title: [Young Women - Problematic Patients in Vascular Surgery].
abstract: The treatment of peripheral arterial disease (PAD) in young women between 40 and 60 years of age represents a difficult challenge for the vascular surgeon. Excessive smoking, an early menopause and the unfavourable anatomic proportions of thinner arterial vessels or vein grafts during peripheral bypass-surgery lead to a higher rate of complications or re-occlusion following invasive therapy in comparison to male patients. A special anatomic manifestation appearing nearly only in women around the 6th decade is the so-called aortoiliac hypoplastic syndrome with a high rate of re-occlusion after balloon-dilatation or local thrombendarteriectomy and bypass grafting, respectively. Variabilities in coagulation and the undertreatment of classical risk factors of PAD by medical drugs lead to poorer results in the treatment of PAD in young women. Therefore a conservative therapy - whenever feasible - should be the first choice for treating PAD in young women.
authors.affiliation: Klinik für Gefäßchirurgie, Helios Klinikum Wuppertal, Deutschland.
authors.forename: U
authors.initials: U
authors.lastname: Kusenack
authors.affiliation: Klinik für diagnostische und interventionelle Radiologie, Helios Klinikum Wuppertal, Deutschland.
authors.forename: L
authors.initials: L
authors.lastname: Kamper
authors.affiliation: Klinik für diagnostische und interventionelle Radiologie, Helios Klinikum Wuppertal, Deutschland.
authors.forename: P
authors.initials: P
authors.lastname: Haage
authors.affiliation: Klinik für Viszeral- und Allgemeinchirurgie, Helios Klinikum Wuppertal, Deutschland.
authors.forename: H
authors.initials: H
authors.lastname: Zirngibl
authors.affiliation: Klinik für Gefäßchirurgie, Helios Klinikum Wuppertal, Deutschland.
authors.forename: K
authors.initials: K
authors.lastname: Meletiadis
mesh_terms: D000328:Adult; D004691:Endarterectomy; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology*; D008875:Middle Aged; D058729:Peripheral Arterial Disease / Q000209:etiology / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology*; D012008:Recurrence; D012086:Reoperation; D012307:Risk Factors; D017131:Thrombectomy; D014656:Vascular Surgical Procedures / Q000009:adverse effects*