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Erschienen in: Notfall +  Rettungsmedizin 4/2017

17.03.2017 | Leitthema

Aktuelle Therapieoptionen beim rupturierten abdominellen Aortenaneurysma

verfasst von: G. Kouvelos, A. Katsargyris, I. Töpel, M. Steinbauer, Prof. Dr. E. L. G. Verhoeven

Erschienen in: Notfall + Rettungsmedizin | Ausgabe 4/2017

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Zusammenfassung

Die endovaskuläre Behandlung von rupturierten Bauchaortenaneurysmen (rEVAR) hatte in Beobachtungsstudien großer Zentren mit entsprechender Erfahrung vielversprechende Überlebensraten gezeigt, die denen der offenen Operation überlegen waren. Die hierzu durchgeführten randomisiert-kontrollierten Studien zeigten vergleichbare Ergebnisse, die jedoch den breiteren Einsatz der rEVAR assoziiert nahelegen. Für den Einsatz der rEVAR und für die bestmögliche Versorgung von rupturierten Bauchaortenaneurysmen sowohl mit rEVAR, aber auch offener Operation ist ein standardisiertes Behandlungsprotokoll mit der entsprechenden Schulung aller beteiligter Berufsgruppen sowie eine adäquate räumliche, technische und materialtechnische Ausstattung im Gefäßzentrum notwendig.
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Metadaten
Titel
Aktuelle Therapieoptionen beim rupturierten abdominellen Aortenaneurysma
verfasst von
G. Kouvelos
A. Katsargyris
I. Töpel
M. Steinbauer
Prof. Dr. E. L. G. Verhoeven
Publikationsdatum
17.03.2017
Verlag
Springer Medizin
Erschienen in
Notfall + Rettungsmedizin / Ausgabe 4/2017
Print ISSN: 1434-6222
Elektronische ISSN: 1436-0578
DOI
https://doi.org/10.1007/s10049-017-0279-5