Kaschwich M, von Kodolitsch Y, Tsilimparis N, Behrendt C A, Sachweh A, Debus E S
Klinik und Poliklinik für Gefäßmedizin (Gefäßchirurgie - Angiologie - Endovaskuläre Therapie), Deutsches Aortenzentrum des Universitären Herzzentrums Hamburg, Gebäude O70, Martinistraße 52, 20246, Hamburg, Deutschland.
Klinik für Allgemeine und Interventionelle Kardiologie, Universitätsklinikum Hamburg-Eppendorf, Deutsches Aortenzentrum Hamburg (DAZH), Hamburg, Deutschland.
Chirurg. 2017 Feb;88(2):116-122. doi: 10.1007/s00104-016-0341-8.
Nowadays vascular treatment of the elderly is a great challenge. Following the demographic change patients in the field of vascular surgery are becoming older and sicker. In addition to the actual main vascular pathology, the average patient arrives with a series of additional diagnoses that have an impact on the perioperative strategy, surgery and outcome of patients. This strategy becomes more and more challenging because on one hand there will be soon be no limits to treatment, which is attributable to the progress in endovascular surgery and on the other hand the question arises whether the feasible is reasonable? Within the scope of this article the problems of treatment of the elderly are presented and strategies and decisions for an individualized optimal therapy are proposed.
如今，老年患者的血管治疗是一项巨大挑战。随着人口结构的变化，血管外科领域的患者年龄越来越大，病情也越来越重。除了实际的主要血管病变外，一般患者还伴有一系列其他诊断结果，这些结果会对围手术期策略、手术及患者的预后产生影响。这一策略变得越来越具有挑战性，一方面，由于血管内手术的进展，治疗很快将没有限制；另一方面，可行的治疗是否合理也成了问题。本文将阐述老年患者的治疗问题，并提出个体化最佳治疗的策略和决策。
