Zusammenfassung
Die Inzidenz der arteriellen Verschlusskrankheit nimmt parallel zur demografischen Entwicklung in der westlichen Gesellschaft zu. Daher und wegen der technologischen Weiterentwicklung der interventionellen Kathetertherapie steigt die Anzahl der Eingriffe im Bereich der Karotis, der thorakalen und abdominalen Aorta, der Viszeral- und Becken-/Beinarterien. Die Interventionen werden von Fachärzten unterschiedlicher Disziplinen durchgeführt. Um die Durchführung der Kathetereingriffe zu standardisieren und die Qualität auf ein einheitlich hohes Niveau zu bringen, sind in diesem Positionspapier von der Deutschen Gesellschaft für Angiologie/Gefäßmedizin und der Deutschen Gesellschaft für Kardiologie die Voraussetzungen und Standards für endovaskuläre Eingriffe in den oben beschriebenen Gefäßregionen formuliert worden. Neben der klinischen Weiterbildung sind hierzu detaillierte Kenntnisse der nichtinvasiven Diagnostik, Materialkunde, Gefäßanatomie, Pathophysiologie, des Strahlenschutzes und bzgl. Durchführung der Eingriffe Voraussetzung. Für ein eigenständiges Arbeiten sind ferner Mindestzahlen an durchgeführten Interventionen im modular aufgebauten Weiterbildungskonzept formuliert.
Abstract
The incidence of arterial occlusive disease increases in parallel with the demographic development in western society. Therefore, due to the technological advancement of interventional catheter therapy the number of interventions of the carotid artery, the thoracic and abdominal aorta, visceral arteries and in the pelvic and leg arteries increases. These procedures are carried out by specialists of different disciplines. In order to be able to standardize the catheter intervention procedure and to bring the quality to a uniformly high level, the German Society of Angiology/Vascular Medicine and the German Society of Cardiology formulated in this position paper the requirements and standards for endovascular procedures in the above described vascular regions. In addition to clinical qualifications detailed knowledge of the catheter material, vascular anatomy, pathophysiology, radiation protection and realization of the interventions are required. To be able to work independently a required minimum number of performed interventions are formulated in the modular training concept.
This is a preview of subscription content, log in via an institution to check access.
Literatur
Diehm C, Schuster A, Allenberg JR et al (2004) High prevalence of peripheral arterial disease and co-morbidity in 6,880 primary care patients: cross-sectional study. Atherosclerosis 172(1):95–105
Kröger K, Stang A, Kondratieva J et al (2006) Prevalence of peripheral arterial disease – results of the Heinz Nixdorf recall study. Eur J Epidemiol 21(4):279–285
Creager MA, Goldstone J, Hirshfeld JW Jr et al (2004) ACC/ACP/SCAI/SVMB/SVS Clinical Competence Statement on vascular medicine and catheter-based peripheral vascular interventions. A report of the American College of Cardiology/American Heart Association/American College of Physicians Task Force on Clinical Competence (ACC/ACP/SCAI/SVMB/SVS Writing Committee to develop a clinical competence statement on peripheral vascular disease). Vasc Med 9(3):233–248
Rosenfield K, Babb JD, Cates CU et al (2005) Clinical competence statement on carotid stenting: training and credentialing for carotid stenting – multispecialty consensus recommendations: a report of the SCAI/SVMB/SVS Writing Committee to develop a clinical competence statement on carotid interventions. J Am Coll Cardiol 45(1):165–174
Levin DC, Becker GJ, Dorros G et al (1992) Training standards for physicians performing peripheral angioplasty and other percutaneous peripheral vascular interventions. A statement for health professionals from the Special Writing Group of the Councils on Cardiovascular Radiology, Cardio-Thoracic and Vascular Surgery, and Clinical Cardiology, the American Heart Association. Circulation 86(4):1348–1350
