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Verschlusserkrankungen der kruropedalen Arterien: Perkutane Angioplastie

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Operative und interventionelle Gefäßmedizin

Part of the book series: Springer Reference Medizin ((SRM))

Zusammenfassung

Die PTA der Unterschenkelarterien gehört heute zum festen Repertoire des Behandlungsspektrums und stellt bei vielen Patienten in Abhängigkeit von der Gefäßmorphologie die zu bevorzugende invasive Behandlungsoption dar. Die Indikation ergibt sich ganz überwiegend bei Patienten mit chronischer bzw. kritischer Ischämie. Die Angioplastie sollte so durchgeführt werden, dass es zu keiner Beeinträchtigung von Gefäßsegmenten kommt, die ggf. noch für einen Bypass-Anschluss genutzt werden können. Zur exakten Planung des Eingriffs ist eine selektive DSA unverzichtbar. Zur Anwendung kommen heute überwiegend 4-F-Systeme sowie dünnkalibrige Führungsdrähte (0,014–0,018 Inch). Durch die Verbesserung der Materialien konnte die technische Erfolgsquote gesteigert werden. Lange Ballonkatheter, Drug-Eluting-Balloons sowie Drug-Eluting-Stents vervollständigen das zur Verfügung stehende Material.

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Authors and Affiliations

  1. Radiologisches Zentrum, Max-Grundig-Klinik Bühlerhöhe, Bühl/Baden, Deutschland

    Peter Huppert

  2. Abt. Diagnostische und interventionelle Radiologie, GefäßCentrum Hamburg (GCH), Asklepios Klinik Harburg, Hamburg, Deutschland

    Walter Gross-Fengels

  3. Klinik und Poliklinik für Gefäßmedizin, Universitäres Herz- und Gefäßzentrum Hamburg, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland

    Eike Sebastian Debus

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  1. Peter Huppert
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  2. Walter Gross-Fengels
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  3. Eike Sebastian Debus
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Correspondence to Peter Huppert .

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  1. Klinik und Poliklinik für Gefäßmedizin Gefäßchirurgie – Angiologie – endovaskuläre Therapie, Universitätsklinikum Hamburg-Eppendorf Universitäres Herz- und Gefäßzentrum, Hamburg, Germany

    Eike Sebastian Debus

  2. Abteilung für Diagnostische und Interventionelle Radiologie, Asklepios Klinikum Harburg, Hamburg, Germany

    Walter Gross-Fengels

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  1. Klinik und Poliklinik für Gefäßmedizin, Universitäres Herzzentrum Hamburg, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland

    Eike Sebastian Debus

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© 2020 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature

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Huppert, P., Gross-Fengels, W., Debus, E.S. (2020). Verschlusserkrankungen der kruropedalen Arterien: Perkutane Angioplastie. In: Debus, E., Gross-Fengels, W. (eds) Operative und interventionelle Gefäßmedizin. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53380-2_88

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  • DOI: https://doi.org/10.1007/978-3-662-53380-2_88

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  • Online ISBN: 978-3-662-53380-2

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