Skip to main content
Erschienen in: MMW - Fortschritte der Medizin 10/2018

29.05.2018 | Bauchaortenaneurysma | FORTBILDUNG . ÜBERSICHT

Wann überweisen? Wie weiter betreuen?

Das Bauchaortenaneurysma in der hausärztlichen Versorgung

verfasst von: Dr. med. Christian-Alexander Behrendt, Dr. med. Henrik C. Rieß, Dr. med. Holger Diener, PD Dr. med. Nikolaos Tsilimparis, Dr. med. Franziska Heidemann, PD Dr. med. Sabine Wipper, Prof. Dr. med. Axel-Antonio Larena-Avellaneda, Prof. Dr. med. Tilo Kölbel, Prof. Dr. med. E. Sebastian Debus

Erschienen in: MMW - Fortschritte der Medizin | Ausgabe 10/2018

Einloggen, um Zugang zu erhalten

Zusammenfassung

Aufgrund der Verwendung von Schlagwörtern wie „Silent Killer“ oder „Zeitbombe im Bauch“ in der Boulevardpresse sehen sich auch Hausärzte immer wieder mit besorgten Patienten oder deren Angehörigen konfrontiert. Dabei muss durchaus nicht jeder Patient invasiv therapiert werden. Sinnvoll sind das effiziente Screening von Risikopopulationen und eine individuelle Stufendiagnostik, die durch eine optimale konservative Therapie und befundadaptierte Überwachung komplettiert werden sollte. Erfahren Sie hier, was zu tun ist.
Literatur
1.
Zurück zum Zitat Jahangir E, Lipworth L, Edwards TL, Kabagambe EK, Mumma MT, Mensah GA, Fazio S, Blot WJ and Sampson UK. Smoking, sex, risk factors and abdominal aortic aneurysms: a prospective study of 18 782 persons aged above 65 years in the Southern Community Cohort Study. Journal of epidemiology and community health. 2015;69:481–8CrossRefPubMed Jahangir E, Lipworth L, Edwards TL, Kabagambe EK, Mumma MT, Mensah GA, Fazio S, Blot WJ and Sampson UK. Smoking, sex, risk factors and abdominal aortic aneurysms: a prospective study of 18 782 persons aged above 65 years in the Southern Community Cohort Study. Journal of epidemiology and community health. 2015;69:481–8CrossRefPubMed
2.
Zurück zum Zitat Cornuz J, Sidoti Pinto C, Tevaearai H and Egger M. Risk factors for asymptomatic abdominal aortic aneurysm: systematic review and meta-analysis of population-based screening studies. Eur J Public Health. 2004;14:343–9CrossRefPubMed Cornuz J, Sidoti Pinto C, Tevaearai H and Egger M. Risk factors for asymptomatic abdominal aortic aneurysm: systematic review and meta-analysis of population-based screening studies. Eur J Public Health. 2004;14:343–9CrossRefPubMed
3.
Zurück zum Zitat Lederle FA, Johnson GR, Wilson SE, Chute EP, Hye RJ, Makaroun MS, Barone GW, Bandyk D, Moneta GL and Makhoul RG. The aneurysm detection and management study screening program: validation cohort and final results. Aneurysm Detection and Management Veterans Affairs Cooperative Study Investigators. Arch Intern Med. 2000;160:1425–30CrossRefPubMed Lederle FA, Johnson GR, Wilson SE, Chute EP, Hye RJ, Makaroun MS, Barone GW, Bandyk D, Moneta GL and Makhoul RG. The aneurysm detection and management study screening program: validation cohort and final results. Aneurysm Detection and Management Veterans Affairs Cooperative Study Investigators. Arch Intern Med. 2000;160:1425–30CrossRefPubMed
4.
Zurück zum Zitat Golledge J, Moxon J, Pinchbeck J, Anderson G, Rowbotham S, Jenkins J, Bourke M, Bourke B, Dear A, Buckenham T, Jones R and Norman PE. Association between metformin prescription and growth rates of abdominal aortic aneurysms. Br J Surg. 2017;104:1486–93CrossRefPubMed Golledge J, Moxon J, Pinchbeck J, Anderson G, Rowbotham S, Jenkins J, Bourke M, Bourke B, Dear A, Buckenham T, Jones R and Norman PE. Association between metformin prescription and growth rates of abdominal aortic aneurysms. Br J Surg. 2017;104:1486–93CrossRefPubMed
5.
6.
