Gefässchirurgie

http://link.springer.com/journal/772

List of Papers (Total 221)

Visceral artery aneurysms

Visceral artery aneurysms are rare with an incidence of only 0.01–0.1% of the population. Open surgical or endovascular elimination should be performed for aneurysms greater than 2 cm in size. The risk of aneurysm rupture is then approximately 25–40%. If the aneurysm ruptures the mortality can be as high as 76%. For mycotic aneurysms or spurious aneurysms there is no lower limit...

Heparininduzierte Thrombozytopenie

Major cardiovascular surgery has the highest risk for heparin-induced thrombocytopenia (HIT), which is associated with a high risk for new thromboembolic complications. Typical clinical symptoms are summarized in the 4Ts score, i. e., platelet count decrease >50% (report on the last available platelet counts when patient are referred), onset between days 5 and 10, new thrombotic...

Noninvasive measurements of tissue perfusion in critical limb ischemia

Critical limb ischemia (CLI) remains a challenge for an interdisciplinary therapeutic team due to chronic nonhealing wounds. Against this background, there is a necessity of quality control after revascularization. Beside the isolated evaluation of the macrocirculation by Ankle-Brachial or Toe-Brachial Index measurements, the microcirculation as an additional important factor of...

Comparison of long-term results of carotid endarterectomy for asymptomatic carotid artery stenosis

This article summarizes the current study situation on treatment of asymptomatic carotid artery stenosis and discusses the evidence situation in the literature. The 10-year results of the ACST study have shown that in comparison to conservative treatment, carotid endarterectomy (CEA) has retained a positive long-term effect on the reduction of all forms of stroke. All multicenter...

Statistische Modelle in der Gefäßchirurgie

Hintergrund Die statistische Modellwahl mit dazugehörender Analysestrategie bestimmt in einem Forschungsprojekt dessen quantitatives Ergebnis. Es existiert in der Regel kein Goldstandard zur Wahl der relevanten Modellierungsstrategie. Der Statistiker kann in Abstimmung mit den weiteren Teammitgliedern im Projekt zwischen einer Vielzahl alternativer Modelle wählen. Folglich kämen...

Perioperative cerebrospinal fluid drainage for the prevention of spinal ischemia after endovascular aortic repair

Endovascular treatment of thoracic and thoracoabdominal aortic diseases is accompanied by a risk of spinal ischemia in 1–19% of patients, depending on the entity and extent of the disease. The use of perioperative drainage of cerebrospinal fluid is one of the invasive measures to reduce the occurrence of this severe complication. This article reviews the incidence of spinal...

Quality of life in patients with intermittent claudication

Background Intermittent claudication (IC) is a common condition that causes pain in the lower limbs when walking and has been shown to severely impact the quality of life (QoL) of patients. The QoL is therefore often regarded as an important measure in clinical trials investigating intermittent claudication. To date, no consensus exits on the type of life questionnaire to be used...