Advertisement

Leitlinien Aortenerkrankungen der European Society of Cardiology

Zusammenfassung und Kommentar
  • B. Rylski
  • M. Siepe
  • F. A. Kari
  • S. Kondov
  • J. Morlock
  • J. Scheumann
  • F. Beyersdorf
  • M. Czerny
Evidenzbasierte Medizin
  • 298 Downloads

Zusammenfassung

In der Aortenmedizin sind noch viele Fragen offen. Leitlinien helfen uns dabei, die bestmögliche Entscheidung zur Therapie einer Aortenerkrankung zu treffen. Dieser Übersichtsbeitrag zu den Leitlinien der European Society of Cardiology (ESC) über Aortenerkankungen fasst die aktuellen Kernempfehlungen bezüglich der Behandlung der Aortenpathologien zusammen. Mehr Informationen zu seltenen Erkrankungen wie Aortentumoren, Aortitis und seltene genetische Aortenerkankungen sind in den Leitlinien ausführlich dargestellt.

Schlüsselwörter

Aortendissektion Aneurysma Aortenruptur Hämatom Genetische Erkrankungen 

Guidelines on aortic diseases of the European Society of Cardiology

Summary and comments

Abstract

In medicine of the aorta many questions are still unanswered. Guidelines help us to make the best possible decision for treatment of aortic diseases. This review article on the guidelines of the European Society of Cardiology (ESC) on aortic diseases summarizes the current core recommendations with respect to the treatment of aortic pathologies. More information on rare diseases, such as tumors of the aorta, aortitis and rare genetic diseases of the aorta are comprehensively described in the guidelines.

Keywords

Aortic dissection Aneurysma Aortic rupture Hematoma Genetic diseases 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

M. Siepe, F. A. Kari, S. Kondov, J. Morlock, J. Scheumann und F. Beyersdorf geben an, dass kein Interessenkonflikt besteht. B. Rylski und M. Czerny sind Consultants für Bolton Medical.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