Zurück zum Zitat Anjum A and Powell JT. Is the incidence of abdominal aortic aneurysm declining in the 21st century? Mortality and hospital admissions for England & Wales and Scotland. Eur J Vasc Endovasc Surg. 2012;43:161–6CrossRefPubMed Anjum A and Powell JT. Is the incidence of abdominal aortic aneurysm declining in the 21st century? Mortality and hospital admissions for England & Wales and Scotland. Eur J Vasc Endovasc Surg. 2012;43:161–6CrossRefPubMed
7.
Zurück zum Zitat Svensjo S, Bjorck M and Wanhainen A. Editor’s choice: five-year outcomes in men screened for abdominal aortic aneurysm at 65 years of age: a population-based cohort study. Eur J Vasc Endovasc Surg. 2014;47:37–44CrossRefPubMed Svensjo S, Bjorck M and Wanhainen A. Editor’s choice: five-year outcomes in men screened for abdominal aortic aneurysm at 65 years of age: a population-based cohort study. Eur J Vasc Endovasc Surg. 2014;47:37–44CrossRefPubMed
8.
Zurück zum Zitat Benson RA, Poole R, Murray S, Moxey P and Loftus IM. Screening results from a large United Kingdom abdominal aortic aneurysm screening center in the context of optimizing United Kingdom National Abdominal Aortic Aneurysm Screening Programme protocols. J Vasc Surg. 2016;63:301–4CrossRefPubMed Benson RA, Poole R, Murray S, Moxey P and Loftus IM. Screening results from a large United Kingdom abdominal aortic aneurysm screening center in the context of optimizing United Kingdom National Abdominal Aortic Aneurysm Screening Programme protocols. J Vasc Surg. 2016;63:301–4CrossRefPubMed
9.
Zurück zum Zitat Ulug P, Powell JT, Sweeting MJ, Bown MJ, Thompson SG and Group SC. Meta-analysis of the current prevalence of screen-detected abdominal aortic aneurysm in women. Br J Surg. 2016;103:1097–104CrossRefPubMedPubMedCentral Ulug P, Powell JT, Sweeting MJ, Bown MJ, Thompson SG and Group SC. Meta-analysis of the current prevalence of screen-detected abdominal aortic aneurysm in women. Br J Surg. 2016;103:1097–104CrossRefPubMedPubMedCentral
10.
Zurück zum Zitat Karthikesalingam A, Holt PJ, Vidal-Diez A, Ozdemir BA, Poloniecki JD, Hinchliffe RJ and Thompson MM. Mortality from ruptured abdominal aortic aneurysms: clinical lessons from a comparison of outcomes in England and the USA. Lancet. 2014;383:963–9CrossRefPubMed Karthikesalingam A, Holt PJ, Vidal-Diez A, Ozdemir BA, Poloniecki JD, Hinchliffe RJ and Thompson MM. Mortality from ruptured abdominal aortic aneurysms: clinical lessons from a comparison of outcomes in England and the USA. Lancet. 2014;383:963–9CrossRefPubMed
11.
Zurück zum Zitat Behrendt CA, Sedrakyan A, Riess HC, Heidemann F, Kolbel T, Petersen J and Debus ES. Short-term and long-term results of endovascular and open repair of abdominal aortic aneurysms in Germany. J Vasc Surg. 2017;66:1704–11 e3CrossRefPubMed Behrendt CA, Sedrakyan A, Riess HC, Heidemann F, Kolbel T, Petersen J and Debus ES. Short-term and long-term results of endovascular and open repair of abdominal aortic aneurysms in Germany. J Vasc Surg. 2017;66:1704–11 e3CrossRefPubMed
12.
Zurück zum Zitat Kuhnl A, Erk A, Trenner M, Salvermoser M, Schmid V and Eckstein HH. Incidence, Treatment and Mortality in Patients with Abdominal Aortic Aneurysms. Dtsch Arztebl Int. 2017;114:391–98PubMedPubMedCentral Kuhnl A, Erk A, Trenner M, Salvermoser M, Schmid V and Eckstein HH. Incidence, Treatment and Mortality in Patients with Abdominal Aortic Aneurysms. Dtsch Arztebl Int. 2017;114:391–98PubMedPubMedCentral
13.
Zurück zum Zitat DeStatis SB. Krankenhausdiagnosestatistik. 2014;2014:Gesundheitsberichterstattung des Bundes. DeStatis SB. Krankenhausdiagnosestatistik. 2014;2014:Gesundheitsberichterstattung des Bundes.
14.
