Skip to main content
SpringerLink
Log in

Verschlusserkrankungen der kruropedalen Arterien: Klinik und offene Revaskularisation

  • Chapter
  • First Online:
Operative und interventionelle Gefäßmedizin

Part of the book series: Springer Reference Medizin ((SRM))

  • 263 Accesses

Zusammenfassung

Operative Eingriffe an den infrapoplitealen Arterien sind auch in geübten Händen mit einer relevanten Komplikationsrate verbunden, die höher ist als nach Rekonstruktionen proximal gelegener Gefäßabschnitte (Becken- und Oberschenkeletage). Sie werden daher – mit wenigen Ausnahmen (akute Ischämie durch Thrombembolie, Aneurysmen poplitealer und kruropedaler Arterien, Infekt, Trauma) – ausschließlich im Stadium der chronisch kritischen durchgeführt. Dieses Stadium der peripheren arteriellen Verschlusskrankheit stellt den Endpunkt der Erkrankung dar und ist durch eine drohende Amputation der betroffenen Extremität gekennzeichnet. Diesem Stadium wird klinisch die Situation eines Ruheschmerzes (Fontaine-Stadium III) und der bereits eingetretene Gewebsverlust mit Nekrose und/oder Gangrän (Fontaine-Stadium IV) zugeordnet. Die chronische, meist mehrere Jahre bestehende Ischämie führt neben dem Gewebsuntergang im Endstadium auch zu weiteren, ischämietypischen Symptomen (Abb. 1).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 389.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 399.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Literatur

  • Adili F, Ritter RG, Tenholt M, Schmitz-Rixen T (2006) Durchblutungsstörungen bei Diabetikern – Eine therapeutische Herausforderung. Medizin und Praxis, Sonderausgabe Diabetischer Fuß, S 26–27

    Google Scholar 

  • Albers M, Fratezi AC, De Luccia N (1996) Walking ability and quality of life as outcome measures in a comparison of arterial reconstruction and leg amputation for the treatment of vascular disease. Eur J Vasc Endovasc Surg 11:308–314

    Article  CAS  PubMed  Google Scholar 

  • Albers M, Battistella V, Romiti M, Rodrigues A, Pereira C (2003) Meta-analysis of polytetrafluoethylene bypass grafts to infrapopliteal arteries. J Vasc Surg 37:1263–1269

    Article  PubMed  Google Scholar 

  • Albers M, Romiti M, Brochado-Neto FC et al (2005) Meta-analysis of alternate autologous vein bypass grafts to infrapopliteal arteries. J Vasc Surg 42:449–455

    Article  PubMed  Google Scholar 

  • Ali AT, Bell C, Modrall JG et al (2005) Graft-associated hemorrhage from femoropopliteal vein grafts. J Vasc Surg 42:667–672

    Article  PubMed  Google Scholar 

  • Angle N, Dorafshar AH, Farooq MM et al (2002) The evolution of the axillofemoral bypass over two decades. Ann Vasc Surg 16:742–745

    Article  PubMed  Google Scholar 

  • Aper T, Haverich A, Teebken OE (2008) Der Traum vom Idealen Bypassmaterial. Gefässchirurgie 13:87–98

    Article  Google Scholar 

  • Arbeitskreis „Krankenhaus & Praxishygiene“ der AWMF (2004) Leitlinien zur Hygiene in Klinik und Praxis. Perioperative Antibiotikaprophylaxe. Bundesgesundheitsbl – Gesundheitsforsch – Gesundheitsschutz AWMF-Leitlinien-Register 029/022, AWMF-online

    Google Scholar 

  • Ariesen MJ, Tangelder MJD, Lawson JA, Eikelboom BC, Grobee DE, Algra A (2005) Risk of major hemorrhage in patients after infrainguinal venous bypass surgery: therapeutic consequences? The Dutch BOA (Bypass oral anticoagulants or aspirin) study. Eur J Vasc Endovasc Surg 30:154–159

