[Abdominal aortic aneurysm. Change in diagnosis and therapy].
The improved diagnostic approach using computerised tomography and ultrasound investigation resulted recently in a remarkable increase of early diagnosed abdominal aortic aneurysm. Simultaneously in the last decennium the number of elective interventions has been increased 4-6 times. As a result of simplification and standardisation of the operative technique (dissection resp. inlay-technique) the operative mortality for elective surgery has decreased to 1-3%. Statistical datas proved a significant increase of life expectancy for operated patients. Interventions for ruptured abdominal aortic aneurysms are still loaded with a high risk (mortality rate 40-75%). Both elective and emergency vascular repairs should be done by well trained vascular surgeons and should not be a challenge for general surgeons to do sporadic vascular surgery.
D001012:Aorta, Abdominal / Q000601:surgery; D001014:Aortic Aneurysm / Q000175:diagnosis / Q000601:surgery*; D001019:Aortic Rupture / Q000601:surgery; D001027:Aortography; D001807:Blood Vessel Prosthesis; D006488:Hemostasis, Surgical; D006801:Humans; D011379:Prognosis; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
Das Bauchaortenaneurysma. Wandel in der Diagnostik und chirurgischen Therapie.