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Indikationsstellung und Operationsvorbereitung

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Operative und interventionelle Gefäßmedizin
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Zusammenfassung

Es ist zunächst Aufgabe der klinischen Untersuchung, die Diagnose zu stellen und Nebenerkrankungen zu registrieren. Bereits im Stadium der Diagnosefindung muss das Risiko der zu therapierenden Erkrankung und der Begleiterkrankungen gegen das Risiko einer (invasiven) Behandlung und die individuelle Prognose abgewogen werden.

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Literatur

  1. Balzer K (2005) Endovaskuläre Therapie in der Gefäßchirurgie. In: Grundmann RT, Holzgreve A (Hrsg) Jahrbuch der Chirurgie. Biermann, Köln

    Google Scholar 

  2. Bassand JP, Hamm CW, Ardission D, Boersma E, Budaj A, Fernandez-Aviles F, Fox KA, Hasdai D, Ohman EM, Wallentin L, Wijns W (2007) The Task Force for the Diagnosis and Treatment of Non-ST-Segment Elevation Acute Coronary Syndromes of the European Society of Cardiology. Guidelines for the diagnosis and treatment of non-ST-segment elevation acute coronary syndromes: Eur Heart J 28: 1598–660

    Article  CAS  PubMed  Google Scholar 

  3. Bauriedel G, Skowasch D, Lüderitz B (2007) Operationsrisiko aus der Sicht des Kardiologen. Dt Ärzteblatt 104:1396–402

    Google Scholar 

  4. Behr J (2001) Optimizing preoperative lung function. Curr Opin Anaesthesiol 14:65–9

    Article  CAS  PubMed  Google Scholar 

  5. Brooks-Brunn JA (1995) Postoperative atelectasis and pneumonia. Heart Lung 24:94–115

    Article  CAS  PubMed  Google Scholar 

  6. Budde RPJ, Huo F, Cramer MJM, Doevendans PAFM, Bots ML, Moll FL, Prokop M (2010) Simultaneous aortic and coronary assessment in abdominal aortic aneurysm patients by thoracoabdominal 64-detector-row CT angiography: estimate of the impact on preoperative management: a pilot strudy. J Vasc Endovasc Surg 40:196–201

    Article  CAS  Google Scholar 

  7. Chassot PG, Delabays A, Spahn DR (2002) Preoperative evaluation of patients with, or at risk of, coronary artery disease undergoing non-cardiac surgery. Br J Anaesth 89:747–59

    Article  PubMed  Google Scholar 

  8. Dawson JA, Choke E, Loftus IM, Cockerill GW, Thompson MM (2011) A randomized placebo-controlled double-blind trial to evaluate lipid-lowering pharmacotherapy on proteolysis and inflammation in abdominal aortic aneurysms. Eur J Vasc Endovasc Surg 41:28–35

    Article  CAS  PubMed  Google Scholar 

  9. Debus ES, Spech E, Larena-Avellaneda A, Faller HH (2005) Lebensqualität bei arteriellen und venösen Ulcera cruris – Einführung eines krankheitsspezifischen Messinstruments. Gefaesschirurgie 10:99–108

    Article  Google Scholar 

  10. Deutsches Krebsforschungszentrum (2007) Dem Tabakkonsum Einhalt gebieten – Ärzte in Prävention und Therapie der Tabakabhängigkeit. Rote Reihe Tabakprävention und Tabakkontrolle

    Google Scholar 

  11. Eagle KA, Berger PB, Calkins H, Chaitman BR, Ewy GA, Fleischmann KE, Fleisher LA, Froehlich JB, Gusberg RJ, Leppo JA, Ryan T, Schlant RC, Winters WL Jr, Gibbons RJ, Antman EM, Alpert JS, Faxon DP, Fuster V, Gregoratos G, Jacobs AK, Hiratzka LF, Russell RO, Smith SC Jr. (2002) ACC/AHA Guideline Update for Perioperative Cardiovascular Evaluation for Noncardiac Surgery – Executive Summary. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Up- date the 1996 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery). Anesth Analg 94:1052–1064

    Article  PubMed  Google Scholar 

  12. Eagle KA, Rihal CS, Mickel MC, Holmes DR, Foster ED, Gersh BJ (1997) Cardiac risk on noncardiac surgery. Influence of coronary disease and type of surgery in 3368 operations. CASS Investigators and University of Michigan Heart Care Program. Coronary Artery Surgery Study. Circulation 96:1882–1887

    Article  CAS  PubMed  Google Scholar 

  13. Eckstein HH, Heider P, Wolf O et al. (2005) Mindestmengen bei der Karotis-TEA. Ergebnisse der Qualitätssicherung der Deutschen Gesellschaft für Gefäßchirurgie 1999–2001 und Stand der Literatur. Gefäßchirurgie 10:328–335

