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Technik des konventionellen abdominellen Aortenersatzes

Techniques of conventional abdominal aorta repair

  • Operative Techniken
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Zeitschrift für Herz-,Thorax- und Gefäßchirurgie Aims and scope

Zusammenfassung

Die Therapie von Aortenerkrankungen erfolgt heute, wann immer möglich und sinnvoll, im minimalinvasiven/interventionellen Ansatz. Gleichwohl oder gerade deshalb ist es essenziell, auch die offen-chirurgischen Zugangswege zu den verschiedenen Abschnitten der (thorako-)abdominellen Aorta zu kennen, um im Bedarfsfall schnell und zielgerichtet handeln zu können. Unter Berücksichtigung der anatomischen Lokalisation, der Dringlichkeit und des Umfangs der lokal durchzuführenden chirurgischen Maßnahmen stellt die vorliegende Arbeit die verschiedenen Zugangswege zur (thorako-)abdominellen Aorta mit ihren jeweils assoziierten Vor- und Nachteilen dar. Ergänzend findet sich eine Zusammenstellung der heute zum Aortenersatz verfügbaren Materialien.

Abstract

Nowadays, most aortic diseases are treated whenever possible and reasonable using minimally invasive or interventional approaches. Nevertheless, or more exactly therefore, it is essential to know the conventional open surgical approaches to the various segments of the thoracoabdominal aorta in order to be able to react rapidly and decisively if minimally invasive approaches are not applicable or in a worst case scenario. This article gives an overview of the various open surgical techniques to access the thoracoabdominal aorta taking into account the different anatomical locations, the urgency, indications and the extent of local surgical measures to be performed. In addition to the advantages and disadvantages of these individual access routes, a summary of contemporary materials used for aortic repair is provided.

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Authors and Affiliations

  1. Klinik für Herz-, Thorax-, Transplantations- und Gefäßchirurgie, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland

    M. Wilhelmi

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  1. M. Wilhelmi
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Correspondence to M. Wilhelmi.

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M. Wilhelmi gibt an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Wilhelmi, M. Technik des konventionellen abdominellen Aortenersatzes. Z Herz- Thorax- Gefäßchir 30, 147–156 (2016). https://doi.org/10.1007/s00398-016-0061-x

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  • DOI: https://doi.org/10.1007/s00398-016-0061-x

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