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Infiziertes arterielles Aneurysma

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Operative und interventionelle Gefäßmedizin

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Zusammenfassung

Gefäßchirurgen verwenden meist den Ausdruck „mykotisch“ für ein Aneurysmen infektiöser Genese. Dies ist auf die Erstbeschreibung solcher Aneurysmen durch Osler im Rahmen einer „malignen (mykotischen)“ Endokarditis zurückzuführen. Die Verwendung des Begriffs „infiziertes arterielles Aneurysma“ erscheint daher sinnvoll. Eine solche Infektion kann auf verschiedene endogene und exogene Ursachen haben. Weiterhin können sich sowohl gesunde, als auch veränderte Gefäße infizieren. Die klinische Symptomatik kann unspezifisch sein, die Diagnostik gelingt allerdings mit den bildgebenden Verfahren sicher. Therapeutisch kommen sowohl endovaskuläre als auch offene Operationen in Frage, wobei sich insbesondere die Frage des Gefäßersatzmaterials stellt. Eine langfristige Antibiotikagabe ist meist indiziert.

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Authors and Affiliations

  1. Klinik und Poliklinik für Gefäßmedizin, Universitätsklinikum Hamburg-Eppendorf (UKE), Martinistr. 52, 20246, Hamburg, Deutschland

    Axel Larena-Avellaneda & Sebastian Debus

Authors
  1. Axel Larena-Avellaneda
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  2. Sebastian Debus
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Correspondence to Axel Larena-Avellaneda or Sebastian Debus .

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Editors and Affiliations

  1. Allgemeines Krankenhaus Harburg, Hamburg, Germany

    Eike Sebastian Debus

  2. Radiologie, Allgemeines Krankenhaus Harburg Abt. Diagnostische und Interventionelle, Hamburg, Germany

    Walter Gross-Fengels

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Larena-Avellaneda, A., Debus, S. (2015). Infiziertes arterielles Aneurysma. In: Debus, E., Gross-Fengels, W. (eds) Operative und interventionelle Gefäßmedizin. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-45856-3_115-1

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  • DOI: https://doi.org/10.1007/978-3-662-45856-3_115-1

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Online ISBN: 978-3-662-45856-3

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