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Positionspapier zur Versorgungslage der perkutanen transluminalen Angioplastie (PTA) peripher-arteriell und renovaskulär in Kliniken und Praxen Deutschlands

Position paper on the care situation of percutaneous transluminal angioplasty (PTA) of peripheral and renal arteries performed in hospitals and outpatient clinics in Germany

  • Positionspapier
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Der Kardiologe Aims and scope

Zusammenfassung

Unter Berücksichtigung der Versorgungswirklichkeit in Deutschland und im internationalen Vergleich fällt die Indikationsstellung und Durchführung von peripheren Angioplastien als ein Bestandteil einer umfassenden Patientenversorgung maßgeblich in den Arbeitsbereich der Kardiologie und Angiologie. Aufgrund der bei einer pAVK häufig vorliegenden systemischen Arteriosklerose, die ihrerseits das gesamte arterielle Gefäßsystem betreffen kann, und den hieraus resultierenden Berührungspunkten bei der Gefäßdiagnostik und -therapie ist hinsichtlich einer optimalen Versorgung der Patienten die Organisation innerhalb einer Klinik im Sinne einer interdisziplinären Gefäßkonferenz zu empfehlen. Zur Verbesserung der ärztlich-kardiologischen und/oder angiologischen Weiterbildung sowie zur Umsetzung der tatsächlichen Versorgungswirklichkeit ergibt sich der dringende Bedarf zur Anpassung des Weiterbildungskatalogs der Kardiologie und Angiologie mit Aufnahme der peripheren Angioplastie.

Abstract

Taking into account real life patient care in Germany and by international comparison, the indication assessment and performance of peripheral angioplasty is as an integral part of comprehensive patient care substantially in the fields of cardiology and angiology. As peripheral arterial disease (PAD) is often associated with systemic atherosclerosis, which may involve the whole arterial vascular system and considering resulting points of interference in both vascular diagnostics and therapy, the establishment of an interdisciplinary vascular conference within the clinic is recommended to assure optimal patient care and patient management. In order to improve medical further training in cardiology and angiology as well as for the implementation of the actual reality of patient care, there is an urgent need for adaption of the further education catalogue for cardiology and angiology by inclusion of peripheral angioplasty.

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Literatur

  1. Bhatt DL, Steg PG, Ohman EM et al (2006) International prevalence, recognition and treatment of cardiovascular risk factors in out-patients with atherothrombosis. JAMA 295:80–89

    Article  Google Scholar 

  2. Christopher JW, William AG (2007) Advances in interventional cardiology – endovascular therapies for peripheral arterial disease. Circulation 116:2203–2215

    Article  Google Scholar 

  3. Creager MA, Goldstone J, Hirshfeld JW Jr et al (2004) ACC/ACP/SCAI/SVMB/SVS clinical competence statement on vascular medicine and catheter-based peripheral vascular interventions: a report of the American College of Cardiology/American Heart Association/ American College of Physician Task Force on Clinical Competence (ACC/ACP/SCAI/SVMB/SVS Writing Committee to develop a clinical competence statement on peripheral vascular disease). J Am Coll Cardiol 44:941–957

    Article  PubMed  Google Scholar 

  4. Haugen S, Casserly IP, Regensteiner JG, Hiatt WR (2007) Risk assessment in the patient with established peripheral arterial disease. Vasc Med 12:343–350

    Article  PubMed  Google Scholar 

  5. Hirsch AT, Haskal ZJ, Hertzer NR et al (2006) ACC/AHA 2005 guidelines for the management of patients with peripheral arterial disease (lower extremity, renal, mesenteric, and abdominal aortic): executive summary: a collaborative report from the American Association for Vascular Surgery/Society for Vascular Surgery, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Peripheral Arterial Disease) endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and Blood Institute; Society for Vascular Nursing; TransAtlantic Inter-Society Consensus; and Vascular Disease Foundation. J Am Coll Cardiol 47:1239–1312

    Article  PubMed  Google Scholar 

  6. Höfling B, Pölnitz v A, Backa D et al (1988) Percutaneous atherectomy: A new technique for non-operative removal of atherematous plaques in peripheral arteries. Lancet 1:384–386

    Article  PubMed  Google Scholar 

  7. Levin DC, Rao VM, Parker L et al (2005) The changing roles of radiologists, cardiologists, and vascular surgeons in percutaneous arterial interventions during a recent five-year interval. J Am Coll Radiol 2(1):39–43

    Article  PubMed  Google Scholar 

  8. Mudra H, Büchele W, Mathias K et al (2006) Positionspapier zur Indikation und Durchführung der interventionellen Behandlung extrakranieller Karotisstenosen. Clin Res Cardiol·95 (Suppl 4):85–91

  9. Simpson JB, Johnson DE, Thaphiyal HV et al (1985) Transluminal atherectomy. A new approach to the treatment of atherosclerotic vascular disease. Circulation 72 (Suppl 2):111–146

    Google Scholar 

  10. Strauer BE, Neubaur T, Klepzig M et al (1988) Perkutane periphere Laserangioplastie: erste klinische Ergebnisse. Z Kardiol 77:29–35

    CAS  PubMed  Google Scholar 

  11. White CJ, Ramee SR, Collins TJ et al (1992) Initial results of peripheral vascular angioplasty performed by experienced interventional cardiologists. AM J Cardiol 69:1249–1250

    Article  CAS  PubMed  Google Scholar 

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Behrendt, P., Blessing, E., Darius, H. et al. Positionspapier zur Versorgungslage der perkutanen transluminalen Angioplastie (PTA) peripher-arteriell und renovaskulär in Kliniken und Praxen Deutschlands. Kardiologe 3, 467–473 (2009). https://doi.org/10.1007/s12181-009-0208-z

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  • DOI: https://doi.org/10.1007/s12181-009-0208-z

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