    Article  CAS  PubMed  Google Scholar 

  • Armstrong PA, Back MR, Bandyk DF et al (2007) Selective application of sartorius muscle flaps and aggressive staged surgical debridement can influence long-term outcomes of complex prosthetic graft infections. J Vasc Surg 46:71–78

    Article  PubMed  Google Scholar 

  • Arvela E, Venermo M, Soderstrom M et al (2012) Outcome of infrainguinal single-segment great saphenous vein bypass for critical limb ischemia is superior to alternative autologous vein bypass, especially in patients with high operative risk. Ann Vasc Surg 26:396–403

    Article  PubMed  Google Scholar 

  • Arvela E, Söderström M, Albäck A, Aho PS, Venermo M, Lepantälo M (2010) Arm vein conduit vs. prosthetic graft in infrainguinal revascularization for critical leg ischemia. J Vasc Surg 52:616–623

    Article  PubMed  Google Scholar 

  • Aune S, Amundsen R, Tripperstad A (1996) The Influence of age on long-term survival pattern of patients operated on for lower limb ischaemia. Eur J Vasc Endovasc Surg 12:214–217

    Article  CAS  PubMed  Google Scholar 

  • Batt M, Magne JL, Alric P et al (2003) In situ revascularization with silver-coated polyester grafts to treat aortic infection: early and midterm results. J Vasc Surg 38:983–989

    Article  PubMed  Google Scholar 

  • Belch JJ, Dormandy J, Biasi GM et al (2010) Results of the randomized, placebo-controlled clopidogrel and acetylsalicylic acid in bypass surgery for peripheral arterial disease (CASPAR) trial. J Vasc Surg 52:825–833, 833 e1-2

    Google Scholar 

  • Biancari F, Juvonen T (2014) Angiosome-targeted lower limb revascularization for ischemic foot wounds: systematic review and meta-analysis. Eur J Vasc Endovasc Surg 47(5):517–522

    Article  CAS  PubMed  Google Scholar 

  • Bosanquet DC, Glasbey JC, Williams IM et al (2014) Systematic review and meta-analysis of direct versus indirect angiosomal revascularisation of infrapopliteal arteries. Eur J Vasc Endovasc Surg 48(1):88–97

    Article  CAS  PubMed  Google Scholar 

  • Brochado Neto F, Sandri GA, Kalaf MJ, Matielo MF, Casella IB, Godoy MR, Martins Cury MV, Sacilotto R (2014) Arm veinas an alternative autogenous conduit for infragenicular bypass in the treatment of critical limb ischaemia: a 15 year experience. Eur J Vasc Endovasc Surg 47:609–614

    Article  CAS  PubMed  Google Scholar 

  • Bhatt DL, Steg PG, Ohman EM et al (2006) International prevalence, recognition, and treatment of cardiovascular risk factors in outpatients with atherothrombosis. JAMA 295:180–189

    Article  CAS  PubMed  Google Scholar 

  • Bliss B, Wilkins D, Campbell WB et al (1991) Treatment of limb threatening ischaemia with intravenous iloprost: a randomised double-blind placebo-controlled study. Eur J Vasc Surg 5:511–516

    Article  Google Scholar 

  • Böhner H (2010) Medikamentöse Therapie nach gefäßchirurgischen Operationen und endovaskulären Interventionen (S2). In: Deutsche Gesellschaft für Gefäßchirurgie (Hrsg) Leitlinien zu Diagnostik und Therapie in der Gefäßchirurgie. Springer, Berlin/Heidelberg/New York, S 147–152

    Google Scholar 

  • Bössow D, Gross-Fengels W, Debus ES (2005) Endovaskuläre Versorgung von Nahtaneurysmen nach konventioneller operation im Bereich der aorto-iliakalen Achse – Methode der Zukunft? Gefäßchirurgie 10:279–284

