title: [Emergencies in vascular surgery--a major challenge for the local infrastructure].
abstract: BACKGROUND
  Emergencies in vascular surgery are often life-threatening and require a timely and prompt treatment. Little information is available in the literature about which demands must be made for this on the personnel and infrastructural resources of a hospital.
  
  
  METHODS
  All vascular surgical emergency operations of the Surgical University Hospital of Munich - Grosshadern over a period of 2 years were evaluated concerning the emergency category, the leading clinical symptomatology, the genesis, the affected stream area, the intervention time, as well as the need for postoperative intensive medical care.
  
  
  RESULTS
  The prevailing procedures were arterial operations (76 %). Ischaemia with 37 % and bleeding with 29 % were the leading clinical symptomatology. Thrombotic events (34 %) showed the most frequent genesis followed by embolism (13 %), stenosis (11 %), aneurysms (10 %) and iatrogenic impairments (10 %). 68 % of the emergencies were treated outside of the daytime working hours. A total of 77 % of the patients needed intensive care treatment or observation after surgery.
  
  
  CONCLUSIONS
  The spectrum and the frequency of emergencies in vascular surgery make high demands on local infrastructure of the hospital and require a fair number of intensive care beds and an adequate and highly trained staff. Only under these conditions can a high quality of treatment be guaranteed for the sometimes life-threatened patients.
authors.affiliation: Klinikum der Universität München, Campus Großhadern, Chirurgische Klinik, Gefäßchirurgie, Vaskuläre und Endovaskuläre Chirurgie, München, Deutschland.
authors.forename: R
authors.initials: R
authors.lastname: Weidenhagen
authors.forename: G
authors.initials: G
authors.lastname: Meimarakis
authors.forename: J
authors.initials: J
authors.lastname: Hoffmann
authors.forename: G J
authors.initials: GJ
authors.lastname: Geisler
authors.forename: I
authors.initials: I
authors.lastname: Dimomeletis
authors.forename: K-W
authors.initials: KW
authors.lastname: Jauch
authors.forename: T A
authors.initials: TA
authors.lastname: Koeppel
mesh_terms: D000783:Aneurysm / Q000150:complications / Q000453:epidemiology / Q000601:surgery; D017542:Aneurysm, Ruptured / Q000150:complications / Q000453:epidemiology / Q000601:surgery; D001158:Arteries / Q000601:surgery; D003422:Critical Care; D004617:Embolism / Q000150:complications / Q000453:epidemiology / Q000601:surgery; D004630:Emergencies; D006297:Health Services Accessibility / Q000458:organization & administration* / Q000706:statistics & numerical data; D006301:Health Services Needs and Demand / Q000458:organization & administration / Q000706:statistics & numerical data; D006470:Hemorrhage / Q000453:epidemiology / Q000209:etiology / Q000601:surgery; D006785:Hospitals, University / Q000706:statistics & numerical data; D006801:Humans; D007049:Iatrogenic Disease; D007511:Ischemia / Q000453:epidemiology / Q000209:etiology / Q000601:surgery; D009313:National Health Programs / Q000458:organization & administration / Q000706:statistics & numerical data; D011182:Postoperative Care; D013927:Thrombosis / Q000150:complications / Q000453:epidemiology / Q000601:surgery; D014600:Utilization Review; D014652:Vascular Diseases / Q000453:epidemiology / Q000209:etiology / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000706:statistics & numerical data*