Zurück zum Zitat Erbel R, Aboyans V, Boileau C, Bossone E, Bartolomeo RD, Eggebrecht H, Evangelista A, Falk V, Frank H, Gaemperli O, Grabenwoger M, Haverich A, Iung B, Manolis AJ, Meijboom F, Nienaber CA, Roffi M, Rousseau H, Sechtem U, Sirnes PA, Allmen RS, Vrints CJ and Guidelines ESCCfP. 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC). European heart journal. 2014;35:2873–926.CrossRefPubMed Erbel R, Aboyans V, Boileau C, Bossone E, Bartolomeo RD, Eggebrecht H, Evangelista A, Falk V, Frank H, Gaemperli O, Grabenwoger M, Haverich A, Iung B, Manolis AJ, Meijboom F, Nienaber CA, Roffi M, Rousseau H, Sechtem U, Sirnes PA, Allmen RS, Vrints CJ and Guidelines ESCCfP. 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC). European heart journal. 2014;35:2873–926.CrossRefPubMed
15.
Zurück zum Zitat Moll FL, Powell JT, Fraedrich G, Verzini F, Haulon S, Waltham M, van Herwaarden JA, Holt PJ, van Keulen JW, Rantner B, Schlosser FJ, Setacci F, Ricco JB and European Society for Vascular S. Management of abdominal aortic aneurysms clinical practice guidelines of the European society for vascular surgery. Eur J Vasc Endovasc Surg. 2011;41(Suppl. 1):S1–S58CrossRefPubMed Moll FL, Powell JT, Fraedrich G, Verzini F, Haulon S, Waltham M, van Herwaarden JA, Holt PJ, van Keulen JW, Rantner B, Schlosser FJ, Setacci F, Ricco JB and European Society for Vascular S. Management of abdominal aortic aneurysms clinical practice guidelines of the European society for vascular surgery. Eur J Vasc Endovasc Surg. 2011;41(Suppl. 1):S1–S58CrossRefPubMed
16.
Zurück zum Zitat Chaikof EL, Dalman RL, Eskandari MK, Jackson BM, Lee WA, Mansour MA, Mastracci TM, Mell M, Murad MH, Nguyen LL, Oderich GS, Patel MS, Schermerhorn ML and Starnes BW. The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm. J Vasc Surg. 2018;67:2–77 e2CrossRefPubMed Chaikof EL, Dalman RL, Eskandari MK, Jackson BM, Lee WA, Mansour MA, Mastracci TM, Mell M, Murad MH, Nguyen LL, Oderich GS, Patel MS, Schermerhorn ML and Starnes BW. The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm. J Vasc Surg. 2018;67:2–77 e2CrossRefPubMed
17.
Zurück zum Zitat Marston WA, Ahlquist R, Johnson G, Jr. and Meyer AA. Misdiagnosis of ruptured abdominal aortic aneurysms. J Vasc Surg. 1992;16:17–22CrossRefPubMed Marston WA, Ahlquist R, Johnson G, Jr. and Meyer AA. Misdiagnosis of ruptured abdominal aortic aneurysms. J Vasc Surg. 1992;16:17–22CrossRefPubMed
18.
Zurück zum Zitat Lloyd GM, Bown MJ, Norwood MG, Deb R, Fishwick G, Bell PR and Sayers RD. Feasibility of preoperative computer tomography in patients with ruptured abdominal aortic aneurysm: a time-to-death study in patients without operation. J Vasc Surg. 2004;39:788–91CrossRefPubMed Lloyd GM, Bown MJ, Norwood MG, Deb R, Fishwick G, Bell PR and Sayers RD. Feasibility of preoperative computer tomography in patients with ruptured abdominal aortic aneurysm: a time-to-death study in patients without operation. J Vasc Surg. 2004;39:788–91CrossRefPubMed
19.
Zurück zum Zitat Behrendt CA, Wipper S, Debus SE, von Kodolitsch Y, Puschel K, Kammal M and Kammal A. Primary aorto-enteric fistula as a rare cause of massive gastrointestinal haemorrhage. Vasa. 2017;46:425–30CrossRefPubMed Behrendt CA, Wipper S, Debus SE, von Kodolitsch Y, Puschel K, Kammal M and Kammal A. Primary aorto-enteric fistula as a rare cause of massive gastrointestinal haemorrhage. Vasa. 2017;46:425–30CrossRefPubMed
20.
Zurück zum Zitat Borgbjerg J, Bogsted M, Lindholt JS, Behr-Rasmussen C, Horlyck A and Frokjaer JB. Superior Reproducibility of the Leading to Leading Edge and Inner to Inner Edge Methods in the Ultrasound Assessment of Maximum Abdominal Aortic Diameter. Eur J Vasc Endovasc Surg. 2018;55:206–13CrossRefPubMed Borgbjerg J, Bogsted M, Lindholt JS, Behr-Rasmussen C, Horlyck A and Frokjaer JB. Superior Reproducibility of the Leading to Leading Edge and Inner to Inner Edge Methods in the Ultrasound Assessment of Maximum Abdominal Aortic Diameter. Eur J Vasc Endovasc Surg. 2018;55:206–13CrossRefPubMed
