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Aneurysmascreening in Risikogruppen: Sinnvoll?

Screening for aneurysms in risk groups: meaningful?

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Zusammenfassung

Aneurysmascreening in Risikogruppen wird kontrovers diskutiert. Eindeutige Empfehlungen existieren z. Z. nicht. Ein Screening bei Patienten mit familiären Aneurysmen erscheint nicht empfehlenswert. Patienten mit einer polyzystischen Nierendegeneration (ADPKD) und bereits familiären SAB-Fällen sollten jedoch bei einer Prävalenz von 25% intrakranieller Aneurysmen alle 2–3 Jahre mittels MRT-Angiographie untersucht werden.

Abstract

There is a controversy discussion on screening for aneurysms in risk groups. True guidelines do not exist so far. It seems that screening for familial aneurysms is not advisable today. But adult dominant polycystic kidney disease (ADPKD) patients with a familial history of SAH should be screened because of a high prevalence rate of 25% for intracranial aneurysms in this population. Screening should be performed every 2 to 3 years by MRI angiography in this special risk group.

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Authors and Affiliations

  1. Klinik für bildgebende Diagnostik und Interventionen, Klinikum Saarbrücken, , , , , , DE

    T. Struffert

  2. Abteilung für Neuroradiologie, Radiologische Klinik der Universität des Saarlandes, Homburg, , , , , , DE

    W. Reith

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  1. T. Struffert
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  2. W. Reith
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Additional information

Dr. med. Tobias Struffert Klinik für bildgebende Diagnostik und Interventionen, Klinikum Saarbrücken, Winterberg 1, 66119 Saarbrücken, E-Mail: t.struffert@worldonline.de

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Struffert, T., Reith, W. Aneurysmascreening in Risikogruppen: Sinnvoll?. Radiologe 42, 880–884 (2002). https://doi.org/10.1007/s00117-002-0818-y

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  • DOI: https://doi.org/10.1007/s00117-002-0818-y

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