Palliativversorgung in der Gefäßchirurgie

Palliative care in vascular surgery



Bei vielen Gefäßpatienten besteht eine eingeschränkte Lebenserwartung.


Dieser Artikel beschäftigt sich mit der Palliativversorgung von Gefäßpatienten.

Material und Methode

Hierfür werden generelle Aspekte der Palliativversorgung sowie Grundprinzipien der Symptomkontrolle und der palliativmedizinischen Versorgungsstrukturen in Deutschland dargestellt.


Es ist notwendig, den Bedarf an palliativmedizinischer Mitbehandlung bei Gefäßpatienten regelmäßig zu überprüfen und diese ggf. schon frühzeitig in den Behandlungsverlauf zu integrieren. Dies erfolgt durch eine an den Bedürfnissen und der individuellen Lebensqualität orientierte Symptomkontrolle mit einem ganzheitlichen Blick auf den Patienten und durch die Auswahl der geeigneten palliativmedizinischen Behandlungsstruktur für die Akut- und Weiterversorgung.


Um eine umfassende Betreuung von Gefäßpatienten durch den (oft lange vertrauten) primär behandelnden Arzt in allen Krankheitsstadien zu ermöglichen, sollten palliativmedizinische Ansätze in der Gefäßchirurgie gestärkt werden.



Many patients with vascular diseases have a considerably limited life expectancy.


This article deals with the palliative care of patients with vascular diseases.

Material and methods

The general aspects of palliative care and the basic principles of symptom control and of palliative care services in Germany are described in this article.


It is necessary to make a continuous reassessment of the needs for palliative (co)treatment of patients with vascular diseases and, if required, of an early integration into the course of treatment. This is carried out by symptom control driven by the patient’s needs and individual quality of life with a holistic approach to the patient and by the choice of a suitable mode of further short-term and long-term palliative care services.


There is a serious need to strengthen palliative approaches in the treatment of patients with vascular diseases in order to enable a comprehensive healthcare in all stages of the disease, preferably by the (often long-standing) primary caregiver.

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Correspondence to Dr. D. Neuwert.

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D. Neuwert, M. Steinbauer und I. Töpel 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.

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Neuwert, D., Steinbauer, M. & Töpel, I. Palliativversorgung in der Gefäßchirurgie. Gefässchirurgie (2021).

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  • Symptomkontrolle
  • Palliative Chirurgie
  • Kritische Extremitätenischämie
  • Therapieziel
  • Lebensqualität


  • Symptom control
  • Palliative surgery
  • Critical limb ischemia
  • Patient care planning
  • Quality of life