    Article  Google Scholar 

  • Bradbury AW (2009) Bypass versus angioplasty in severe ischaemia of the leg (BASIL) trial: what are its implications? Semin Vasc Surg 22(4):267–274

    Article  PubMed  Google Scholar 

  • Bradbury AW, Adam DJ, Bell J, Forbes JF, Fowkes GR, Gillespie I, Ruckley CV, Raab GM (2010) Bypass versus angioplasty in sever ischaemia of the leg (BASIL) trial: analysis of amputation free and overall survival by treatment received. J Vasc Surg 51:18–31

    Article  Google Scholar 

  • Bräunlich S, Scheinert S, Schmidt A, Biamino G, Storck M, Scheionert D (2003) Intraarterielle Lysetherapie bei akuter Extremitätenischämie. Chirurg 74:1103–1109

    Article  PubMed  Google Scholar 

  • Brunner U, Zollinger H (1996) Der diabetische Fuß aus Sicht des Chirurgen. In: Hepp W (Hrsg) Der diabetische Fuß. Blackwell, Oxford, S 16–21

    Google Scholar 

  • Chang BB, Darling RC, Bock DE, Shah DM, Leather RP (1995) The use of spliced vein bypasses for infrainguinal arterial reconstruction. J Vasc Surg 21:403–412

    Article  CAS  PubMed  Google Scholar 

  • Chetter IC, Spark JI, Dolan P, Scott DJ, Kester RC (1997) Quality of life analysis in patients with lower limb ischaemia: suggestions for European standardisation. Eur J Vasc Endovasc Surg 13:597–604

    Article  CAS  PubMed  Google Scholar 

  • Chetter IC, Jl S, Scott DJ (1998) Prospective analysis of quality of life in patients following infrainguinal reconstruction for chronic critical ischaemia. Br J Surg 85:951–955

    Article  CAS  PubMed  Google Scholar 

  • Chang CK, Scali ST, Feezor RJ, Beck AW, Waterman AL, Huber TS, Berceli SA (2014) Defining utility and predicting outcome of cadaveric lower extremity bypass grafts in patients with critical limb ischemia. J Vasc Surg 60:1554–1564

    Article  PubMed  PubMed Central  Google Scholar 

  • Conte MS, Bandyk DF, Clowes AW et al (2006) Results of PREVENT III: a multicenter, randomized trial of edifoligide for the prevention of vein graft failure in lower extremity bypass surgery. J Vasc Surg 43:742–751; discussion 751

    Article  PubMed  Google Scholar 

  • Clagett GP, Valentine RJ, Hagino RT (1997) Autogenous aortoiliac/femoral reconstruction from superficial femoral-popliteal veins: feasibility and durability. J Vasc Surg 25:255–266; discussion 267–70

    Article  CAS  PubMed  Google Scholar 

  • Daenens K, Schepers S, Fourneau I, Houthoofd S, Nevelsteen A (2009) Heparin-bonded ePTFE grafts compared with vein grafts in femoropopliteal and femorocrural bypasses: 1- and 2-year results. J Vasc Surg 49(5):1210–1216

    Article  PubMed  Google Scholar 

  • Debus ES, Timmermann W, Sailer M, Schmidt K, Franke S, Thiede A (1998) Arterial reconstruction in diabetes and peripheral arterial disease: result in 192 patients. Vasa 27:240–243

    CAS  PubMed  Google Scholar 

  • Debus ES, Wintzer C, Diener H, Daum H (2005) Kruropedale Rekonstruktion – was ist Evidenz-basiert? Zentralbl Chir 130:W28–W37

    Article  CAS  PubMed  Google Scholar 

  • Debus ES, Larena-Avellaneda A, Daum H, Diener H, Gross-Fengels W (2007) Der Fibularisbypass in der kritischen Extremitätenischämie. Gefäßchirurgie 12:115–120

