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Prophylaktische Gefäßchirurgie im Alter

  • M. AleksicEmail author
  • H. Böhner
  • B. Geier
  • T. Nowak
Leitthema
  • 1 Downloads

Zusammenfassung

Prophylaktische Operationen sind ein wesentlicher Bestandteil der gefäßchirurgischen Tätigkeit. Die Indikation dazu ist mit zunehmendem Alter der Patienten kritischer zu stellen, da die Lebenserwartung naturgemäß sinkt, die Komplikationsrate aber mit dem Alter regelhaft steigt. Das Dilemma, das sich für das älter werdende Patientenklientel und deren Behandler in der Abwägung von Risiko und Nutzen vorbeugender Therapien ergibt, wird im folgenden Übersichtsartikel für die symptomfreie Stenose der A. carotis und das Bauchaortenaneurysma anhand einer selektiven Literaturrecherche erörtert.

Schlüsselwörter

Risikoeinschätzung Alter Prävention Karotisendarteriektomie Bauchaortenaneurysma 

Prophylactic vascular surgery in old age

Abstract

Prophylactic operations comprise a major part of the activities in vascular surgery. The indications for this have to be judged more carefully with increasing age of the patients as the life expectancy is naturally limited but perioperative complications also occur more frequently. The dilemma which the aging population and physicians are faced with when balancing the risks and benefits, is discussed in this overview article regarding asymptomatic carotid artery stenosis and abdominal aortic aneurysms based on a selective literature search.

Keywords

Risk assessment Age Prevention Carotid endarterectomy Abdominal aortic aneurysm 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

M. Aleksic, H. Böhner, B. Geier und T. Nowak geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2019

Authors and Affiliations

  1. 1.Sektion Gefäßchirurgie, Krankenhaus MerheimKliniken der Stadt KölnKölnDeutschland
  2. 2.Klinik für ChirurgieKatholische St. Lukas Gesellschaft DortmundDortmundDeutschland
  3. 3.Chirurgische Klinik III (Gefäßchirurgie, Phlebologie und endovaskuläre Chirurgie)Krankenhaus BethanienMoersDeutschland
  4. 4.Klinik für Gefäßchirurgie und AngiologieAlfried Krupp Krankenhaus EssenEssenDeutschland

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