    Article  Google Scholar 

  14. Ellis JE, Drijvers G, Pedlow S, Laff SP, Sorrentino MJ, Foss JF, Shah M, Busse JR, Mantha S, McKinsey JF, et al. (1994) Pre- medication with oral and transdermal clonidine provides safe and efficacious postoperative sympatholysis. Anesth Analg 79:1133–40

    CAS  PubMed  Google Scholar 

  15. Fleisher LA, Beckman JA, Brown KA, Calkins H, Chaikof E, Fleischmann KE, Freeman WK, Froehlich JB, Kasper EK, Kersten JR, Riegel B, Robb JF, Smith SC Jr, Jacobs AK, Adams CD, Anderson JL, Antman EM, Buller CE, Creager MA, Ettinger SM, Faxon DP, Fuster V, Halperin JL, Hiratzka LF, Hunt SA, Lytle BW, Nishimura R, Ornato JP, Page RL, Tarkington LG, Yancy CW (2007) ACC/AHA 2007 guidelines on perioperative cardiovascular evaluation and care for non- cardiac surgery: are port of the American College of Cardiology/ American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery): developing collaboration with the American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Rhythm Society, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, and Society for Vascular Surgery Circulation 116:418–499

    Google Scholar 

  16. Fleisher LA, Beckman JA, Brown KA, Calkins H, Chaikof EL, Fleischmann KE, Freeman WK, Froehlich JB, Kasper EK, Kersten JR, Riegel B, Robb JF, American College of Cardiology; American Heart Association Task Force on Practice Guidelines; Writing Committee to Update the 2002 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery; American Society of Echocardiography; American Society of Nuclear Cardiology; Heart Rhythm Society; Society of Cardiovascular Anesthesiologists; Society for Cardiovascular Angiography and Interventions; Society for Vascular Medicine and Biology (2007) ACC/AHA 2006 guideline update on perioperative cardiovascular evaluation for noncardiac surgery: focused update on perioperative beta-blocker therapy – a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Update the 2002 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery). Anesth Analg 104: 15–26

    Google Scholar 

  17. Fletcher GF, Balady GJ, Amsterdam EA, Chaitman B, Eckel R, Fleg J, Froelicher VF, Leon AS, Pina IL, Rodney R, Simons-Morton DA, Williams MA, Bazzarre T (2001) Exercise standards for testing and training – a statement for healthcare professionals from the American Heart Association. Circulation 104:1694–740

    Article  CAS  PubMed  Google Scholar 

  18. Fraker Jr TD, Fihn SD, Gibbons RJ, Abrams J, Chatterjee K, Daley J et al. (2007) American College of Cardiology, American Heart Association, American College of Cardiology/American Heart Association task force on practical guidelines writing group. 2007 chronic angina focused update of the ACC/AHA 2002 guidelines for the management of patients with chronic stable angina: a report of the American College of Cardiology/American Heart Association on practical guidelines writing group to develop the focused update of the 2002 guidelines for the management of patients with chronic stable angina. Circulation 116(23):2762– 2772

    Google Scholar 

  19. Gal J, Bogar L, Acsady G, Kertai MD (2006) Cardiac risk reduction in non-cardiac surgery: the role of anaesthesia and monitoring techniques. Eur J Anaesth 23:641–648

    Article  CAS  Google Scholar 

  20. Geldner G, Mertens E, Wappler F, Zwissler B, Kelm M, Leschke M et al. für die Deutsche Gesellschaft für Anästhesiologie und Intensivmedizin, Deutsche Gesellschaft für Innere Medizin und Deutsche Gesellschaft für Chirurgie (2011) Präoperative Evaluation erwachsener Patienten vor elektiven, nichtkardiochirurgischen Eingriffen. Kardiologe 5:13–26

    Google Scholar 

  21. Heberer C, van Dongen RJAM (Hrsg) (1987) Kirschnersche allgemeine und spezielle Operationslehre, Band XI, Gefäßchirurgie. Springer, Berlin Heidelberg New York

    Google Scholar 

  22. Hepp, W, Kogel H (Hrsg) (2007) Gefäßchirurgie. Urban & Fischer, München Jena

    Google Scholar 

  23. Hirsch AT, Haskal ZJ, Hertzer NR et al. (2006) ACC/AHA 2005 Practice Guidelines for the management of patients with peripheral arterial disease (lower extremity, renal, mesenteric, and abdominal aortic): 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. Circulation 113(11):e463–654

    Google Scholar 

  24. Holt PJ, Poloniecki JD, Gerrard D, Loftus IM, Thompson MM (2007) Metaanalysis and systematic review of the relationship between volume and outcome in abdominal aortic aneurysm surgery Br J Surg 94(4): 395–403

