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Operative Therapie von Pathologien der Nierenarterien

Operative therapy for pathologies of renal arteries

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Zusammenfassung

Hintergrund

Aufgrund mehrerer randomisierter Studien wird aktuell jedwede Therapie an den Nierenarterien hinterfragt. In den Strudel dieser Diskussion gerät auch die chirurgische Therapie der Nierenarterienstenose, welche schon durch die zunehmende interventionelle Therapie rückläufig war.

Ziel der Arbeit

Die Ergebnisse der chirurgischen Therapie von Pathologien der Nierenarterien sowie verschiedene Operationsverfahren werden vorgestellt.

Ergebnisse

Die Indikation zur invasiven Therapie besteht weiterhin bei akuter Verschlechterung der Nierenfunktion oder des Blutdruckes bei Vorliegen einer Nierenarterienstenose.

Schlussfolgerung

Insbesondere Patienten, die von einem langfristig exzellenten Resultat profitieren, sollten operativ behandelt werden. Eine gute interdisziplinäre Zusammenarbeit ist in der Therapie dieses Krankheitsbildes obligat.

Abstract

Background

Due to several randomized studies, any therapy concerning the renal arteries currently seems to be questionable. Surgical therapy of renal artery stenosis, although already declining due to an increased use of interventional therapy, is also included in the whirlpool of this discussion.

Objectives

Results of surgical therapy of different pathologies of the renal arteries and various operative procedures are presented.

Results

The indication for invasive treatment of renal artery stenosis is retained in cases with rapid deterioration of renal function or hypertension.

Conclusion

Especially patients who will profit from an excellent and enduring result should be treated by surgery. Interdisciplinary cooperation remains mandatory in the therapy of this disease.

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Authors and Affiliations

  1. Abteilung für Gefäß- und Endovaskularchirurgie, GFO-Kliniken Bonn, Betriebsstätte St. Marien-Hospital, Robert-Koch-Str. 1, 53115, Bonn, Deutschland

    K. M. Balzer

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Correspondence to K. M. Balzer.

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K.M. Balzer gibt an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Balzer, K. Operative Therapie von Pathologien der Nierenarterien. Gefässchirurgie 20, 112–118 (2015). https://doi.org/10.1007/s00772-015-0003-z

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  • DOI: https://doi.org/10.1007/s00772-015-0003-z

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