[Vascular surgery in arterial occlusive disease. Possibilities and indications (author's transl)].

Besides amputation and resection of the sympathetic trunk, vascular reconstructive operations are among the most important surgical possibilities for the treatment of arterial occlusive disease. Disobliteration and bypass procedures come into consideration. Depending on the localization of the obstruction and the affected organ, one or the other method will be given preference. The indication for vascular reconstruction is principally governed by the disease complex, the danger to the organ due to the reduced blood supply and finally the extent of the arterial obstruction. The lethality of the intervention, the results, complications and follow-up are discussed in detail.