Literatur

  1. 1.
    Wikipedia (2017) https://de.wikipedia.org/wiki/Medizinische_Leitlinie. Zugegriffen: 31. Okt. 2017
  2. 2.
    Erbel R, Aboyans V, Boileau C, Bossone E, Bartolomeo RD, Eggebrecht H, Evangelista A, Falk V, Frank H, Gaemperli O, Grabenwöger M, Haverich A, Iung B, Manolis AJ, Meijboom F, Nienaber CA, Roffi M, Rousseau H, Sechtem U, Sirnes PA, Allmen RS, Vrints CJ, ESC Committee for Practice Guidelines (2014) 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology. Eur Heart J 35:2873–2926CrossRefPubMedGoogle Scholar
  3. 3.
    Rylski B, Desjardins B, Moser W, Bavaria JE, Milewski RK (2014) Gender-related changes in aortic geometry throughout life. Eur J Cardiothorac Surg 45:805–811CrossRefPubMedGoogle Scholar
  4. 4.
    Berezowski M, Morlock J, Beyersdorf F, Jasinski M, Plonek T, Siepe M, Czerny M, Rylski B (2017) Semi-controlled aortic stentgraft deployment in the distal landing zone: incidence, reasons and consequences. Eur J Cardiothorac Surg.  https://doi.org/10.1093/ejcts/ezx379 PubMedGoogle Scholar
  5. 5.
    Berretta P, Patel HJ, Gleason TG, Sundt TM, Myrmel T, Desai N, Korach A, Panza A, Bavaria J, Khoynezhad A, Woznicki E, Montgomery D, Isselbacher EM, Di Bartolomeo R, Fattori R, Nienaber CA, Eagle KA, Trimarchi S, Di Eusanio M (2016) IRAD experience on surgical type A acute dissection patients: results and predictors of mortality. Ann Cardiothorac Surg 5:346–351Google Scholar
  6. 6.
    Boening A, Karck M, Conzelmann LO, Easo J, Krüger T, Rylski B, Weigang E (2017) German registry for acute aortic dissection type A: structure, results, and future perspectives. Thorac Cardiovasc Surg 65:77–84PubMedGoogle Scholar
  7. 7.
    Rylski B, Beyersdorf F, Kari FA, Schlosser J, Blanke P, Siepe M (2014) Acute type A aortic dissection extending beyond ascending aorta: limited or extensive distal repair. J Thorac Cardiovasc Surg 148:949–954CrossRefPubMedGoogle Scholar
  8. 8.
    Rylski B, Bavaria JE, Milewski RK, Vallabhajosyula P, Moser W, Kremens E, Pochettino A, Szeto WY, Desai ND (2014) Long-term results of neomedia sinus valsalva repair in 489 patients with type A aortic dissection. Ann Thorac Surg 98:582–588CrossRefPubMedGoogle Scholar
  9. 9.
    Rylski B, Pérez M, Beyersdorf F, Reser D, Kari FA, Siepe M, Czerny M (2017) Acute non-A non-B aortic dissection: incidence, treatment and outcome. Eur J Cardiothorac Surg.  https://doi.org/10.1093/ejcts/ezx142 Google Scholar
  10. 10.
    Urbanski PP, Wagner M (2016) Acute non-A-non-B aortic dissection: surgical or conservative approach? Eur J Cardiothorac Surg 49:1249–1254CrossRefPubMedGoogle Scholar
  11. 11.
    Stanger O, Schachner T, Gahl B, Oberwalder P, Englberger L, Thalmann M, Harrington D, Wiedemann D, Südkamp M, Sheppard MN, Field M, Rylski B, Petrou M, Carrel T, Bonatti J, Pepper J (2013) Type A aortic dissection after nonaortic cardiac surgery. Circulation 128:1602–1611CrossRefPubMedGoogle Scholar
  12. 12.
    Hirsch AT, Haskal ZJ, Hertzer NR, Bakal CW, Creager MA, Halperin JL, Hiratzka LF, Murphy WR, Olin JW, Puschett JB, Rosenfield KA, Sacks D, Stanley JC, Taylor LM Jr, White CJ, White J, White RA, Antman EM, Smith SC Jr, Adams CD, Anderson JL, Faxon DP, Fuster V, Gibbons RJ, Hunt SA, Jacobs AK, Nishimura R, Ornato JP, Page RL, Riegel B, 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, ACC/AHA Task Force on Practice Guidelines Writing Committee to Develop Guidelines for the Management of Patients With Peripheral Arterial Disease, American Association of Cardiovascular and Pulmonary Rehabilitation, National Heart, Lung, and Blood Institute, Society for Vascular Nursing, TransAtlantic Inter-Society Consensus, Vascular Disease Foundation (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:e463–e654CrossRefPubMedGoogle Scholar
  13. 13.
    Hiratzka LF, Bakris GL, Beckman JA, Bersin RM, Carr VF, Casey DE Jr, Eagle KA, Hermann LK, Isselbacher EM, Kazerooni EA, Kouchoukos NT, Lytle BW, Milewicz DM, Reich DL, Sen S, Shinn JA, Svensson LG, Williams DM, American College of Cardiology Foundation American Heart Association Task Force on Practice Guidelines, American Association for Thoracic Surgery, American College of Radiology, American Stroke Association, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of Thoracic Surgeons, Society for Vascular Medicine (2010) 2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM guidelines for the diagnosis and management of patients with thoracic aortic disease: executive summary. A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, American Association for Thoracic Surgery, American College of Radiology, American Stroke Association, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of Thoracic Surgeons, and Society for Vascular Medicine. Catheter Cardiovasc Interv 76:E43–E86CrossRefPubMedGoogle Scholar
  14. 14.
    Hiratzka LF, Creager MA, Isselbacher EM, Svensson LG, 2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease Representative Members, Nishimura RA, Bonow RO, Guyton RA, Sundt TM 3rd (2016) Surgery for aortic dilatation in patients with bicuspid aortic valves: a statement of clarification from the American College of Cardiology/American Heart Association Task Force on clinical practice guidelines. J Thorac Cardiovasc Surg 151(4):959–966.  https://doi.org/10.1016/j.jtcvs.2015.12.001 CrossRefPubMedGoogle Scholar
  15. 15.
    Nishimura RA, Otto CM, Bonow RO, Carabello BA, Erwin JP 3rd, Guyton RA, O’Gara PT, Ruiz CE, Skubas NJ, Sorajja P, Sundt TM 3rd, Thomas JD, American College of Cardiology/American Heart Association Task Force on Practice Guidelines (2014) 2014 AHA/ACC guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on practice guidelines. J Am Coll Cardiol 63:e57–185CrossRefPubMedGoogle Scholar
  16. 16.
    Rylski B, Blanke P, Beyersdorf F, Desai ND, Milewski RK, Siepe M et al (2014) How does the ascending aorta geometry change when it dissects? J Am Coll Cardiol 63:1311–1319CrossRefPubMedGoogle Scholar
  17. 17.
    Rylski B, Muñoz C, Beyersdorf F, Siepe M, Reser D, Carrel T, Schoenhoff F, Schlensak C, Lescan M, Eckstein HH, Reutersberg B, Erbel R, Janosi RA, Czerny M (2017) How does descending aorta geometry change when it dissects? Eur J Cardiothorac Surg.  https://doi.org/10.1093/ejcts/ezx292 Google Scholar
  18. 18.
    Rylski B, Branchetti E, Bavaria JE, Vallabhajosyula P, Szeto WY, Milewski RK, Desai ND (2014) Modeling of predissection aortic size in acute type A dissection: more than 90 % fail to meet the guidelines for elective ascending replacement. J Thorac Cardiovasc Surg 148:944–948.e1CrossRefPubMedGoogle Scholar

Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2017

Authors and Affiliations

  • B. Rylski
    • 1
  • M. Siepe
    • 1
  • F. A. Kari
    • 1
  • S. Kondov
    • 1
  • J. Morlock
    • 1
  • J. Scheumann
    • 1
  • F. Beyersdorf
    • 1
  • M. Czerny
    • 1
  1. 1.Medizinische FakultätUniversitäts-Herzzentrum Freiburg, Bad Krozingen, Universität FreiburgFreiburgDeutschland

Personalised recommendations