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Myokard-SPECT bei der Abklärung der Wirksamkeit von PTCA-Interventionen und koronaren Bypassoperationen

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Single-Photon-Emissions-Computertomographie (SPECT) des Herzens

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Zusammenfassung

Die Entwicklung der Koronarangiographie durch Sones u. Shirey [1] während der 6oer Jahre hat dazu geführt, daß ein direkter Nachweis stenosierender arteriosklerotisch veränderter Koronarien möglich wurde. Die Angiographie bildete somit die Grundlage der Koronarchirurgie. Die erste Operation einer koronaren Herzkrankheit (KHK) durch eine Anastomose der A. mammaria interna an die linke Koronararterie wurde im Jahr 1964 von Kolesov u. Potashov [2] in Leningrad durchgeführt. Bald danach verwandten Favaloro [3] und Effler im Jahr 1967 die Saphenavenen als Conduit und führten erstmalig die Techniken der aortokoronaren Venenbypassoperation (ACVB) ein. Anfangs wurden diese Operationen in erster Linie zur Linderung der Symptome durchgeführt, später auch zur Verbesserung der regionalen Ventrikelfunktion in Ruhe und unter Belastung, was zu einer Verbesserung der Patientenprognose führte. Die ACVB-Operationen wurden in den letzten Jahren zunehmend durchgeführt und haben das Schicksal der Patienten mit KHK grundlegend geändert [4–6]. Patienten mit schwerem Krankheitsbild einer KHK stellen die Hauptnutznießer der operativen Maßnahme dar. Eine optimale Funktionsverbesserung ist abhängig von einer kompletten Myokardrevaskularisation, unter Vermeidung perioperativer Komplikationen oder postoperativer Reverschlüsse.

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  1. Bundeswehrzentralkrankenhaus Koblenz, Rübenacher Straße 170, 56072, Koblenz, Germany

    Helmut J. Wieler (Leitender Arzt der Abt. Nuklearmendizin) (Leitender Arzt der Abt. Nuklearmendizin)

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Notohamiprodjo, G. (1997). Myokard-SPECT bei der Abklärung der Wirksamkeit von PTCA-Interventionen und koronaren Bypassoperationen. In: Wieler, H.J. (eds) Single-Photon-Emissions-Computertomographie (SPECT) des Herzens. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60621-2_14

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