21.
Zurück zum Zitat Buffa V, Solazzo A, D’Auria V, Del Prete A, Vallone A, Luzietti M, Madau M, Grassi R and Miele V. Dual-source dual-energy CT: dose reduction after endovascular abdominal aortic aneurysm repair. La Radiologia medica. 2014;119:934–41CrossRefPubMed Buffa V, Solazzo A, D’Auria V, Del Prete A, Vallone A, Luzietti M, Madau M, Grassi R and Miele V. Dual-source dual-energy CT: dose reduction after endovascular abdominal aortic aneurysm repair. La Radiologia medica. 2014;119:934–41CrossRefPubMed
22.
Zurück zum Zitat Moos SI, van Vemde DN, Stoker J and Bipat S. Contrast induced nephropathy in patients undergoing intravenous (IV) contrast enhanced computed tomography (CECT) and the relationship with risk factors: a meta-analysis. European journal of radiology. 2013;82:e387–99CrossRefPubMed Moos SI, van Vemde DN, Stoker J and Bipat S. Contrast induced nephropathy in patients undergoing intravenous (IV) contrast enhanced computed tomography (CECT) and the relationship with risk factors: a meta-analysis. European journal of radiology. 2013;82:e387–99CrossRefPubMed
23.
Zurück zum Zitat Marckmann P, Skov L, Rossen K, Dupont A, Damholt MB, Heaf JG and Thomsen HS. Nephrogenic systemic fibrosis: suspected causative role of gadodiamide used for contrast-enhanced magnetic resonance imaging. JASN. 2006;17:2359–62CrossRefPubMed Marckmann P, Skov L, Rossen K, Dupont A, Damholt MB, Heaf JG and Thomsen HS. Nephrogenic systemic fibrosis: suspected causative role of gadodiamide used for contrast-enhanced magnetic resonance imaging. JASN. 2006;17:2359–62CrossRefPubMed
24.
Zurück zum Zitat Twine CP and Williams IM. Systematic review and meta-analysis of the effects of statin therapy on abdominal aortic aneurysms. Br J Surg. 2011;98:346–53CrossRefPubMed Twine CP and Williams IM. Systematic review and meta-analysis of the effects of statin therapy on abdominal aortic aneurysms. Br J Surg. 2011;98:346–53CrossRefPubMed
25.
Zurück zum Zitat Takagi H, Yamamoto H, Iwata K, Goto S, Umemoto T and Group A. Effects of statin therapy on abdominal aortic aneurysm growth: a meta-analysis and meta-regression of observational comparative studies. Eur J Vasc Endovasc Surg. 2012;44:287–92CrossRefPubMed Takagi H, Yamamoto H, Iwata K, Goto S, Umemoto T and Group A. Effects of statin therapy on abdominal aortic aneurysm growth: a meta-analysis and meta-regression of observational comparative studies. Eur J Vasc Endovasc Surg. 2012;44:287–92CrossRefPubMed
26.
Zurück zum Zitat Rapsomaniki E, Timmis A, George J, Pujades-Rodriguez M, Shah AD, Denaxas S, White IR, Caulfield MJ, Deanfield JE, Smeeth L, Williams B, Hingorani A and Hemingway H. Blood pressure and incidence of twelve cardiovascular diseases: lifetime risks, healthy life-years lost, and age-specific associations in 1.25 million people. Lancet. 2014;383:1899–911CrossRefPubMedPubMedCentral Rapsomaniki E, Timmis A, George J, Pujades-Rodriguez M, Shah AD, Denaxas S, White IR, Caulfield MJ, Deanfield JE, Smeeth L, Williams B, Hingorani A and Hemingway H. Blood pressure and incidence of twelve cardiovascular diseases: lifetime risks, healthy life-years lost, and age-specific associations in 1.25 million people. Lancet. 2014;383:1899–911CrossRefPubMedPubMedCentral
27.
Zurück zum Zitat Lindholt JS and Sogaard R. Population screening and intervention for vascular disease in Danish men (VIVA): a randomised controlled trial. Lancet. 2017;390:2256–65CrossRefPubMed Lindholt JS and Sogaard R. Population screening and intervention for vascular disease in Danish men (VIVA): a randomised controlled trial. Lancet. 2017;390:2256–65CrossRefPubMed
28.
