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Anästhesiol Intensivmed Notfallmed Schmerzther 2024; 59(02): 114-121
DOI: 10.1055/a-2250-8816
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Konservative Therapie und Sekundärprävention der pAVK

Conservative Treatment and Secondary Prevention of PAD (Peripheral Artery Disease)
Katja S. Mühlberg
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Der unmittelbare und langfristige Erfolg endovaskulärer und offen chirurgischer Revaskularisierungsverfahren wird entscheidend von der konservativen Therapie der pAVK bestimmt. Die „schonende, bewahrende“ Behandlung soll dabei als absolute Basistherapie verstanden werden, weil sie die „Big Five“ der Atherosklerose-Risikofaktoren adressiert. Dieser Beitrag präsentiert das Spektrum sowohl medikamentöser als auch nicht medikamentöser Strategien.

Abstract

The immediate and long-term success of endovascular and surgical revascularization crucially depends on the conservative treatment of the PAD. The „gentle, preserving“ treatment should be understood as he absolutely basic therapy for every PAD patient, because conservative treatment adresses the „big five“ of atherosclerotic risk factors. This article presents both the full spectrum of pharmacological and non-pharmacological strategies.

Kernaussagen

  • Die konservative Therapie ist bei jedem pAVK-Patienten indiziert, egal, ob als alleinstehende Option oder als Basistherapie interventioneller Verfahren.

  • Kurz- und langfristige Effekte endovaskulärer und chirurgischer Revaskularisationsverfahren hängen entscheidend von einem suffizienten Risikofaktoren-Management ab, das die „Big Five“ der Atherosklerose adressiert.

  • Die Komplexität der Risikofaktoren, die Koinzidenz mortalitätsbestimmender Erkrankungen sowie das breite Spektrum der medikamentösen Optionen machen die Angiologie zum zentralen internistischen Ansprechpartner für pAVK-Patienten.

  • Strukturierte Rehabilitationsmaßnahmen und die Integration psychosozialer Belange sind essenziell für Erhalt und Wiederherstellung der Lebensqualität Betroffener.

Schlüsselwörter

Gehtraining - Thrombozytenaggregationshemmer - Lipidsenker - Raucherentwöhnung

Keywords

walking training - platelet aggregation inhibitors - lipid-lowering drugs - smoking cessation


Publication History

Received: 31 May 2023

Accepted: 10 July 2023

Article published online:
14 February 2024

© 2023. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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