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Unterschenkelarterienverschlüsse (S2)

Leitlinie zur Diagnostik und Therapie von chronischen Stenosen und Verschlüssen der A. tibialis anterior, posterior und der A. peronea

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Leitlinien zu Diagnostik und Therapie in der Gefäßchirurgie

Zusammenfassung

Das fortgeschrittene arterielle Verschlussleiden in den Stadien III und IV ist in der Regel verursacht oder begleitet von Stenosen und Verschlüssen der Unterschenkelarterien. Diese sind ätiologisch in Mitteleuropa ganz überwiegend arteriosklerotisch bedingt. Nur etwa 2% entfallen auf die Thrombangiitis obliterans (M. Winiwater-Buerger, TAO). Bei etwa 50% der Patienten mit Verschlüssen der Unterschenkelarterien liegt zusätzlich ein Diabetes mellitus vor [2, 17, 28]. Am häufigsten von arteriosklerotischen Veränderungen betroffen ist die A. tibialis anterior, gefolgt von der A. tibialis posterior und A. peronea.

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Literatur

  1. Albers M et al., Meta-analysis of popliteal-to-distal vein bypass grafts for critical ischemia. J Vasc Surg (2006), 43(003), 498–453

    Article  PubMed  Google Scholar 

  2. Albers M et al., Meta-analysis of alternate autologous vein bypass to infrapopliteal arteries. J Vasc Surg (2005), 42(003), 449–455

    Article  PubMed  Google Scholar 

  3. Albers M et al., Meta-analysis of polytetrafluoroethylene bypass grafts to infrapopliteal arteries. J Vasc Surg (2003), 37(006), 1263–1269

    Article  PubMed  Google Scholar 

  4. Ballotta E et al., Infrapopliteal arterial revascularization for critical limb ischemia: is the peroneal artery at the distal third a suitable outflow vessel? J Vasc Surg (2008), 47(005), 952–959

    Article  PubMed  Google Scholar 

  5. Ballotta E et al., Prospective randomized study on reversed saphenous vein infrapopliteal bypass to treat limbthreatening ischemia: common femoral artery versus superficial femoral or popliteal and tibial arteries as inflow. J Vasc Surg (2004), 40(004), 732–740

    Article  PubMed  Google Scholar 

  6. Ballotta E et al., Patency and limb salvage rates after distal revascularization to unclampable calcified outflow arteries. J Vasc Surg (2004), 39(003), 539–546

    Article  PubMed  Google Scholar 

  7. Balzer K, Intraoperatives Monitoring in der Gefäßchirurgie. Chirurg (2005), 76(2), 183–195

    Article  CAS  PubMed  Google Scholar 

  8. Brass EP et al., Parenteral therapy with lipo-ecraprost, a lipid-based formulation of a PGE1 analog, does not alter six-month outcomes in patients with critical leg ischemia. J Vasc Surg (2006), 43(004), 752–759

    Article  PubMed  Google Scholar 

  9. Collins R et al., A systematic review of duplex ultrasound, magnetic resonance angiography and computed tomography angiography for the diagnosis and assessment of symptomatic, lower limb peripheral arterial disease. Health Technol Assess (2007), 20, 1–202

    Google Scholar 

  10. Conte MS et al., Femorotibial bypass for claudication: do results justify an aggressive approach? J Vasc Surg (1995), 21(006), 873–881

    Article  CAS  PubMed  Google Scholar 

  11. De Rubertis B et al., Reduced primary patency in diabetic patients after percutaneous intervention results from more frequent presentation with limb-threatening ischemia. J Vasc Surg (2008), 47(001), 101–108

    Article  Google Scholar 

  12. Eskelinen E, Lepäntolo M, Role of infrainguinal angioplasty in the treatment of critical limb ischemia. Scand J Surg (2007), 96(1), 11–16

    CAS  PubMed  Google Scholar 

  13. Eskelinen E et al., Infrapopliteal bypass reduces amputation incidence in elderly patients: a population-based study. Eur J Vasc Endovasc Surg (2003), 26, 65–68

    Article  CAS  PubMed  Google Scholar 

  14. Feinberg RL et al., The use of composite grafts infemorocrural bypasses performed for limb salvage: a review of 108 consecutive cases and comparison with 57 in situ saphenous vein bypasses. J Vasc Surg (2000), 12(003), 257–263

    Article  Google Scholar 

  15. Florek HJ, Rilke C, Zimmermann F, ePTFE Gefässprothese mit bioaktiver Heparinbeschichtung. 1-Jahresergebnisse einer klinischen Serie. Pers Mitt (2008)

    Google Scholar 

  16. Galaria II et al., Popliteal-to-distal bypass: identifying risk factors associated with limb loss and graft failure. Vasc Endovascular Surg (2005), 39(005), 393–400

