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Akute Extremitätenischämie

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Evidenzbasierte Gefäßchirurgie

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Zusammenfassung

Die akute Extremitätenischämie verlangt die sofortige Untersuchung durch den Gefäßspezialisten, da ohne Behandlung innerhalb von Stunden ein irreversibler Nerven- und Muskelschaden auftreten kann. Der Ischämiegrad wird nach Rutherford kategorisiert. Für die Initialbehandlung stehen offener chirurgischer Eingriff und Thrombolyse zur Verfügung. Eine eindeutige Empfehlung, welches Verfahren bevorzugt werden sollte, lässt sich nicht geben, jedoch ist bei Patienten mit motorischem oder schwerem sensorischem Defizit (Ischämiegrad Grad IIB) die Chirurgie angezeigt.

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Authors and Affiliations

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

    E. Sebastian Debus

  2. ehem. Wissenschaftlich Medizinischer Direktor Kreiskliniken Altötting-Burghausen, Burghausen, 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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© 2015 Springer-Verlag Berlin Heidelberg

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Debus, E., Grundmann, R. (2015). Akute Extremitätenischämie. In: Evidenzbasierte Gefäßchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-47167-8_10

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  • DOI: https://doi.org/10.1007/978-3-662-47167-8_10

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-47166-1

  • Online ISBN: 978-3-662-47167-8

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