Alternative Zugangswege zur abdominellen und thorakalen Aorta bei Aortenstentbehandlungen

Kölbel, Thilo; Larena-Avellaneda, A.; Carpenter, Sebastian; Rostock, Thomas; Diener, Holger; Debus, Eike Sebastian

doi:10.1007/s00772-011-0887-1

Cited by 3 publications

(1 citation statement)

References 18 publications

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“…In patients with PAU, access complications due to heavily calcified femoral and iliac arteries may represent a significant proportion of periprocedural morbidity [4,36,54]. Therefore, preoperative meticulous examination of the target vessels is mandatory to achieve safe access.…”

Section: Access Site Complicationsmentioning

confidence: 99%

Penetrating aortic ulcer

Bischoff

Geisbüsch

Peters

et al. 2011

Herz

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In addition to classic aortic dissection and intramural hematoma, acute aortic syndrome also includes penetrating aortic ulcers (PAU). The recent advent of highly detailed axial imaging allows closer assessment of PAU and its pathophysiology. However, there is still ongoing discussion about the natural history of the disease, leading to challenging questions concerning the optimal treatment strategy, particularly in asymptomatic patients. In this review, current indications for treatment, with an emphasis on PAU repair in the endovascular era, are discussed.

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Section: Access Site Complicationsmentioning

confidence: 99%

Penetrating aortic ulcer

Bischoff

Geisbüsch

Peters

et al. 2011

Herz

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Aneurysmen der thorakalen und thorakoabdominalen Aorta

Zanow

Settmacher

2014

Chirurg

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The incidence and operations of thoracic and thoracoabdominal aortic aneurysms have significantly increased. The indications for repair are considered to be a diameter of 6 cm or more and 5.5 cm for patient groups with increased risk of rupture. Complex open surgical repair is associated with significant mortality and complication rates. Total or hybrid endovascular repair seems to reduce early postoperative complications and mortality. The endovascular approach has evolved to be a good and predominant alternative to open repair of these aneurysms for older and high-risk patients as well as for aneurysms with optimal morphological suitability. Notwithstanding, at present a complete paradigm shift from open to endovascular repair for all patients, especially those with complex aneurysms, cannot yet be established.

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