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2020 | OriginalPaper | Buchkapitel

81. Verschlusserkrankungen der kruropedalen Arterien: Perkutane Angioplastie

verfasst von : Peter Huppert, Walter Gross-Fengels, Eike Sebastian Debus

Erschienen in: Operative und interventionelle Gefäßmedizin

Verlag: Springer Berlin Heidelberg

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Zusammenfassung

Die PTA der Unterschenkelarterien gehört heute zum festen Repertoire des Behandlungsspektrums und stellt bei vielen Patienten in Abhängigkeit von der Gefäßmorphologie die zu bevorzugende invasive Behandlungsoption dar. Die Indikation ergibt sich ganz überwiegend bei Patienten mit chronischer bzw. kritischer Ischämie. Die Angioplastie sollte so durchgeführt werden, dass es zu keiner Beeinträchtigung von Gefäßsegmenten kommt, die ggf. noch für einen Bypass-Anschluss genutzt werden können. Zur exakten Planung des Eingriffs ist eine selektive DSA unverzichtbar. Zur Anwendung kommen heute überwiegend 4-F-Systeme sowie dünnkalibrige Führungsdrähte (0,014–0,018 Inch). Durch die Verbesserung der Materialien konnte die technische Erfolgsquote gesteigert werden. Lange Ballonkatheter, Drug-Eluting-Balloons sowie Drug-Eluting-Stents vervollständigen das zur Verfügung stehende Material.

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Titel: Verschlusserkrankungen der kruropedalen Arterien: Perkutane Angioplastie
verfasst von: Peter Huppert
Walter Gross-Fengels
Eike Sebastian Debus
Verlag: Springer Berlin Heidelberg
Buch: Operative und interventionelle Gefäßmedizin
Print ISBN: 978-3-662-53378-9

Electronic ISBN: 978-3-662-53380-2

Copyright-Jahr: 2020
DOI: https://doi.org/10.1007/978-3-662-53380-2_88

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