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Intraoperatives Monitoring in der konventionellen und endovaskulären Aortenchirurgie – Etablierte Verfahren

Intraoperative monitoring in conventional and endovascular aortic surgery: established procedures

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Zusammenfassung

Der erste Teil dieser Übersichtsarbeit „Intraoperatives Monitoring in der konventionellen und endovaskulären Aortenchirurgie“ befasst sich mit drei etablierten Monitoringverfahren, welche im Rahmen der konventionell-offenen Aortenchirurgie selektiv Anwendung finden. Diese sind (1) die transösophageale Echokardiographie (TEE), (2) die Ableitung motorisch-evozierter Potenziale (MEP) und (3) die zerebrospinale Liquordrainage (CSFD). Jedes Verfahren wird einzeln hinsichtlich seiner Methodik und Evidenz diskutiert. Abschließend erfolgt eine zusammenfassende Bewertung.

Abstract

The first part of this review “Intraoperative Monitoring in Conventional and Endovascular Aortic Surgery” deals with three established monitoring procedures that are selectively applied in conventional open aortic surgery. These are (1) transesophageal echocardiography (TEE), (2) the derivation of motor-associated potentials (MEP), and (3) cerebrospinal fluid drainage (CSFD). Each procedure is discussed individually with regard to its methodology and evidence. Finally, a summarizing evaluation is carried out.

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Authors and Affiliations

  1. Klinik für Gefäßchirurgie und Endovaskuläre Chirurgie, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Deutschland

    M. S. Bischoff, S. Jungi, M. Wortmann, K. Meisenbacher & D. Böckler

  2. Europäisches Gefäßzentrum Aachen-Maastricht, Universitätsklinikum, RWTH Aachen, Aachen, Deutschland

    A. Gombert

  3. Anästhesiologische Klinik, Universitätsklinikum Heidelberg, Heidelberg, Deutschland

    A. Brcic

  4. Universitätsklinik für Herz- und Gefäßchirurgie, Inselspital, Universitätsspital, Universität Bern, Bern, Schweiz

    S. Jungi

  5. Klinik für Herzchirurgie, Universitätsklinikum Leipzig, Leipzig, Deutschland

    K. von Aspern

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  1. M. S. Bischoff
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Correspondence to M. S. Bischoff.

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Interessenkonflikt

M.S. Bischoff, A. Gombert, A. Brcic, S. Jungi, K. von Aspern, M. Wortmann, K. Meisenbacher und D. Böckler geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien. Für Bildmaterial oder anderweitige Angaben innerhalb des Manuskripts, über die Patienten zu identifizieren sind, liegt von ihnen und/oder ihren gesetzlichen Vertretern eine schriftliche Einwilligung vor.

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Bischoff, M.S., Gombert, A., Brcic, A. et al. Intraoperatives Monitoring in der konventionellen und endovaskulären Aortenchirurgie – Etablierte Verfahren. Gefässchirurgie 24, 413–421 (2019). https://doi.org/10.1007/s00772-019-0552-7

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