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Aktuelle Therapieoptionen beim rupturierten abdominellen Aortenaneurysma

Current treatment options for ruptured aortic aneurysms

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An Erratum to this article was published on 10 May 2017

Zusammenfassung

Die endovaskuläre Behandlung von rupturierten Bauchaortenaneurysmen (rEVAR) hatte in Beobachtungsstudien großer Zentren mit entsprechender Erfahrung vielversprechende Überlebensraten gezeigt, die denen der offenen Operation überlegen waren. Die hierzu durchgeführten randomisiert-kontrollierten Studien zeigten vergleichbare Ergebnisse, die jedoch den breiteren Einsatz der rEVAR assoziiert nahelegen. Für den Einsatz der rEVAR und für die bestmögliche Versorgung von rupturierten Bauchaortenaneurysmen sowohl mit rEVAR, aber auch offener Operation ist ein standardisiertes Behandlungsprotokoll mit der entsprechenden Schulung aller beteiligter Berufsgruppen sowie eine adäquate räumliche, technische und materialtechnische Ausstattung im Gefäßzentrum notwendig.

Abstract

Observational studies from high-volume centers have shown promising results for endovascular repair of ruptured abdominal aortic aneurysms (rEVAR), with superior survival rates compared to open repair. Randomized controlled trials show similar outcomes for both techniques. A standardized protocol along with sufficient training of all involved personnel and adequate technical equipment and material availability are necessary in order to improve outcomes after both open and endovascular repair of ruptured abdominal aortic aneurysms.

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Authors and Affiliations

  1. Department of Vascular and Endovascular Surgery, Paracelsus Medical University Nuremberg, Breslauer Strasse 201, Nürnberg, Deutschland

    G. Kouvelos, A. Katsargyris &  E. L. G. Verhoeven

  2. Department of Vascular Surgery, Krankenhaus Barmherzige Brüder Regensburg, Regensburg, Deutschland

    I. Töpel & M. Steinbauer

Authors
  1. G. Kouvelos
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  2. A. Katsargyris
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  3. I. Töpel
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  4. M. Steinbauer
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  5. E. L. G. Verhoeven
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Correspondence to E. L. G. Verhoeven.

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Interessenkonflikt

G. Kouvelos, A. Katsargyris, I. Töpel, M. Steinbauer und E.L.G. Verhoeven geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Redaktion

M. Christ, Luzern

A. A. Larena-Avellaneda, Hamburg

Die ursprüngliche Online-Version des Artikels wurde korrigiert: Die Abbildung 4 wird nun korrekt wiedergegeben.

Ein Erratum zu diesem Beitrag ist unter http://dx.doi.org/10.1007/s10049-017-0304-8 zu finden.

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Kouvelos, G., Katsargyris, A., Töpel, I. et al. Aktuelle Therapieoptionen beim rupturierten abdominellen Aortenaneurysma. Notfall Rettungsmed 20, 283–291 (2017). https://doi.org/10.1007/s10049-017-0279-5

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