Moderne Behandlungsverfahren der Varikose der unteren Extremität

Andreas Bayer; Birgit Kahle; Marco Horn; Anna Lena Recke; Tobias Keck; Markus Kleemann

doi:10.1055/a-0855-2401

DMW - Deutsche Medizinische Wochenschrift, Table of Contents

Dtsch Med Wochenschr 2019; 144(09): 606-623
DOI: 10.1055/a-0855-2401

CME-Fortbildung

Moderne Behandlungsverfahren der Varikose der unteren Extremität

Modern treatment of varicose veins

Andreas Bayer^*

,

Birgit Kahle^*

,

Marco Horn

,

Anna Lena Recke

,

Tobias Keck

,

Markus Kleemann

Abstract

Varicosis of the lower limb is a common disease that can lead to edema, trophic disturbances and skin ulcerations. In addition to the classic surgical procedure of crossectomy with stripping of the saphenous vein, a growing number of minimally invasive endoluminal treatment methods has been established over the past 15 years, offering a colorful array of procedures to the modern phlebologist. It is important to choose the optimal treatment option for each individual patient.

Die Varikosis der unteren Extremität stellt eine häufige Erkrankung dar, die zu Ödemen, trophischen Störungen und Ulzerationen der Haut führen kann. In den letzten 15 Jahren haben sich neben dem klassischen operativen Verfahren der Krossektomie mit Stripping der Stammvene zunehmend minimalinvasive endoluminale Behandlungsverfahren etabliert, sodass dem modernen Phlebologen nun ein bunter Strauß an Prozeduren zur Verfügung steht. Es gilt, daraus für jeden Patienten die individuell optimale Behandlungsoption zu wählen.

Schlüsselwörter

Stammvarikosis - endovenöse Lasertherapie - Radiofrequenzobliteration (RFO) - Schaumsklerosierung - Krossektomie

Key words

varicose veins - endovenous laser treatment - radiofrequency ablation - foam sclerotherapy - crossectomy

Full Text

References

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