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Rationelle Diagnostik bei Verdacht auf viszerale und renale Durchblutungsstörungen

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Praxis der angiologischen Diagnostik

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Zusammenfassung

Die intestinale Durchblutung nimmt pathophysiologisch eine Sonderstellung ein. Zwar sind atherosklerotische Einengungen der drei Hauptäste (Truncus coeliacus, A. mesenterica superior, A. mesenterica inferior) ebenso häufig wie im Bereich anderer peripherer Arterien [1, 2], klinisch wirken sich jedoch arterielle Obstruktionen wesentlich seltener aus, als dies von der Inzidenz der pathologischen Veränderung zu erwarten wäre. Der Grund liegt in der ausgedehnten Kollateralisationsmöglichkeit des gesamten intestinalen Gefäßbettes. Die drei wichtigsten Kollateralwege sind:

  • die Riolan-Anastomose von der A. mesenterica superior zur A. mesenterica inferior,

  • die pankreatikoduodenale Arkade vom Truncus coeliacus zur A. mesenterica superior sowie

  • die Verbindung zwischen A. mesenterica inferior zur A. iliaca interna via A. recta-lis.

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Authors
  1. B. Frauchiger
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  2. R. Eichlisberger
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  3. K. A. Jäger
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Editors and Affiliations

  1. Kantonsspital, Universitätskliniken, Petersgraben 4/Spitalstr. 21, CH-4031, Basel, Schweiz

    K. A. Jäger (Leiter Abt. Angiologie) & J. Landmann (Leiter Abt. Gefäßchirurgie) (Leiter Abt. Angiologie) &  (Leiter Abt. Gefäßchirurgie)

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© 1994 Springer-Verlag Berlin Heidelberg

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Frauchiger, B., Eichlisberger, R., Jäger, K.A. (1994). Rationelle Diagnostik bei Verdacht auf viszerale und renale Durchblutungsstörungen. In: Jäger, K.A., Landmann, J. (eds) Praxis der angiologischen Diagnostik. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-78874-1_10

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  • DOI: https://doi.org/10.1007/978-3-642-78874-1_10

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-78875-8

  • Online ISBN: 978-3-642-78874-1

  • eBook Packages: Springer Book Archive

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