Sekundärprophylaxe des ischämischen Schlaganfalls

Zusammenfassung

In dieser Übersichtsarbeit werden Neuerungen zu ausgesuchten Themen aus dem Bereich der Sekundärprophylaxe des ischämischen Schlaganfalles vorgestellt. Sowohl die kontrovers diskutierte Behandlung des persistierenden Foramen ovale, die medikamentöse und interventionelle Behandlung intra-kranieller Gefäßstenosen als auch die Detektion und Sekundärprophylaxe des Vorhofflimmerns stehen im Vordergrund. Es wird zudem auf die Rolle der direkten oralen Antikoagulanzien in der Sekundärprophylaxe des nicht valvulären Vorhofflimmerns und auf die Diskussion über einen interventionellen Verschluss des linken Vorhofohres eingegangen. Anhand der Literatur werden aktuelle Entwicklungen dargestellt und diskutiert.

Summary

Based on recent literature this review article describes selected contemporary issues and current trends concerning secondary prophylaxis of ischaemic stroke. Besides the contentious issue of how to treat patent foramen ovale, medical and interventional therapy of intracranial stenosis as well as detection and secondary prophylaxis of atrial fibrillation are discussed. Furthermore this article describes the debate on closure of the left atrial appendage and characterizes the status of the new oral anticoagulant drugs in secondary prophylaxis of non-valvular atrial fibrillation.

Schlüsselwörter

Persistierendes Foramen ovale - Vorhofohrverschluss - intrakranielle Gefäßstenosen - Vorhofflimmern - neue orale Antikoagulanzien

Keywords

Patent foramen ovale - closure of the left atrial appendage - intracranial stenosis - nonvalvular atrial fibrillation - new oral anticoagulant drugs

• Literatur

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