Zurück zum Zitat Tew GA, Moss J, Crank H, Mitchell PA and Nawaz S. Endurance exercise training in patients with small abdominal aortic aneurysm: a randomized controlled pilot study. Archives of physical medicine and rehabilitation. 2012;93:2148–53CrossRefPubMed Tew GA, Moss J, Crank H, Mitchell PA and Nawaz S. Endurance exercise training in patients with small abdominal aortic aneurysm: a randomized controlled pilot study. Archives of physical medicine and rehabilitation. 2012;93:2148–53CrossRefPubMed
29.
Zurück zum Zitat Kothmann E, Batterham AM, Owen SJ, Turley AJ, Cheesman M, Parry A and Danjoux G. Effect of short-term exercise training on aerobic fitness in patients with abdominal aortic aneurysms: a pilot study. Br J Anaesth. 2009;103:505–10CrossRefPubMed Kothmann E, Batterham AM, Owen SJ, Turley AJ, Cheesman M, Parry A and Danjoux G. Effect of short-term exercise training on aerobic fitness in patients with abdominal aortic aneurysms: a pilot study. Br J Anaesth. 2009;103:505–10CrossRefPubMed
30.
Zurück zum Zitat Kothmann E, Danjoux G, Owen SJ, Parry A, Turley AJ and Batterham AM. Reliability of the anaerobic threshold in cardiopulmonary exercise testing of patients with abdominal aortic aneurysms. Anaesthesia. 2009;64:9–13CrossRefPubMed Kothmann E, Danjoux G, Owen SJ, Parry A, Turley AJ and Batterham AM. Reliability of the anaerobic threshold in cardiopulmonary exercise testing of patients with abdominal aortic aneurysms. Anaesthesia. 2009;64:9–13CrossRefPubMed
31.
Zurück zum Zitat Tew GA, Weston M, Kothmann E, Batterham AM, Gray J, Kerr K, Martin D, Nawaz S, Yates D and Danjoux G. High-intensity interval exercise training before abdominal aortic aneurysm repair (HIT-AAA): protocol for a randomised controlled feasibility trial. BMJ open. 2014;4:e004094.CrossRefPubMedPubMedCentral Tew GA, Weston M, Kothmann E, Batterham AM, Gray J, Kerr K, Martin D, Nawaz S, Yates D and Danjoux G. High-intensity interval exercise training before abdominal aortic aneurysm repair (HIT-AAA): protocol for a randomised controlled feasibility trial. BMJ open. 2014;4:e004094.CrossRefPubMedPubMedCentral
32.
Zurück zum Zitat Anderson JL, Halperin JL, Albert NM, Bozkurt B, Brindis RG, Curtis LH, DeMets D, Guyton RA, Hochman JS, Kovacs RJ, Ohman EM, Pressler SJ, Sellke FW and Shen W-K. Management of patients with peripheral artery disease (compilation of 2005 and 2011 ACCF/AHA guideline recommendations): a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation. 2013;127:1425–43CrossRefPubMed Anderson JL, Halperin JL, Albert NM, Bozkurt B, Brindis RG, Curtis LH, DeMets D, Guyton RA, Hochman JS, Kovacs RJ, Ohman EM, Pressler SJ, Sellke FW and Shen W-K. Management of patients with peripheral artery disease (compilation of 2005 and 2011 ACCF/AHA guideline recommendations): a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation. 2013;127:1425–43CrossRefPubMed
33.
Zurück zum Zitat Chaikof EL, Brewster DC, Dalman RL, Makaroun MS, Illig KA, Sicard GA, Timaran CH, Upchurch GR, Jr. and Veith FJ. SVS practice guidelines for the care of patients with an abdominal aortic aneurysm: executive summary. J Vasc Surg. 2009;50:880–96CrossRefPubMed Chaikof EL, Brewster DC, Dalman RL, Makaroun MS, Illig KA, Sicard GA, Timaran CH, Upchurch GR, Jr. and Veith FJ. SVS practice guidelines for the care of patients with an abdominal aortic aneurysm: executive summary. J Vasc Surg. 2009;50:880–96CrossRefPubMed
34.
Zurück zum Zitat Davis M, Harris M and Earnshaw JJ. Implementation of the National Health Service Abdominal Aortic Aneurysm Screening Program in England. J Vasc Surg. 2013;57:1440–5CrossRefPubMed Davis M, Harris M and Earnshaw JJ. Implementation of the National Health Service Abdominal Aortic Aneurysm Screening Program in England. J Vasc Surg. 2013;57:1440–5CrossRefPubMed
