[Instrumental diagnosis for therapy decision making--what is possible and desirable, what is essential and what is superfluous--in vascular surgery].
It is impossible to give a paper on the whole of vascular surgery, which represents a broad surgical specialty; so we will concentrate on three typical vascular procedures, namely Carotid surgery, abdominal aortic aneurysm, and varicose veins. Ultrasound examinations in carotid artery disease are inevitable because they are screening examinations. CCT or MRT are necessary, but not angiography, particularly in symptomatic patients. In asymptomatic patients, DSA may be of value for forensic documentation; MR angiography is now better, but is still not so evident as conventional DSA. CBF should be carried out in multiple vessel disease. Intraoperatively, quality control can be assured by Doppler or flowmetry; other techniques like DSA, EEG, SEP or transcranial Doppler are not necessary when a temporary shunt is routinely applied. In AAA, sonography and CT (or MRT) are absolutely necessary; angiography may reveal accessory visceral and renal vessels. In treatment of varicose veins, sonography (color-coded) is indispensible; phlebography can reveal more details, but is not absolutely necessary.
Becker
H M
HM
Gefässchirurgische Abteilung, Städtisches Krankenhaus Neuperlach, München.
Eggemann
F
F
D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis / Q000601:surgery; D016893:Carotid Stenosis / Q000175:diagnosis / Q000601:surgery; D003952:Diagnostic Imaging; D006801:Humans; D011379:Prognosis; D012680:Sensitivity and Specificity; D014648:Varicose Veins / Q000175:diagnosis / Q000601:surgery; D014656:Vascular Surgical Procedures
Apparative Diagnostik zur Therapieentscheidung--was ist möglich und wünschenswert, was unverzichtbar und was überflüssig--in der Gefässchirurgie.