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Kritische Extremitätenischämie

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Evidenzbasierte Gefäßchirurgie

Part of the book series: Evidenzbasierte Chirurgie ((EC))

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Zusammenfassung

Bei Patienten mit kritischer Extremitätenischämie (CLI) sollte, wenn möglich, eine Revaskularisation durchgeführt werden, um den Gewebeverlust zu minimieren. Eine endovaskuläre Behandlung sollte immer dann vorgenommen werden, wenn der angiomorphologische Befund erwarten lässt, dass im Hinblick auf den technischen Erfolg ein der offen chirurgischen Therapie mindestens vergleichbares Ergebnis erzielt wird. Offen chirurgische Verfahren können erwogen werden, wenn sie erfolgversprechender als endovaskuläre Verfahren sind, das operative Risiko vertretbar und eine geeignete autologe Vene verfügbar ist.

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Authors and Affiliations

  1. Klinik und Poliklinik für Gefäßmedizin, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland

    E. Sebastian Debus

  2. ehem. Wissenschaftlicher Medizinischer Direktor Kreiskliniken Altötting-Burghausen, Burghausen, Bayern, Deutschland

    Reinhart T. Grundmann

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  1. E. Sebastian Debus
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  2. Reinhart T. Grundmann
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Correspondence to E. Sebastian Debus .

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Debus, E.S., Grundmann, R.T. (2019). Kritische Extremitätenischämie. In: Evidenzbasierte Gefäßchirurgie. Evidenzbasierte Chirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-57709-7_12

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  • DOI: https://doi.org/10.1007/978-3-662-57709-7_12

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-57708-0

  • Online ISBN: 978-3-662-57709-7

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