35.
Zurück zum Zitat Thompson SG, Brown LC, Sweeting MJ, Bown MJ, Kim LG, Glover MJ, Buxton MJ and Powell JT. Systematic review and meta-analysis of the growth and rupture rates of small abdominal aortic aneurysms: implications for surveillance intervals and their cost-effectiveness. Health technology assessment. 2013;17:1–118CrossRefPubMed Thompson SG, Brown LC, Sweeting MJ, Bown MJ, Kim LG, Glover MJ, Buxton MJ and Powell JT. Systematic review and meta-analysis of the growth and rupture rates of small abdominal aortic aneurysms: implications for surveillance intervals and their cost-effectiveness. Health technology assessment. 2013;17:1–118CrossRefPubMed
36.
Zurück zum Zitat Collaborators R, Bown MJ, Sweeting MJ, Brown LC, Powell JT and Thompson SG. Surveillance intervals for small abdominal aortic aneurysms: a meta-analysis. JAMA. 2013;309:806–13CrossRef Collaborators R, Bown MJ, Sweeting MJ, Brown LC, Powell JT and Thompson SG. Surveillance intervals for small abdominal aortic aneurysms: a meta-analysis. JAMA. 2013;309:806–13CrossRef
37.
Zurück zum Zitat Stather PW, Sidloff D, Dattani N, Choke E, Bown MJ and Sayers RD. Systematic review and meta-analysis of the early and late outcomes of open and endovascular repair of abdominal aortic aneurysm. Br J Surg. 2013;100:863–72CrossRefPubMed Stather PW, Sidloff D, Dattani N, Choke E, Bown MJ and Sayers RD. Systematic review and meta-analysis of the early and late outcomes of open and endovascular repair of abdominal aortic aneurysm. Br J Surg. 2013;100:863–72CrossRefPubMed
38.
Zurück zum Zitat van Schaik TG, Yeung KK, Verhagen HJ, de Bruin JL, van Sambeek M, Balm R, Zeebregts CJ, van Herwaarden JA, Blankensteijn JD and participants Dt. Long-term survival and secondary procedures after open or endovascular repair of abdominal aortic aneurysms. J Vasc Surg. 2017;66:1379–89CrossRefPubMed van Schaik TG, Yeung KK, Verhagen HJ, de Bruin JL, van Sambeek M, Balm R, Zeebregts CJ, van Herwaarden JA, Blankensteijn JD and participants Dt. Long-term survival and secondary procedures after open or endovascular repair of abdominal aortic aneurysms. J Vasc Surg. 2017;66:1379–89CrossRefPubMed
39.
Zurück zum Zitat Patel R, Sweeting MJ, Powell JT and Greenhalgh RM. Endovascular versus open repair of abdominal aortic aneurysm in 15-years’ follow-up of the UK endovascular aneurysm repair trial 1 (EVAR trial 1): a randomised controlled trial. Lancet. 2016;388(10058):2366–74.CrossRefPubMed Patel R, Sweeting MJ, Powell JT and Greenhalgh RM. Endovascular versus open repair of abdominal aortic aneurysm in 15-years’ follow-up of the UK endovascular aneurysm repair trial 1 (EVAR trial 1): a randomised controlled trial. Lancet. 2016;388(10058):2366–74.CrossRefPubMed
40.
Zurück zum Zitat Liang NL, Reitz KM, Makaroun MS, Malas MB and Tzeng E. Comparable perioperative mortality outcomes in younger patients undergoing elective open and endovascular abdominal aortic aneurysm repair. J Vasc Surg. 2018;67:1404–9CrossRefPubMed Liang NL, Reitz KM, Makaroun MS, Malas MB and Tzeng E. Comparable perioperative mortality outcomes in younger patients undergoing elective open and endovascular abdominal aortic aneurysm repair. J Vasc Surg. 2018;67:1404–9CrossRefPubMed
41.
Zurück zum Zitat Regnier P, Lareyre F, Hassen-Khodja R, Durand M, Touma J and Raffort J. Sexual Dysfunction After Abdominal Aortic Aneurysm Surgical Repair: Current Knowledge and Future Directions. Eur J Vasc Endovasc Surg. Eur J Vasc Endovasc Surg. 2018;55:267–80CrossRefPubMed Regnier P, Lareyre F, Hassen-Khodja R, Durand M, Touma J and Raffort J. Sexual Dysfunction After Abdominal Aortic Aneurysm Surgical Repair: Current Knowledge and Future Directions. Eur J Vasc Endovasc Surg. Eur J Vasc Endovasc Surg. 2018;55:267–80CrossRefPubMed
