[Strategic risk reduction in the operative therapy for abdominal aortic aneurysms].
Advances in early diagnosis of abdominal aortic abnormalities, enhanced pre-and post-surgical care and improved pharmacological treatment, as well as new interventional strategies and surgical techniques have led to a considerable increase of those patients, who undergo surgical therapy, either using classical trans-abdominal open or endovascular techniques. These patients, as a result of their often underlying multi-morbidity, are prone to secondary complications that often require individual solutions. We present and discuss two cases of post-surgical complications that required individual strategies for risk reduction. The first case demonstrates the endovascular approach to a complication following open aortic surgery, the second describes a surgical intervention to solve a problem following endovascular therapy.
Clinic For Vascular And Endovascular Surgery, DRK-Kliniken Mark Brandenburg Berlin, Drontheimerstrasse 39/40, 13359 Berlin. i.flessenkaemper@drk-kliniken-markbrandenburg.de
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D000328:Adult; D000800:Angioplasty, Balloon; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery* / Q000628:therapy; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000628:therapy; D001027:Aortography; D019917:Blood Vessel Prosthesis Implantation; D004378:Duodenal Diseases / Q000000981:diagnostic imaging / Q000628:therapy; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000000981:diagnostic imaging / Q000628:therapy; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000628:therapy*; D012008:Recurrence; D012308:Risk Management / Q000379:methods*; D014057:Tomography, X-Ray Computed; D016157:Vascular Fistula / Q000000981:diagnostic imaging