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Behandlung von Poplitea-Aneurysmen mit endovaskulär implantierten Stent-Grafts —Pro

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Varizen · Poplitea-Aneurysmen

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Zusammenfassung

Extraaortale Aneurysmen der unteren Extremität treten am häufigsten an der A. poplitea auf, gefolgt von der A. iliaca (14, 22). Gemessen an allen gefäßchirurgischen Eingriffen stellen sie eine ausgesprochene Rarität dar (4, 14). In großen Autopsie-Studien beträgt ihre Inzidenz 0,2% (15). Die meisten dieser Aneurysmen sind asymptomatisch. Wie ihr natürlicher Verlauf unter Beobachtung jedoch zeigt, kommt es innerhalb von 3 bis 5 Jahren bei bis zu 70% der Patienten zu Komplikationen (7, 8, 10, 29). Die häufigsten Ursachen solcher Komplikationen, die eine chirurgische Behandlung notwendig machen, sind die Thrombose mit 32 bis 44% (4, 5, 13, 29), die Embolie mit dem charakteristischen Zeichen des Blue-toe-Syndroms mit 12 – 34% (4, 5, 29) und Symptome lokaler Expansion wie Schmerz und venöser Kompression in 4 – 18% (4, 24, 29). Die Ruptur ist — im Gegensatz zu iliakalen Aneurysmen — mit 0,5 bis 4,5% vergleichsweise selten (8, 13, 14).

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  1. Radiologische Abteilung, Martin-Luther-Krankenhaus, Caspar-Theyß-Str. 27, D-14193, Berlin, Deutschland

    Dr. med. B. Hagen

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  1. Allgemeines Krankenhaus Harburg, Eißendorfer Pferdeweg 52, 21075, Hamburg, Deutschland

    Herbert Imig  & Alfred Schröder  & 

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© 1995 Dr. Dietrich Steinkopff Verlag, GmbH & Co. KG, Darmstadt

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Hagen, B. (1995). Behandlung von Poplitea-Aneurysmen mit endovaskulär implantierten Stent-Grafts —Pro. In: Imig, H., Schröder, A. (eds) Varizen · Poplitea-Aneurysmen. Steinkopff. https://doi.org/10.1007/978-3-642-47701-0_18

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  • DOI: https://doi.org/10.1007/978-3-642-47701-0_18

  • Publisher Name: Steinkopff

  • Print ISBN: 978-3-7985-1018-0

  • Online ISBN: 978-3-642-47701-0

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