    Article  PubMed  Google Scholar 

  17. Hirsch AT et al., ACC/AHA 2005 practice guidelines for the management of patients with peripheral arterial disease. Circulation (2006), 113, e463–654

    Article  PubMed  Google Scholar 

  18. Huttner S et al., CT-gesteuerte Sympathikolyse bei peripherer arterieller Verschlusskrankheit. RöFo (2002), 174, 480–e484

    CAS  PubMed  Google Scholar 

  19. Kapfer X, Meichelboek W, Grögler FM, Comparison of carbon-impregnated and standard ePTFE prosthesis in extra-anatomical anterior tibial artery bpass:a prospective randomized multicenter study. Eur J Vasc Endovasc Surg (2006), 32(002), 155–168

    Article  CAS  PubMed  Google Scholar 

  20. Kock MCJM et al., Multi-detector row computed tomography angiography of peripheral arterial disease. Eur Radiol (2007), 17, 3208–3222

    Article  PubMed  Google Scholar 

  21. Kudo T et al., Changing patterns of surgical revascularization für critical limb ischemia over 12 years: endovascular vs open bypass surgery. J Vasc Surg (2006), 44, 304–313

    Article  PubMed  Google Scholar 

  22. Menard MT, Belkin M, Infrapopliteal intervention for the treatment of the claudicant. Sem Vasc Surg (2007), 20(1), 42–53

    Article  Google Scholar 

  23. Met R et al., Subintimal angioplasty for peripheral arterial occlusive disease: a systematic review. Cardiovasc Intervent Radiol (2008)

    Google Scholar 

  24. Norgren L et al., Inter-Society Consensus for the management of peripheral arterial disease (TASC II). J Vasc Surg (2007), 45(001), S5A–S67A

    Article  Google Scholar 

  25. Pentecost MJ et al., Guidelines for peripheral percutaneous angioplasty of the abdominal aorta and lower extremity vessels. J Vasc Interv Radiol (2003), 14, S495–S515

    Article  PubMed  Google Scholar 

  26. Proia RR et al., Early results of infragenicular revascularization based solely on duplex arteriography. J Vasc Surg (2001), 33, 1165–1170

    Article  CAS  PubMed  Google Scholar 

  27. Rümenapf G et al., Gefäßchirurgie bei Diabetikern mit Fußproblemen. Dtsch Ärztebl (2004), 101(49), 3348–3353

    Google Scholar 

  28. Schneider JR et al., Pedal bypass versus tibial bypass with autogenous vein: a comparison of outcome and hemodynamic results. J Vasc Surg (1993), 17(006), 1029–1040

    Article  CAS  PubMed  Google Scholar 

  29. Ubbink DT, Vermeulen H, Spinal cord stimulation for non-reconstructable chronic critical leg ischemia. Cochrane Database Syst Rev (2005), CD004001

    Google Scholar 

  30. Visser K et al., Duplex scan surveillance during the first year after infrainguinal autologous Vein bypass grafting surgery: costs and clinical outcomes compared with other surveillance programms. J Vasc Surg (2001), 33, 123–130

    Article  CAS  PubMed  Google Scholar 

  31. Vraux H, Bertoncello N, Subintimal angioplasty of tibial vessel occlusions in critical limb ischemia: a good opportunity? Eur J Vasc Endovasc Surg (2006), 32, 663–667

    Article  CAS  PubMed  Google Scholar 

  32. Weatherley BD et al., The association of the ankle-brachial index with incident coronary heart disease: the atherosclerosis risk in communities (ARIC) study, 1987–2001, BMC. Cardiovascular Disorders (2007), 7(3)

    Google Scholar 

  33. Willigendael EM et al., Smoking and the patency of lower extremity bypass grafts: a meta-analysis. J Vasc Surg (2005), 42(001), 67–74

    Article  PubMed  Google Scholar 

  34. Wölfle KD et al., Graft patency and clinical outcome of femorodistal arterial reconstruction in diabetic and non-diabetic patients: results of a multicenter comparative analysis. Eur J Vasc Endovasc Surg (2003), 25, 229–234

    Article  PubMed  Google Scholar 

  35. Wölfle KD et al., Tibioperoneal arterial lesions and critical foot ischemia: successful management by the use of short vein grafts and percutaneous transluminal angioplasty. Vasa (2000), 29, 207–214

    Article  PubMed  Google Scholar 

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    © 2010 Springer Medizin Verlag Heidelberg

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    Deutsche Gesellschaft für Gefäßchirurgie. (2010). Unterschenkelarterienverschlüsse (S2). In: Leitlinien zu Diagnostik und Therapie in der Gefäßchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-04710-7_14

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    • DOI: https://doi.org/10.1007/978-3-642-04710-7_14

    • Publisher Name: Springer, Berlin, Heidelberg

    • Print ISBN: 978-3-642-04709-1

    • Online ISBN: 978-3-642-04710-7

    • eBook Packages: Medicine (German Language)

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