Die Chirurgie der Vena saphena parva – endoluminal oder
                    operativ

Dietmar Stenger; Michael Hartmann

doi:10.1055/a-0806-8349

Phlebologie, Inhaltsverzeichnis

Phlebologie 2019; 48(01): 23-31
DOI: 10.1055/a-0806-8349

Review

Die Chirurgie der Vena saphena parva – endoluminal oder operativ

Artikel in mehreren Sprachen: deutsch | English

Dietmar Stenger

¹Venenzentrum Saarlouis

,

Michael Hartmann

²Venenzentrum Freiburg

› Institutsangaben

Abstract

Zusammenfassung

Bislang existiert kein einheitlicher Standard in der operativen oder endovenösen Therapie der Parvainsuffizienz. Daher ist eine direkte Vergleichbarkeit operativer und endovenöser Verfahren bislang nur eingeschränkt möglich. Insbesondere erschweren unterschiedliche Definitionen eines Rezidivs die Vergleichbarkeit der unterschiedlichen Therapieoptionen. Prospektive randomisierte Studien zu den Langzeitergebnissen fehlen. Aufgrund der schwachen Datenlage sind grundsätzliche Empfehlungen für oder gegen die eine oder andere Therapieoption derzeit nicht möglich. Dennoch gibt es in der täglichen Praxis eindeutige Vorteile für die Operation oder für die endovenöse Therapie, auch wenn entsprechende Vergleichsstudien fehlen. Die Rezidivraten sind sowohl bei operativer- als auch bei endovenöser Behandlung hoch. Allerdings wird weder bei der Operation, noch bei der endovenösen Therapie eine komplette Ausschaltung der krankhaft veränderten Vene vorgenommen. Zukünftige Studien sollten klären, inwieweit die komplette Ausschaltung der Parvacrosse mit Umsetzung des Prinzips der Crossektomie zu einer Verbesserung der Ergebnisse beitragen kann.

Schlüsselwörter

Parvainsuffizienz - Parvacrosse - Crossektomie

Volltext

Referenzen

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