Verschlüsse der Aorta und der Beckenarterien
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Verschlüsse der Aorta und der Beckenarterien. / Kosan, J; Riess, H; Atlihan, G; Diener, H; Kölbel, T; Debus, E S.
in: CHIRURG, Jahrgang 85, Nr. 9, 09.2014, S. 791-799.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Review › Forschung
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TY - JOUR
T1 - Verschlüsse der Aorta und der Beckenarterien
AU - Kosan, J
AU - Riess, H
AU - Atlihan, G
AU - Diener, H
AU - Kölbel, T
AU - Debus, E S
PY - 2014/9
Y1 - 2014/9
N2 - Occlusion of the aorta and the iliac arteries leads to an insufficient perfusion of the legs and the genital and gluteal region. The occurring symptoms may be variable, mainly depending on the collateralization network of the internal iliac artery (IIA) circulation. Various differential diagnoses need to be excluded. Invasive therapy is almost always inevitable if an aortoiliac stenosis is established. With good patency rates and low mortality rates the indications for reconstructive procedures are liberally interpreted; therefore, invasive therapy can be performed in the early stages of claudication in certain situations. Due to lower invasiveness and therefore lower risk of complications while showing comparable long-term patency rates, endovascular treatment is the preferred first line therapy for the majority of occlusions. Because aortoiliac occlusion processes also affect patients who are actively involved in a professional career, the indications for invasive therapy can be attained even in Fontaine stage IIa.
AB - Occlusion of the aorta and the iliac arteries leads to an insufficient perfusion of the legs and the genital and gluteal region. The occurring symptoms may be variable, mainly depending on the collateralization network of the internal iliac artery (IIA) circulation. Various differential diagnoses need to be excluded. Invasive therapy is almost always inevitable if an aortoiliac stenosis is established. With good patency rates and low mortality rates the indications for reconstructive procedures are liberally interpreted; therefore, invasive therapy can be performed in the early stages of claudication in certain situations. Due to lower invasiveness and therefore lower risk of complications while showing comparable long-term patency rates, endovascular treatment is the preferred first line therapy for the majority of occlusions. Because aortoiliac occlusion processes also affect patients who are actively involved in a professional career, the indications for invasive therapy can be attained even in Fontaine stage IIa.
KW - Aged
KW - Aortic Diseases/diagnosis
KW - Arterial Occlusive Diseases/diagnosis
KW - Blood Vessel Prosthesis Implantation
KW - Comorbidity
KW - Cross-Sectional Studies
KW - Diabetic Angiopathies/diagnosis
KW - Endovascular Procedures
KW - Germany
KW - Humans
KW - Iliac Artery
KW - Ischemia/diagnosis
KW - Leg/blood supply
KW - Population Dynamics
KW - Prognosis
U2 - 10.1007/s00104-014-2720-3
DO - 10.1007/s00104-014-2720-3
M3 - SCORING: Review
C2 - 25182006
VL - 85
SP - 791
EP - 799
JO - CHIRURG
JF - CHIRURG
SN - 0009-4722
IS - 9
ER -