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Chronischer Gefäßverschluss

  • Chapter
Interventionelle Gefäßtherapie

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Zusammenfassung

Auch wenn die Indikation zur koronaren Angioplastik ursprünglich in der Erweiterung hochgradiger Stenosen in proximalen Segmenten großer Koronararterien gesehen wurde, die zu einer Angina pectoris und/oder Ischämiereaktion führten, wurde vereinzelt bereits sehr früh auch die Rekanalisation von Gefäßverschlüssen versucht [11, 26, 42]. In der Mehrzahl dieser Fälle handelt es sich um subakute Verschlüsse, die zwischen der diagnostischen Angiographie und dem Zeitpunkt der geplanten PTCA eingetreten waren. Inzwischen nehmen Rekanalisationseingriffe bei chronischen Verschlüssen 20-35% der Gesamtzahl der PTCAEingriffe ein [29, 49, 58]. Dabei handelt es sich fast ausschließlich um Eingriffe an nativen Koronargefäßen, während zu Eingriffen an verschlossenen Venenbypasses nur vergleichsweise kleine Zahlen vorliegen [5, 6, 10, 21, 22, 23, 36, 64], die zudem überwiegend Zusammenstellungen von Patienten beinhalten, die in einem Zeitraum von mehr als 10 Jahren behandelt wurden [5, 36].

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  1. G. Kober
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Editors and Affiliations

  1. Kardiologische Fachklinik Herz- und Kreislaufzentrum, Rotenburg an der Fulda, Heinz-Meise-Str. 100, Rotenburg a.d.F., 36199, Germany

    Christian Vallbracht

  2. LVA Aggertalklinik, Am Sondersiefen 18, Engelskirchen, 51766, Germany

    Franz-Josef Roth

  3. Abteilung für Angiologie, Dominikus-Krankenhaus Düsseldorf, Am Heerdter Krankenhaus 2, Düsseldorf, 40549, Germany

    Andreas L. Strauss (Chefarzt) (Chefarzt)

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Kober, G. (2002). Chronischer Gefäßverschluss. In: Vallbracht, C., Roth, FJ., Strauss, A.L. (eds) Interventionelle Gefäßtherapie. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-642-57540-2_13

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