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Erkrankungen der Arteria poplitea (S2)

Leitlinie zu Diagnostik und Therapie von Stenosen, Verschlüssen und Aneurysmata der A. poplitea

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Leitlinien zu Diagnostik und Therapie in der Gefäßchirurgie

Zusammenfassung

Die Arteria femoralis und die Arteria poplitea sind die weitaus häufigsten Lokalisationen von Stenosen und Verschlüssen an den unteren Extremitäten (nahezu 50%). Die Arterienverschlüsse der unteren Gliedmassen sind in der Regel arteriosklerotisch bedingt. Folgerichtig liegt auch in dieser Entität das durchschnittliche Patientenalter in der 6. und 7. Lebensdekade. Treten Claudicatio-Beschwerden bei jüngeren Patienten auf, so müssen anatomische, nicht selten kongenitale Anomalien als Ursache in Erwägung gezogen werden. Ätiologisch werden unterschieden:

  • Arteriosklerose der Arteria poplitea (ca. 85%)

  • Entrapment der Arteria poplitea (ca. 1–3%)

  • Zystische Adventitiadegeneration der Arteria poplitea (ca. 1–2%)

  • Aneurysma der Arteria poplitea (ca. 3–7%)

  • Traumata (20–30% der Gefäßverletzungen betreffen die A. poplitea) [1, 2]

  • Andere

Seltenere Ursachen stellen die fibromuskuläre Dysplasie, das Kompressionssyndrom des Adduktorenkanals und eine kongenitale Aplasie oder Hypoplasie dar.

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    Deutsche Gesellschaft für Gefäßchirurgie

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    Deutsche Gesellschaft für Gefäßchirurgie. (2010). Erkrankungen der Arteria poplitea (S2). In: Leitlinien zu Diagnostik und Therapie in der Gefäßchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-04710-7_13

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    • DOI: https://doi.org/10.1007/978-3-642-04710-7_13

    • Publisher Name: Springer, Berlin, Heidelberg

    • Print ISBN: 978-3-642-04709-1

    • Online ISBN: 978-3-642-04710-7

    • eBook Packages: Medicine (German Language)

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