    Article  CAS  PubMed  Google Scholar 

  25. Krimphove M, Haase O, Franck M, Kerner Th, Bloch A, Schwenk W, Spiess C (2009) Rationale präoperative Risikoabschätzung I Kardiale und pulmonale Risikoabschätzung bei nicht-kardio-pulmonalen Operationen. Periop Med 1 15–30

    Article  Google Scholar 

  26. Lawall H, Diehm C et al. (2009) S3 Leitlinie pAVK der Deutschen Gesellschaft für Angiologie. VASA 38:1–72

    Article  Google Scholar 

  27. Lederle FA, Nelson DB, Joseph AM (2003) Smokers' relative risk for aortic aneurysm compared with other smoking-related diseases: a systematic review. J Vasc Surg 38: 329–334

    Article  PubMed  Google Scholar 

  28. Lee TH, Marcantonio ER, Mangione CM, Thomas EJ, Carisi A, Polanczyk A, Cook F, Sugarbaker DJ, Donaldson MC, Poss R, Ho KKL, Ludwig LE, Pedan A, Goldmann L (1999) Derication and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery Circulation 100:1043–1049

    Google Scholar 

  29. Liu LL, Dzanik S, Leung JM (2002) Preoperative electrocardiogram abnormalities do not predict postoperative cardiac complications in geriatric surgical patients J Am Geriatr Soc 50: 1186–91

    Article  PubMed  Google Scholar 

  30. Luther B, LP (Hrsg) (2007) Kompaktwissen Gefäßchirurgie. Springer, Berlin Heidelberg

    Google Scholar 

  31. Moll FL, Powell JT, Fraedrich G, Verzini F, Haulon S, Waltham M, van Herwaarden JA, Holt PJE, van Keulen JW, Rantner B, Schlösser FJV, Setacci F, Ricco J-B (2011) Clinical Practice Guidelines of the European Society for Vascular Surgery Eur J Vasc Endovasc Surg 41:1–58

    Article  Google Scholar 

  32. Poldermans D, Bax JJ, Boersma E, De Hirt S, Eeckhout E, Fowkes G et al. (2009) Guidelines for preoperative cardiac risk assessment and perioperative Cardiac management in non-cardiac surgery: the task force for preoperative cardiac risk assessment and perioperative cardiac management in non-cardiac surgery of the european society of cardiology (ESC) and endorsed by the European Society of Anaesthesiology (ESA). Eur Heart J 30:2769– 2812

    Article  PubMed  Google Scholar 

  33. Rutherford RB (ed) (2000) Vascular Surgery, 5th edn. Saunders, Philadelphia

    Google Scholar 

  34. Schouten O, Boersma E, Hoeks SE, Benner R, van Urk H, van Sambeek MR, et al. (2009) Fluvastatin and perioperative events in patients undergoing vascular surgery. N Eng J Med 361:980–989

    Article  CAS  Google Scholar 

  35. Schouten O, Sillesen H, Poldermans D (2010) New guidelinesfrom the European Society of Cardiology for perioperative cardiac care: a summary of implications for elective vascular surgery patients. Editorial Eur J Vasc Endovasc Surg 39:1–4

    Article  CAS  PubMed  Google Scholar 

  36. Smout J, Stansby G (2003) Current practive in the use of antiplatelet agents in the perioperative period by UK vascular surgeons. Ann R Coll Surg Engl 85:97–101

    Article  PubMed Central  PubMed  Google Scholar 

  37. TASC (2000) Trans Atlantic Inter-Society Consensus. Management of peripheral arterial disease. Int Angio 19 (Suppl 1)

    Google Scholar 

  38. Thomsen T, Villebro N, Möller AM (2010) Interventions for smoking cessation. Cochrane Database of Systemic Reviews 7, CD002294

    Google Scholar 

  39. Vollmar J (1996) Rekonstruktive Chirurgie der Arterien, 4. Aufl. Thieme, Stuttgart New York

    Google Scholar 

  40. Walsh SR, Bhutta H, Tang TY, Nunn DL, Armon MP, Clarke JMF, Meyer FJ (2010) Anaesthetic specialization leads to improved early- and medium-term survival following major vascular surgery. Eur J Vasc Endovasc Surg 39:719–725

    Article  CAS  PubMed  Google Scholar 

  41. Zühlke HV, Harnoss BM, Lorenz EPM (1994) Septische Gefäßchirurgie, 2. Aufl. Blackwell, Berlin

    Google Scholar 

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Debus, E., Balzer, K. (2012). Indikationsstellung und Operationsvorbereitung. In: Debus, E., Gross-Fengels, W. (eds) Operative und interventionelle Gefäßmedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-01709-4_9

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  • DOI: https://doi.org/10.1007/978-3-642-01709-4_9

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-01708-7

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