Regiomed Vascular Center and Department of Internal Medicine, REGIOMED-Hospital GmbH, Sonneberg, Germany.
Department of Internal Medicine I, University Hospital Jena, Germany.
Vasa. 2023 May;52(3):141-146. doi: 10.1024/0301-1526/a001067. Epub 2023 Mar 20.
Endovascular arterial revascularisations for the treatment of symptomatic peripheral arterial disease are constantly increasing in importance and number due to the changing age structure and high numbers of comorbidities in the German population. Patients with peripheral artery disease are often at increased risk for peri- and post-procedural complications including severe cardiovascular events. Due to limited financial and human resources and considerable risks of hospitalization, endovascular interventions that were previously reserved for hospitalized patients are now progressively considered to be performed as day case procedures. More than one third of these procedures are performed in Germany by internists with a specialization in angiology. In the current position paper the German Society of Angiology endorsed by the European Society of Vascular Medicine, summarizes the requirements and risk factors to be considered for the planning, safe performance and post procedural care of endovascular revascularizations in outpatients. The performance of endovascular procedures for peripheral artery disease both in hospitalised and outpatients should be accompanied by a mandatory quality assurance process that should not only capture procedural data, but also require documentation of complications and longterm outcome.
由于德国人口的年龄结构变化和高数量的合并症，用于治疗有症状的外周动脉疾病的血管内动脉血运重建的重要性和数量不断增加。外周血管疾病患者常常面临围手术期和术后并发症的风险增加，包括严重心血管事件。由于有限的财务和人力资源以及大量住院风险，以前仅为住院患者保留的血管内介入治疗现在逐渐被认为可作为日间手术进行。这些手术中有三分之一以上是由专攻血管炎的内科医生在德国进行的。在当前的立场文件中，德国血管外科学会得到了欧洲血管医学学会的认可，总结了规划、安全进行和门诊血管内血运重建术后护理的要求和风险因素。外周血管疾病的血管内手术的实施，无论是在住院患者还是门诊患者中，都应伴随着强制性的质量保证过程，该过程不仅应捕获程序数据，还应要求记录并发症和长期结果。