    Article  Google Scholar 

  • Denzel C, Lang W (2008) Kritische Extremitätenischämie. Chirurg 79:495–508

    Article  CAS  PubMed  Google Scholar 

  • Deutschmann HA, Schoellnast H, Temmel W, Deutschmann M, Schwantzer G et al (2007) Endoluminal therapy in patients with peripheral arterial disease: prospective assessment of quality of life in 190 patients. AJR 188:169–175

    Article  PubMed  Google Scholar 

  • Diener H, Huggett S, Wintzer CH, Debus ES (2006a) Der Einfluss von Infektionen auf den Heilungsverlauf beim diabetischen Fuß. Medizin und Praxis, Sonderausgabe Diabetischer Fuß, S 40–51

    Google Scholar 

  • Diener H, Wintzer H, Daum H, Debus ES (2006b) Infektionen chronischer Wunden unter besonderer Berücksichtigung des diabetischen Fußes: Systemische und lokale Therapieansätze. Chir Gastroenterol 22:127–137

    Google Scholar 

  • Dietl B, Pfister K, Aufschläger C, Kasprzak PM (2005) Radiotherapy of inguinal lymphorrhea after vascular surgery. A retrospective analysis. Strahlenther Onkol 181(6):396–400

    Article  PubMed  Google Scholar 

  • Domingos Hadamitzky C, Schulte S, Horsch S (2007) Vacuum assisted wound closure in postoperative periprosthetic groin infections: a new gold standard? J Cardiovasc Surg (Torino) 48:477–483

    CAS  Google Scholar 

  • Dorrucci V, Griselli F, Petralia G, Spinamano L, Adornetto R (2008) Heparin-bonded expanded polytetrafluoroethylene grafts for infragenicular bypass in patients with critical limb ischemia: 2-year results. J Cardiovasc Surg (Torino) 49(2):145–149

    CAS  Google Scholar 

  • Dorigo W, Pulli R, Castelli P, Dorrucci V, Ferilli F, De BG, Monaca V, Vecchiati E, Pratesi C, Propaten ItalianRegistry Group (2011) A multicenter comparison between autologous saphenous vein and heparin-bondedexpanded polytetrafluoroethylene (ePTFE) graft in the treatment of critical limb ischemia in diabetics. J Vasc Surg 54:1332–1338

    Article  PubMed  Google Scholar 

  • Dosluoglu HH, Lall P, Harris LM, Dryjski ML (2012) Long-term limb salvage and survival after endovascular and open revascularization for critical limb ischemia after adoption of endovascular-first approach by vascular surgeons. J Vasc Surg 56:361–371

    Article  PubMed  Google Scholar 

  • Dosluoglu H, Lall P, Cherr GS, Harris LM, Dryjshi M (2010) Role of simple and complex hybrid revascularization procedures for symptomatic lower extremity occlusive disease. J Vasc Surg 51:1425–1435

    Article  PubMed  Google Scholar 

  • Duggan MM, Woodson J, Scott TE, Ortega AN, Menzoian JO (1994) Functional outcomes in limb salvage vascular surgery. Am J Surg 168:188–191

    Article  CAS  PubMed  Google Scholar 

  • Earnshaw JJ (2000) The current role of rifampicin-impregnated grafts: pragmatism versus science. Eur J Vasc Endovasc Surg 20:409–412

    Article  CAS  PubMed  Google Scholar 

  • Eckstein HH, Knipfer E (2007) Status quo der Gefäßchirurgie. Chirurg 78:583–592

    Article  PubMed  Google Scholar 

  • Eliason JL, Wainess RM, Proctor MC, Dimick JB, Cowan JA Jr, Upchurch GR Jr et al (2003) A national and single institutional experience in the contemporary treatment of acute lower extremity ischemia. Ann Surg 238(3):382–390

    PubMed  PubMed Central  Google Scholar 

  • Engelhardt M, Wölfle KD (2005) Lebensqualität nach Bypassanlage bei kritischer Beinischämie. Gefäßchirurgie 10:93–98

