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Ischämisch bedingte Kompartmentsyndrome in der Gefäßchirurgie

Ischemia-related compartment syndromes in vascular surgery

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Zusammenfassung

Das akute Kompartmentsyndrom (KS) stellt in der Gefäßchirurgie auch nach der endovaskulären Revolution eine wichtige und häufig präsente Differenzial- bzw. Folgediagnose dar. Die vorliegende Arbeit gibt basierend auf einem qualitativen Review eine Übersicht über die häufigsten Formen sowie einige Kolibris, die es im täglichen klinischen Alltag zu bedenken gilt. Darüber hinaus wird vertieft auf die Pathophysiologie, Diagnostik und Behandlung sowie aktuelle Forschungsthemen zum KS, insbesondere des Unterschenkels eingegangen. Zusammenfassend hat sich an der klinischen Einschätzung als absolute Indikationsreferenz seit Erstbeschreibung des KS nichts wesentlich geändert und das Erkennen sowie die adäquate Behandlung, insbesondere des Unterschenkel- sowie abdominellen KS sind eine Kernkompetenz des Gefäßchirurgen.

Abstract

Even after the endovascular revolution, acute compartment syndrome (CS) remains an important and frequently present differential diagnosis after many operations. Based on a qualitative review this article gives an overview of the most frequent forms of CS as well as some less frequent entities that require attention in the routine clinical practice. Additionally, the pathophysiology, diagnostics and treatment as well as current research topics for CS, especially concerning the lower leg, are dealt with in detail. In summary, nothing has essentially changed ever since the first description of CS in that the clinical estimation remains the gold standard. The detection and the adequate treatment especially of abdominal CS and CS of the lower leg remain a key competence of vascular surgeons.

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Authors and Affiliations

  1. Klinik für Gefäßchirurgie, Universitätsklinikum Zürich (USZ), Zürich, Schweiz

    Benedikt Reutersberg

  2. Bereich Gefäßchirurgie, Klinik und Poliklinik für Viszeral‑, Thorax- und Gefäßchirurgie (VTG), Medizinische Fakultät Carl Gustav Carus und Universitätsklinikum, Technische Universität Dresden, Fetscherstraße 74, 01307, Dresden, Deutschland

    Steffen Wolk &  Albert Busch

  3. Klinik und Poliklinik für Vaskuläre und Endovaskuläre Chirurgie, Münchner Aorten Centrum (MAC), Klinikum rechts der Isar, Technische Universität München, München, Deutschland

    Christoph Knappich

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  1. Benedikt Reutersberg
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  2. Steffen Wolk
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  4. Albert Busch
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Correspondence to Albert Busch.

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Interessenkonflikt

B. Reutersberg, S. Wolk, C. Knappich und A. Busch geben an, dass kein Interessenkonflikt besteht.

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

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Reutersberg, B., Wolk, S., Knappich, C. et al. Ischämisch bedingte Kompartmentsyndrome in der Gefäßchirurgie. Chirurgie (2024). https://doi.org/10.1007/s00104-024-02080-3

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  • DOI: https://doi.org/10.1007/s00104-024-02080-3

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