White RA, Hodgson KJ, Ahn SS et al (1999) Endovascular interventions training and credentialing for vascular surgeons. J Vasc Surg 29(1):177–186
Babb JD, Collins TJ, Cowley MJ et al (1999) Revised guidelines for the performance of peripheral vascular intervention. Catheter Cardiovasc Interv 46(1):21–23
Spittell JA Jr, Nanda NC, Creager MA et al (1993a) Recommendations for training in vascular medicine. American College of Cardiology Peripheral Vascular Disease Committee. J Am Coll Cardiol 22(2):626–628
Creager MA, Hirsch AT, Cooke JP et al (2003b) Postgraduate training in vascular medicine: proposed requirements and standards. Vasc Med 8(1):47–52
Spittell JA Jr, Nanda NC, Creager MA et al (1993b) Recommendations for peripheral transluminal angioplasty: training and facilities. American College of Cardiology Peripheral Vascular Disease Committee. J Am Coll Cardiol 21(2):546–548
Gohlke H, Kübler W, Mathes P et al (2005) German Society of Cardiology. Position paper on the primary prevention of cardiovascular diseases. Current position of the 25.3.2003 Statement of the Board of the German Society of Cardiology – heart and circulatory research work commissioned by for the Board by Project Group on Prevention. Z Kardiol 94(Suppl 3):III/113–115
Hirsch AT, Haskal ZJ, Hertzer NR et al (2006) ACC/AHA Guidelines for the Management of Patients with Peripheral Arterial Disease (lower extremity, renal, mesenteric, and abdominal aortic): a collaborative report from the American Associations 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) – summary of recommendations. J Vasc Interv Radiol 17(9):1383–1397
Norgren L, Hiatt WR, Dormandy JA et al (2007) Inter-society consensus for the management of peripheral arterial disease (TASC II). J Vasc Surg 45(Suppl S):5–67
Ankle Brachial Index Collaboration, Fowkes FG, Murray GD et al (2008) Ankle brachial index combined with Framingham Risk Score to predict cardiovascular events and mortality: a meta-analysis. JAMA 300(2):197–208
Regensteiner JG, Hiatt WR, Coll JR et al (2008) The impact of peripheral arterial disease on health-related quality of life in the Peripheral Arterial Disease Awareness, Risk, and Treatment: New Resources for Survival (PARTNERS) Program. Vasc Med 13(1):15–24
Lawall H, Diehm C, Pittrow P/DGA (2009) Leitlinien zur Diagnostik und Therapie der peripheren arteriellen Verschlusskrankheit (PAVK). VASA 38(Suppl 75):1–70
Tendera M, Aboyans V, Bartelink M-L et al (2011) ESC guidelines on the diagnosis and treatment of peripheral arterial disease. Eur Heart J 32:2851–2906
Osterhues HH, Baer FM, Kelm M et al (2007) Kommentar zu den Leitlinien zur perioperativen kardiovaskulären Evaluation bei nichtkardialer Chirurgie der ACC/AHA. Kardiologe 1:18–30
Brott ThG, Halperin JL, Abbara S et al (2011) 2011 ASA/ACCF/AANN/AANS/ACR/ASNR/CNS/SAIP/SCAI/SIR/SNIS/SVM/SVS Guideline on the Management of Patients With Extracranial Carotid and Verebral Artery Disease. Circulation 124:489–532
Cremonesi A, Setacci C, Bignamini A et al (2006) Carotid artery stenting: first consensus document of the ICCS-SPREAD Joint Committee. Stroke 37(9):2400–2409
Menelaou O/DGIM (2012) Weiterbildung im Gebiet der Inneren Medizin. Springer, Berlin Heidelberg New York, S 45
Interessenkonflikt
Der korrespondierende Autor gibt für sich und seine Koautoren an, dass kein Interessenkonflikt besteht.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Schulte, KL., Amendt, K., Hoffmann, U. et al. Curriculum Interventionelle Therapie der arteriellen Gefäßerkrankungen. Kardiologe 6, 375–389 (2012). https://doi.org/10.1007/s12181-012-0453-4
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12181-012-0453-4