42.
Zurück zum Zitat Beck AW, Sedrakyan A, Mao J, Venermo M, Faizer R, Debus S, Behrendt CA, Scali S, Altreuther M, Schermerhorn M, Beiles B, Szeberin Z, Eldrup N, Danielsson G, Thomson I, Wigger P, Bjorck M, Cronenwett JL, Mani K and International Consortium of Vascular R. Variations in Abdominal Aortic Aneurysm Care: A Report From the International Consortium of Vascular Registries. Circulation. 2016;134:1948–58.CrossRefPubMedPubMedCentral Beck AW, Sedrakyan A, Mao J, Venermo M, Faizer R, Debus S, Behrendt CA, Scali S, Altreuther M, Schermerhorn M, Beiles B, Szeberin Z, Eldrup N, Danielsson G, Thomson I, Wigger P, Bjorck M, Cronenwett JL, Mani K and International Consortium of Vascular R. Variations in Abdominal Aortic Aneurysm Care: A Report From the International Consortium of Vascular Registries. Circulation. 2016;134:1948–58.CrossRefPubMedPubMedCentral
43.
Zurück zum Zitat Trenner M, Haller B, Söllner H, Storck M, Umscheid T, Niedermeier H and Eckstein HH. 12 Jahre „Qualitätssicherung BAA“ der DGG. Gefässchirurgie. 2013;18:206–13CrossRef Trenner M, Haller B, Söllner H, Storck M, Umscheid T, Niedermeier H and Eckstein HH. 12 Jahre „Qualitätssicherung BAA“ der DGG. Gefässchirurgie. 2013;18:206–13CrossRef
44.
Zurück zum Zitat Trenner M, Haller B, Söllner H, Storck M, Umscheid T, Niedermeier H and Eckstein HH. 12 Jahre „Qualitätssicherung BAA“ der DGG. Gefässchirurgie. 2013;18:372–80CrossRef Trenner M, Haller B, Söllner H, Storck M, Umscheid T, Niedermeier H and Eckstein HH. 12 Jahre „Qualitätssicherung BAA“ der DGG. Gefässchirurgie. 2013;18:372–80CrossRef
45.
Zurück zum Zitat Hajibandeh S, Hajibandeh S, Antoniou SA, Child E, Torella F and Antoniou GA. Percutaneous access for endovascular aortic aneurysm repair: A systematic review and meta-analysis. Vascular. 2016;24:638–48CrossRefPubMed Hajibandeh S, Hajibandeh S, Antoniou SA, Child E, Torella F and Antoniou GA. Percutaneous access for endovascular aortic aneurysm repair: A systematic review and meta-analysis. Vascular. 2016;24:638–48CrossRefPubMed
46.
Zurück zum Zitat Arnaoutoglou E, Kouvelos G, Papa N, Kallinteri A, Milionis H, Koulouras V and Matsagkas M. Prospective Evaluation of Post-implantation Inflammatory Response After EVAR for AAA: Influence on Patients’ 30 Day Outcome. European Journal of Vascular and Endovascular Surgery. 2015;49:175–83CrossRefPubMed Arnaoutoglou E, Kouvelos G, Papa N, Kallinteri A, Milionis H, Koulouras V and Matsagkas M. Prospective Evaluation of Post-implantation Inflammatory Response After EVAR for AAA: Influence on Patients’ 30 Day Outcome. European Journal of Vascular and Endovascular Surgery. 2015;49:175–83CrossRefPubMed
47.
Zurück zum Zitat Karanikola E, Dalainas I, Karaolanis G, Zografos G and Filis K. Duplex Ultrasound versus Computed Tomography for the Postoperative Follow-Up of Endovascular Abdominal Aortic Aneurysm Repair. Where Do We Stand Now? The International journal of angiology: official publication of the International College of Angiology, Inc. 2014;23:155–64CrossRef Karanikola E, Dalainas I, Karaolanis G, Zografos G and Filis K. Duplex Ultrasound versus Computed Tomography for the Postoperative Follow-Up of Endovascular Abdominal Aortic Aneurysm Repair. Where Do We Stand Now? The International journal of angiology: official publication of the International College of Angiology, Inc. 2014;23:155–64CrossRef
48.
Zurück zum Zitat Deery SE, Ergul EA, Schermerhorn ML, Siracuse JJ, Schanzer A, Goodney PP, Cambria RP, Patel VI and Vascular Study Group of New E. Aneurysm sac expansion is independently associated with late mortality in patients treated with endovascular aneurysm repair. J Vasc Surg. 2018;67:157–64CrossRefPubMed Deery SE, Ergul EA, Schermerhorn ML, Siracuse JJ, Schanzer A, Goodney PP, Cambria RP, Patel VI and Vascular Study Group of New E. Aneurysm sac expansion is independently associated with late mortality in patients treated with endovascular aneurysm repair. J Vasc Surg. 2018;67:157–64CrossRefPubMed
