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Vaskuläre Rekanalisationstechniken: Nierenarterienstenosen

Vascular recanalization techniques: renal artery stenoses

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Zusammenfassung

Für die Evaluation zur radiologisch-interventionellen Therapie der Nierenarterienstenose sind neben der morphologischen Diagnostik mittels Duplexsonographie, noninvasiver Schnittbildangiographie und digitaler Subtraktionsangiographie Anamnese und klinische Konstellation entscheidend. Dabei tragen ein standardisierter diagnostischer Algorithmus und eine evidenzbasierte Indikationsstellung ebenso zur Verbesserung des Outcomes bei wie die Umsetzung einheitlicher periinterventioneller Maßnahmen und eine strukturierte Vorgehensweise bei der Angiographie, der perkutanen transluminalen Renoangioplastie und der Nachsorge. Ziel dieses Beitrags ist, eine praktische Anleitung für das aktuelle radiologische Management der Nierenarterienstenose zu ermöglichen.

Abstract

Decisive for the evaluation for radiological interventional therapy of renal artery stenosis, are the morphologic diagnostic by Duplex sonography, non-invasive cross-sectional angiography and digital subtraction angiography in addition to the anamnesis and clinical constellation. A standardized diagnostic algorithm and an evidence-based indication status contribute just as importantly to improvement of outcome as the implementation of uniform peri-interventional measures and a structured procedure for angiography, percutaneous transluminal renoangioplasty and follow-up. The aim of this article is to provide a practical introduction for the current radiological management of renal artery stenosis.

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Authors and Affiliations

  1. Institut und Poliklinik für Radiologische Diagnostik, Universitätsklinikum Carl Gustav Carusan der Technischen Universität Dresden, Fetscherstraße 74, 01307, Dresden, Deutschland

    C. Stroszczynski

  2. Bereich Angiologie, Universitätsklinikum Carl Gustav Carusan der Technischen Universität Dresden, Dresden, Deutschland

    J. Beyer

  3. Bereich Gefäßchirurgie, Universitätsklinikum Carl Gustav Carusan der Technischen Universität Dresden, Dresden, Deutschland

    H. Bergert

Authors
  1. C. Stroszczynski
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  2. J. Beyer
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  3. H. Bergert
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Correspondence to C. Stroszczynski.

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Stroszczynski, C., Beyer, J. & Bergert, H. Vaskuläre Rekanalisationstechniken: Nierenarterienstenosen. Radiologe 48, 588–592 (2008). https://doi.org/10.1007/s00117-008-1683-0

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  • DOI: https://doi.org/10.1007/s00117-008-1683-0

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