Akute Beinischämie: ein Update zu Diagnose und Management

Zusammenfassung

Die akute Beinischämie ist meist durch einen embolischen Verschluss und/oder durch eine akute Thrombose einer atherosklerotischen Läsion gekennzeichnet. Kennzeichnend ist eine schlechte Kollateralisierung mit niedrigem Kompensationsdruck. Das Amputationsrisiko kann anhand der Rutherford-Klassifikation abgeschätzt werden. Einschränkung der Motorik und/oder neurologische Ausfälle gebieten eine sofortige Revaskularisation. Mit modernen Katheterverfahren werden gute primäre Ergebnisse erzielt.

Abstract

Acute limb ischemia is usually characterized by embolic occlusion and/or acute thrombosis of an atherosclerotic lesion. Poor collateralization with low compensatory pressure is characteristic. The risk of amputation can be estimated using the Rutherford classification. Limitation of motor function and/or neurological deficits dictate immediate revascularization. Good primary results are achieved with modern catheter procedures.

Schlüsselwörter

pAVK - arterielle Thrombose - kritische Ischämie - akute Beinischämie

Keywords

arterial thrombosis - peripheral artery disease - critical ischemia - acute limb ischemia

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