    Article  Google Scholar 

  • Engelhardt M, Bruijnen H, Scharmer C et al (2006) Improvement of quality of life six months after infrageniculate bypass surgery: diabetic patients benefit less than non-diabetic patients. Eur J Vasc Endovasc Surg 32(2):182–187

    Article  CAS  PubMed  Google Scholar 

  • Engelhardt M, Bruijnen H, Scharmer C, Wohlgemuth WA, Willy C, Wölfle KD (2008) Prospective 2-years follow up quality of life study after infrageniculate bypass surgery for limb salvage: lasting improvements only in non-diabetic patients. Eur J Vasc Endovasc Surg 36:63–70

    Article  CAS  PubMed  Google Scholar 

  • Falanga V (2005) Wound healing and its impairment in the diabetic foot. Lancet 366:1736–1743

    Article  PubMed  Google Scholar 

  • FitzGerald SF, Kelly C, Humphreys H (2005) Diagnosis and treatment of prosthetic aortic graft infections: confusion and inconsistency in the absence of evidence or consensus. J Antimicrob Chemother 56:996–999

    Article  CAS  PubMed  Google Scholar 

  • Garg K, Kaszubski PA, Moridzadeh R, Rockman CB, Adelman MA, Maldonado TS, Veith FJ, Mussa FF (2014) Endovascular- first approach is not associated with worse amputation-free survival in appropriately selected patients with critical limb ischemia. J Vasc Surg 59:392–399

    Article  PubMed  Google Scholar 

  • Giovannacci L, Renggli J-C, Eugster T, Stierli P, Hess P, Gurke L (2001) Reduction of groin lymphatic complications by application of fibrin glue: preliminary results of a randomized study. Ann Vasc Surg 15:182–185

    Article  CAS  PubMed  Google Scholar 

  • Goshima KR, Mills JL Sr, Hughes JD (2004) A new look at outcomes after infrainguinal bypass surgery: traditional reporting standards systematically underestimate the expenditure of effort required to attain limb salvage. J Vasc Surg 39:330–335

    Article  PubMed  Google Scholar 

  • Graham F, Neundörfer B, Wagner A (2000) Ischämische Neuropathie bei arterieller Verschlusskrankheit. Dtsch Ärzteblatt 97:A2785–A2788

    Google Scholar 

  • Hart JP, Eginton MT, Brown KR et al (2005) Operative strategies in aortic graft infections: is complete graft excision always necessary? Ann Vasc Surg 19:154–160

    Article  PubMed  Google Scholar 

  • Hayes PD, Nasim A, London NJ et al (1999) In situ replacement of infected aortic grafts with rifampicin-bonded prostheses: the Leicester experience (1992 to 1998). J Vasc Surg 30:92–98

    Article  CAS  PubMed  Google Scholar 

  • Heller G, Gunster C, Schellschmidt H (2004) How frequent are diabetes related amputations of the lower limb in Germany? An analysis on the basis of routine data. Dtsch Med Wochenschr 129:429–433

    Article  CAS  PubMed  Google Scholar 

  • Hepp W, Kogel H (2006) Gefäßchirurgie. Elsevier, München/Amsterdam

    Google Scholar 

  • HernandeZ-Osma E, Cairols MA, Marti X, Barjau E, Riera S (2002) Impact of treatment on the quality of life in patients with critical limb ischaemia. Eur J Vasc Endovasc Surg 23:491–494

    Article  CAS  PubMed  Google Scholar 

  • Hirsch AT, Haskal ZJ, Hertzer NR, Bakal CW, Creager MA, Halperin JL et al (2006) ACC/AHA 2005 Practice Guidelines for the management of patients with peripheral arterial disease (lower extremity, renal, mesenteric, and abdominal aortic): a collaborative report from the American Association for Vascular Surgery/Society for Vascular Surgery, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Peripheral Arterial Disease): endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and Blood Institute; Society for Vascular Nursing; TransAtlantic Inter-Society Consensus; and Vascular Disease Foundation. Circulation 113(11):e463–e654

