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Arterielle Verschlusskrankheit

Leitliniengerechte Diagnostik und Therapie

Peripheral arterial disease

Diagnosis and therapy according to current guidelines

Der Radiologe volume 48, pages 1022–1031 (2008)Cite this article

Zusammenfassung

Leitlinien dienen zur Etablierung einheitlicher Behandlungsstandards und tragen zur Orientierung und Absicherung des behandelnden Arztes bei. Die periphere arterielle Verschlusskrankheit (pAVK) lässt sich in die Stadien Claudicatio intermittens, chronisch-kritische Ischämie und akute Ischämie unterteilen. Da diese Krankheitsbilder häufig und auch vital bedrohlich auftreten, sind aktuelle Leitlinien zur Diagnostik und stadiengerechten Therapie für den behandelnden Arzt auch aus forensischen Gründen von großer Bedeutung. Die vorliegende Übersicht stellt aktuelle Prinzipien der Diagnostik und Therapie sowie aktuelle Entwicklungen auf dem Gebiet der peripheren Gefäßintervention unter Berücksichtigung aktueller nationaler und internationaler Leitlinien, insbesondere des Transatlantic Intersociety Consensus (TASC) dar.

Abstract

Guidelines conduce to establish consistent standards of therapy and contribute to the orientation and safeguard of the attending physician. Peripheral arterial disease (PAD) may be classified according to its stage as intermittent claudication, chronic critical limb ischemia or acute limb ischemia. Since these diseases are common and life-threatening, current guidelines are of major interest for the attending physician, not least because of forensic reasons. This overview describes the current principles of diagnosis and therapy as well as recent developments in peripheral endovascular intervention. Current national and international guidelines, particularly the Transatlantic Intersociety Consensus (TASC), were taken into account.

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Affiliations

  1. Institut für Klinische Radiologie, Poliklinik, Klinikum Innenstadt der Ludwig-Maximilians-Universität München, Pettenkoferstr. 8a, 80336, München, Deutschland

    M. Treitl, H. Strube & M. Reiser

  2. Institut für Diagnostische und Interventionelle Radiologie und Nuklearmedizin, Klinikum Bogenhausen, Städtisches Klinikum München, München, Deutschland

    T. Helmberger

Authors
  1. M. Treitl
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  2. H. Strube
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  3. T. Helmberger
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  4. M. Reiser
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Correspondence to M. Treitl.

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Treitl, M., Strube, H., Helmberger, T. et al. Arterielle Verschlusskrankheit. Radiologe 48, 1022–1031 (2008). https://doi.org/10.1007/s00117-008-1705-y

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  • DOI: https://doi.org/10.1007/s00117-008-1705-y

Schlüsselwörter

  • TASC 2 (Transatlantic Intersociety Consensus 2)
  • Claudicatio intermittens
  • Chronisch-kritische Ischämie
  • Akute Extremitätenischämie
  • Endovaskuläre Therapie

Keywords

  • TASC 2 (Transatlantic Intersociety Consensus 2)
  • Intermittent claudication
  • Chronic critical ischemia
  • Acute limb ischemia
  • Endovascular therapy