Paredero del Bosque Martín V
MMW Munch Med Wochenschr. 1979 Mar 23;121(12):419-22.
Operation is contraindicated in acute cerebral insults and neurological lesions which are already irreversible. A complete obstruction in the region where the great vessels branch off from the aorta are always surgically treated if the vessels distal to the lesion are still patent. Aneurysms in the aortoiliac region require resection and reconstruction of the vessels, stenoses and obliterating changes need reconstructive interventions. Angina mesenterica must be surgically treated if at least two intestinal arteries are damaged. Operative intervention in renal arteriosclerosis is only justified if hypertension is also present. Conservative therapy consists of prophylaxis or elimination of the risk factors, of the medical treatment of hyperlipemia and of inhibition of thrombocyte function.
急性脑损伤和已不可逆转的神经病变禁忌手术。如果病变远端的血管仍然通畅，主动脉大血管分支区域的完全阻塞总是需要手术治疗。主髂动脉区域的动脉瘤需要切除并重建血管，狭窄和闭塞性改变需要进行重建干预。如果至少两条肠动脉受损，肠系膜绞痛必须进行手术治疗。仅当存在高血压时，肾动脉硬化的手术干预才合理。保守治疗包括预防或消除危险因素、高脂血症的药物治疗以及抑制血小板功能。
