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Aneurysmen der infrarenalen Aorta: Klinik, Diagnostik einschließlich Screening und Therapieindikationen

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Operative und interventionelle Gefäßmedizin

Part of the book series: Springer Reference Medizin ((SRM))

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Zusammenfassung

Die Erweiterung des Gefäßdurchmessers um mindestens 50 % zum vor- oder nachgeschalteten gesunden Gefäßabschnitt wird definitionsgemäß als „Aneurysma“ (altgriechisch: ανɛύρυσμα = Erweiterung) bezeichnet. Der durchschnittliche Durchmesser der abdominalen Aorta beträgt geschlechts- und altersabhängig etwa 1,7–2,0 cm. Im abdominellen Aortensegment wird daher im internationalen Konsens ab einem Querdurchmesser von 3,0 cm von einem „Aortenaneurysma“ gesprochen; Erweiterungen zwischen 2,5 und 3,0 cm werden dagegen als „Aortenektasie“ bezeichnet (Hirsch et al. 2006). Beim AAA besteht in der Regel eine Erweiterung aller 3 Wandschichten (Aneurysma verum). Es handelt sich daher im Gegensatz zu dissezierenden Aneurysmen um echte Aneurysmen ohne Intimaflaps und falsche Lumina (falsche Aneurysmen Kap. Aneurysmatische Gefäßerkrankungen: Terminologie, Ätiologie und Lokalisation) (Abb. 1).

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Authors and Affiliations

  1. Klinik und Poliklinik für Gefäßmedizin, Universitätsklinikum Hamburg-Eppendorf (UKE), Martinistr. 52, 20246, Hamburg, Deutschland

    Eike Sebastian Debus

  2. Klinik und Poliklinik für Gefäßmedizin, Universitäres Herzzentrum GmbH, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Deutschland

    Christian-Alexander Behrendt & T. Kölbel

  3. Abt. Diagnostische und interventionelle Radiologie, GefäßCentrum Hamburg (GCH), Asklepios Klinik Harburg, Eißendorfer Pferdeweg 52, 21075, Hamburg, Deutschland

    Walter Gross-Fengels

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  1. Eike Sebastian Debus
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  2. Christian-Alexander Behrendt
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  3. Walter Gross-Fengels
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  4. T. Kölbel
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Correspondence to Eike Sebastian Debus .

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  1. Allgemeines Krankenhaus Harburg, Hamburg, Germany

    Eike Sebastian Debus

  2. Radiologie, Allgemeines Krankenhaus Harburg Abt. Diagnostische und Interventionelle, Hamburg, Germany

    Walter Gross-Fengels

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Debus, E., Behrendt, CA., Gross-Fengels, W., Kölbel, T. (2016). Aneurysmen der infrarenalen Aorta: Klinik, Diagnostik einschließlich Screening und Therapieindikationen. In: Debus, E., Gross-Fengels, W. (eds) Operative und interventionelle Gefäßmedizin. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-45856-3_71-1

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