Endoluminale Gefäßprothesen

Zusammenfassung.

Endoluminale Gefäßprothesen, die perkutan implantierbar sind, stellen die jüngste Entwicklung in der vaskulären interventionellen Radiologie dar. Verschiedene kommerziell erhältliche Prothesentypen werden vorgestellt, ihr Konstruktionsprinzip und ihre Applikation erläutert. Die gesicherten Indikationen zur endoluminalen Prothesenimplantation beschränken sich zur Zeit auf die Ausschaltung von Aneurysmen und arteriovenösen Fisteln der großen stammnahen Gefäße in nichtgelenküberkreuzenden Abschnitten. Die breite Anwendung bei der peripheren Verschlußkrankheit hingegen kann nicht empfohlen werden, solange gesicherte Daten fehlen.

Endoluminal Vascular Prostheses.

Endoliminal vascular prostheses that can be implanted by percutaneous routes represent the most recent development in vascular interventional radiology. Various commercially available types of prosthesis are presented and the construction principles and applications are described. At present secure indications for the implantation of endoluminal prostheses are limited to the elimination of aneurysms and arteriovenous fistulae of the large vessels near the trunk in sections that do not cross a joint. The wide use in peripheral occlusive diseases cannot yet be recommended because confirmed data are not available.

Schlüsselwörter:

Stent - Stentgraft - Endoprothese - Arterien, periphere

Key words:

Stent - Stent graft - Endoprosthesis - Arteries, peripheral

Literatur

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