patients after endovascular or open visceral artery aneurysm repair.
C