Malperfusion nach Aortendissektion - Management und Techniken

Zusammenfassung

Malperfusion stellt eine häufige Komplikation der Aortendissektion dar und erhöht die Letalität dieser tödlichen Erkrankung weiter. Eine effektive Behandlungsstrategie erfordert eine zeitnahe Diagnose anhand der Klinik und der verfügbaren Instrumente, das Verständnis des Pathomechanismus der Erkrankung und das Erkennen der leitliniengerecht empfohlenen Therapieoptionen sowie der diagnostischen und therapeutischen Innovationen des Forschungsgebiets. Die letztendliche Therapieentscheidung soll patienten- bzw. fallspezifisch gefällt werden. In dieser Arbeit haben wir die Malperfusion nach Aortendissektion nicht nur als Komplikation der Aortendissektion, sondern als eigenständiges Krankheitsbild betrachtet und wichtige Informationen zusammengefasst, die zu effizienten Therapieentscheidungen im klinischen Alltag beitragen können.

Abstract

Malperfusion is a common complication of aortic dissection and further increases this deadly disease’s mortality. An effective treatment strategy requires a timely diagnosis based on the clinical findings and the available instruments, understanding the disease’s pathomechanism, recognising the therapy options recommended by the guidelines, and the diagnostic and therapeutic innovations of the area of research. The final treatment decision should be patient- and case-specific. In this work, we have considered malperfusion after aortic dissection, not only as a complication of aortic dissection but as a separate disease and summarise important information that can contribute to efficient therapy decisions in everyday clinical practice.

Schlüsselwörter

Aortenchirurgie - Aortenstentprothese - Aortendissektion - Malperfusion - TEVAR

Keywords

aortic surgery - aortic stent prosthesis - aortic dissection - Malperfusion - TEVAR

Publication History

Received: 01 October 2022

Accepted after revision: 16 March 2023

Article published online:
16 June 2023

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