Aneurysmen der thorakalen und thorakoabdominalen Aorta
作者： J. Zanow , U. Settmacher
DOI: 10.1007/S00104-014-2717-Y
关键词: Cardiothoracic surgery 、 Transplant surgery 、 Medicine 、 Abdominal surgery 、 Gynecology
摘要: Thorakale und thorakoabdominale Aortenaneurysmen werden bei steigender Inzidenz zunehmend operativ behandelt. Die Indikation zur Rekonstruktion besteht wegen der Rupturgefahr ab einem Durchmesser von 6 cm, Risikogruppen 5,5 cm. anspruchsvolle offene chirurgische Therapie ist bis heute mit einer relevanten Mortalitat Morbiditat verbunden. sich als Alternative rasch entwickelnde endovaskulare Therapie, komplett Operation oder in Kombination Debranching-Prozeduren durchgefuhrt, scheint ein im Vergleich dazu geringeres operatives Risiko aufzuweisen. Insbesondere fur Altere Risikopatienten sowie die Morphologie optimal behandelbaren Befunde hat Behandlung dieser Aneurysmen einen festen Stellenwert eingenommen. Dennoch erscheint aktuell kompletter Paradiagmenwechsel offenen endovaskularen alle Patienten, insbesondere komplexen Befunden, noch nicht begrundet.
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