49.
Zurück zum Zitat American College of C, American Heart Association Task Force on Practice G, American Society of E, American Society of Nuclear C, Heart Rhythm S, Society of Cardiovascular A, Society for Cardiovascular A, Interventions, Society for Vascular M, Biology, Fleisher LA, Beckman JA, Brown KA, Calkins H, Chaikof E, Fleischmann KE, Freeman WK, Froehlich JB, Kasper EK, Kersten JR, Riegel B, Robb JF, Smith SC, Jr., Jacobs AK, Adams CD, Anderson JL, Antman EM, Faxon DP, Fuster V, Halperin JL, Hiratzka LF, Hunt SA, Lytle BW, Nishimura R, Page RL and Riegel B. ACC/AHA 2006 guideline update on perioperative cardiovascular evaluation for noncardiac surgery: focused update on perioperative beta-blocker therapy: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Update the 2002 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery) developed in collaboration with the American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Rhythm Society, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society for Vascular Medicine and Biology. Journal of the American College of Cardiology. 2006;47:2343–55CrossRef American College of C, American Heart Association Task Force on Practice G, American Society of E, American Society of Nuclear C, Heart Rhythm S, Society of Cardiovascular A, Society for Cardiovascular A, Interventions, Society for Vascular M, Biology, Fleisher LA, Beckman JA, Brown KA, Calkins H, Chaikof E, Fleischmann KE, Freeman WK, Froehlich JB, Kasper EK, Kersten JR, Riegel B, Robb JF, Smith SC, Jr., Jacobs AK, Adams CD, Anderson JL, Antman EM, Faxon DP, Fuster V, Halperin JL, Hiratzka LF, Hunt SA, Lytle BW, Nishimura R, Page RL and Riegel B. ACC/AHA 2006 guideline update on perioperative cardiovascular evaluation for noncardiac surgery: focused update on perioperative beta-blocker therapy: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Update the 2002 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery) developed in collaboration with the American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Rhythm Society, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society for Vascular Medicine and Biology. Journal of the American College of Cardiology. 2006;47:2343–55CrossRef
Metadaten
Titel
Wann überweisen? Wie weiter betreuen?
Das Bauchaortenaneurysma in der hausärztlichen Versorgung
verfasst von
Dr. med. Christian-Alexander Behrendt
Dr. med. Henrik C. Rieß
Dr. med. Holger Diener
PD Dr. med. Nikolaos Tsilimparis
Dr. med. Franziska Heidemann
PD Dr. med. Sabine Wipper
Prof. Dr. med. Axel-Antonio Larena-Avellaneda
Prof. Dr. med. Tilo Kölbel
Prof. Dr. med. E. Sebastian Debus
Publikationsdatum
29.05.2018
Verlag
Springer Medizin
Erschienen in
MMW - Fortschritte der Medizin / Ausgabe 10/2018
Print ISSN: 1438-3276
Elektronische ISSN: 1613-3560
DOI
https://doi.org/10.1007/s15006-018-0018-y

Weitere Artikel der Ausgabe 10/2018

MMW - Fortschritte der Medizin 10/2018 Zur Ausgabe

FORTBILDUNG . KRITISCH GELESEN

Gewichtszunahme erhöht Darmkrebsrisiko

FORTBILDUNG . KRITISCH GELESEN

Gestillte Kinder haben resilientere Därme

Leitlinien kompakt für die Allgemeinmedizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Facharzt-Training Allgemeinmedizin

Die ideale Vorbereitung zur anstehenden Prüfung mit den ersten 24 von 100 klinischen Fallbeispielen verschiedener Themenfelder

Mehr erfahren

Update Allgemeinmedizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.