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Tiefe Beinvenenthrombosen und Lungenembolien beim Schlaganfall

Prävention und Therapie

Deep vein thrombosis and lung embolisms in patients with stroke

Prevention and therapy

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Zusammenfassung

Die Prävention und Therapie von tiefen Beinvenenthrombosen und Lungenembolien bei Patienten mit akutem Schlaganfall (Ischämie und Blutung) stellen im klinischen Alltag eine besondere Herausforderung dar. Neben einer kurzen Übersicht zu Epidemiologie, Risikofaktoren und Ursachen von tiefen Beinvenenthrombosen und Lungenembolien bei Patienten mit akutem Schlaganfall fokussiert dieser Artikel auf die Sicherheit und Effektivität der prophylaktischen Anwendung von Kompressionsstrümpfen, Kompressionsgeräten und Antikoagulanzien. Es werden im Speziellen Behandlungsoptionen bei manifesten Thrombosen oder Lungenembolien vor dem Hintergrund des erhöhten Rezidivrisikos bei Patienten mit intrakranieller Blutung dargestellt.

Summary

Prevention and therapy of deep vein thrombosis and pulmonary embolisms in patients with acute stroke (ischemia and hemorrhage) represent a special challenge in the clinical routine. This article gives an overview on the epidemiology, risk factors and causes of deep vein thrombosis and pulmonary embolism in patients with acute stroke. The focus lies on the efficacy and safety of prophylactic treatment with compression stockings, compression devices and anticoagulants. Special therapeutic options in the event of symptomatic deep vein thrombosis and pulmonary embolisms in patients with intracerebral hemorrhage and increased risk of recurrent bleeding are presented.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. J. Trabert gibt an, dass kein Interessenkonflikt besteht. T Steiner: Vortragshonorare von folgenden Firmen: Boehringer Ingelheim, Bayer, BMS Pfizer; Beraterhonorare: Boehringer Ingelheim, BMS Pfizer. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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  1. Klinikum Frankfurt Höchst, Gotenstr. 6–8, 65929, Frankfurt a. M., Deutschland

    J. Trabert & T. Steiner MME

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Trabert, J., Steiner, T. Tiefe Beinvenenthrombosen und Lungenembolien beim Schlaganfall. Nervenarzt 85, 1315–1325 (2014). https://doi.org/10.1007/s00115-014-4031-9

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