Lawall Holger, Diehm Curt
Abteilung Angiologie und Diabetologie, SRH-Klinikum Karlsbad-Langensteinbach, Akademisches Lehrkrankenhaus der Universität Heidelberg, Guttmannstrabe 1, 76307, Karlsbad.
Med Klin (Munich). 2008 Apr 15;103(4):198-209. doi: 10.1007/s00063-008-1029-8.
The management of vascular disease has become more and more important due to increasing evidence of the extent of peripheral arterial disease in the population and venous thromboembolism in nonsurgical patients. The treatment not only includes the therapy of the cardiovascular risk factors and the application of platelet inhibitors but also the use of new drugs and new endovascular devices. Up till now it is still unclear whether the interventional therapy of carotid stenoses and the endovascular application of stent grafts in abdominal aortic aneurysm are superior to surgery. If the indication is given, hemodynamic renal artery stenoses should be treated by interventional procedures. The effect of medical prophylaxis of venous thromboembolism in nonsurgical patients is evident and proven by large studies. New anticoagulants enlarge the therapy of prophylaxis and treatment of venous thromboembolism.
由于越来越多的证据表明人群中周围动脉疾病的范围以及非手术患者的静脉血栓栓塞情况，血管疾病的管理变得越来越重要。治疗不仅包括心血管危险因素的治疗和血小板抑制剂的应用，还包括新药和新型血管内装置的使用。到目前为止，颈动脉狭窄的介入治疗和腹主动脉瘤支架移植物的血管内应用是否优于手术仍不清楚。如果有适应症，血流动力学性肾动脉狭窄应通过介入手术治疗。非手术患者静脉血栓栓塞的药物预防效果显著，并得到了大型研究的证实。新型抗凝剂扩大了静脉血栓栓塞的预防和治疗范围。
