P1-Bypass: Ist die autologe Vene noch indiziert? – Pro

Zusammenfassung

In der endovaskulären Ära wird die Indikation zur supragenualen Bypassanlage bei Patientinnen und Patienten mit längerstreckigen Pathologien der A. femoralis superficialis insgesamt nur mehr selten gestellt. Wenn die Entscheidung zur chirurgischen Sanierung des Gefäßproblems gefallen ist, muss die Wahl des Bypassmaterials getroffen werden. In diesem Artikel soll die Evidenz für die femoropopliteale Bypassanlage oberhalb des Knies (P1-Bypass) mittels autologer Vene dargestellt und ein klares Pro für den Venenbypass ausgesprochen werden.

Abstract

Nowadays endovascular treatment of pathologies of the superficial femoral artery is widely used and often the treatment of first choice. In patients with long-segment artery occlusions, bypass surgery can still be necessary. If so, the decision for adequate bypass material needs to be made. This manuscript summarises the available evidence on autogenous vein bypasses above the knee and presents a clear pro for venous grafts in the suprapopliteal segment.

Schlüsselwörter

periphere arterielle Verschlusserkrankung - Bypass-Chirurgie - Bypassmaterial

Key words

peripheral arterial disease - bypass surgery - bypass material

Publikationsverlauf

Artikel online veröffentlicht:
07. Oktober 2020

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