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S2k-Leitlinie zur Diagnostik und Therapie der Typ-B-Aortendissektion

S2k guidelines for the diagnosis and treatment of type B aortic dissection

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Zusammenfassung

Die Typ-B-Aortendissektion ist ein relativ seltenes Krankheitsbild, welches in sehr vielen Bereichen der Medizin vorkommt und einen interdisziplinären Behandlungsansatz erfordert. Die beteiligten Disziplinen stellen in diesem Beitrag die wesentlichen Aspekte der neuen S2k-Leitlinie zur Diagnostik und Therapie der Aortendissektion Typ B dar. Im Einzelnen werden die Definition und Epidemiologie, die klinische und instrumentelle Diagnostik sowie die bildgebenden Verfahren dargestellt und zu den einzelnen Themen aufgrund von wissenschaftlichen Studien und Expertenmeinung Empfehlungen gegeben. In der Leitlinie wird außerdem auf die unterschiedlichen Vorgehensweisen in Bezug auf primär konservative und operative Therapieregime in der akuten, subakuten und chronischen Phase der Erkrankung eingegangen.

Abstract

Type B aortic dissection is a relatively rare clinical picture that involves many fields of medicine and requires a multidisciplinary approach. In this report, the disciplines involved constitute the most important aspects of the new S2k guidelines for the diagnosis and treatment of type B aortic dissection. More specifically, the definition and epidemiology, the clinical and technical diagnostic methods, in addition to the imaging methods, are represented, and recommendations for the individual topics based on scientific studies and expert opinion are given. In the guidelines, the various procedures related to the main conservative and surgical treatment regimes in the acute, subacute, and chronic phases of the condition are dealt with.

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Authors and Affiliations

  1. St. Franziskus Hospital Münster, Hohenzollernring 72, 48145, Münster, Deutschland

    G. Torsello

  2. Universitätsherzzentrum Freiburg, Freiburg, Deutschland

    M. Czerny

  3. DIGG, Berlin, Deutschland

    R. T. Grundmann

  4. Asklepios Klinikum Harburg, Hamburg, Deutschland

    H. Krankenberg

  5. Asklepios Klinikum St. Georg, Hamburg, Deutschland

    S. Nikol

  6. Helios Klinikum Erfurt, Erfurt, Deutschland

    R. Puls

  7. Universitätsklinikum des Saarlandes, Homburg, Deutschland

    A. Raddatz

  8. Universitätsklinikum Düsseldorf, Düsseldorf, Deutschland

    H. Schelzig

  9. Universitätsklinikum Erlangen, Erlangen, Deutschland

    R. Schmieder

  10. Klinikum Ludwigshafen, Ludwigshafen, Deutschland

    R. Zahn

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  1. G. Torsello
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  8. H. Schelzig
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  9. R. Schmieder
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  10. R. Zahn
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Correspondence to G. Torsello.

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Interessenkonflikt

G. Torsello, M. Czerny, R.T. Grundmann, H. Krankenberg, S. Nikol, R. Puls, A. Raddatz, H. Schelzig, R. Schmieder und R. Zahn geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Torsello, G., Czerny, M., Grundmann, R.T. et al. S2k-Leitlinie zur Diagnostik und Therapie der Typ-B-Aortendissektion. Gefässchirurgie 23, 513–518 (2018). https://doi.org/10.1007/s00772-018-0455-z

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  • DOI: https://doi.org/10.1007/s00772-018-0455-z

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