    Article  PubMed  Google Scholar 

  • Holler D, Claes C, Schulenburg JM (2004) Treatment costs and quality of life of patients with peripheral arterial occlusive disease – the German perspective. Vasa 33:145–153

    Article  CAS  PubMed  Google Scholar 

  • Holtzman J, Caldwell M, Walvatne C, Kane R (1999) Long-term functional status and quality of life after lower extremity revascularization. J Vasc Surg 29:395–402

    Article  CAS  PubMed  Google Scholar 

  • International Working Group on the Diabetic Foot (2003) International consensus on the diabetic foot [CD-ROM]. International Diabetes Foundation, Brüssel

    Google Scholar 

  • Internationaler Konsensus über den Diabetischen Fuß/Internationale Arbeitsgruppe über den Diabetischen Fuß (1999) (Hrsg) PD Dr. med. M. Spraul. (Über)Dr. med. B. Richter. Kirchheim & Co, Mainz

    Google Scholar 

  • Jakobsen HL, Baekgaard N, Christoffersen JK (1998) Below-knee popliteal and distal bypass with PTFE and vein cuff. Eur J Vasc Surg 15:327–330

    Article  CAS  Google Scholar 

  • Jamieson GG, DeWeese JA, Rob CG (1975) Infected arterial grafts. Ann Surg 181:850–852

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Jones WS, Dolor RJ, Hasselblad V, Vemulapalli S, Subherwal S, Schmit K, Heidenfelder B, Patel MR (2014) Comparative effectiveness of endovascular and surgical revascularization for patients with peripheral artery disease and critical limb ischemia: systematic review of revascularization in critical limb ischemia. Am Heart J 167:489–498

    Article  PubMed  Google Scholar 

  • Johnson BF, Singh S, Evans IL, Drury R, Datta D, Beard JD (1997) A prospective study of the effect of limb-threatening ischaemia and its surgical treatment on the quality of life. Eur J Vasc Endovasc Surg 13:306–314

    Article  CAS  PubMed  Google Scholar 

  • Jones L, Braithwaite BD, Davies B et al (1997) Mechanism of late prosthetic vascular graft infection. Cardiovasc Surg 5:486–489

    Article  CAS  PubMed  Google Scholar 

  • Kalbaugh CA, Taylor SM, Blackhurst DW et al (2006) One-year prospective quality of life outcomes in patients treated with angioplasty for symptomatic peripheral disease. J Vasc Surg 44:296–302

    Article  PubMed  Google Scholar 

  • Khalil AA, Boyd A, Griffiths G (2012) Interposition vein cufffor infragenicular prosthetic bypass graft. Cochrane Database Syst Rev CD007921

    Google Scholar 

  • Kieffer E, Bahnini A, Koskas F et al (1993) In situ allograft replacement of infected infrarenal aortic prosthetic grafts: results in forty-three patients. J Vasc Surg 17:349–355; discussion 355–6

    Article  CAS  PubMed  Google Scholar 

  • Kieffer E, Gomes D, Chiche L et al (2004) Allograft replacement for infrarenal aortic graft infection: early and late results in 179 patients. J Vasc Surg 39:1009–1017

    Article  PubMed  Google Scholar 

  • Kinney EV, Bandyk DF, Mewissen MW, Lanza D, Bergamini TM, Lipchik EO, Seabrook GR, Towne JB (1991) Monitoring functional patency of percutaneous transluminal angioplasty. Arch Surg 126(6):743–747

    Article  CAS  PubMed  Google Scholar 

  • Kleevsgård R, Hallberg IR, Risberg B, Thomsen MB (1999) Quality of life associated with varying degrees of chronic lower limb ischaemia; comparison with a healthy sample. Eur J Vasc Endovasc Surg 17:319–325

    Article  Google Scholar 

  • Kleevsgard TR, Risberg BO, Thomsen MB, Hallberg IR (2001) A 1-year-follow-up quality of life study after haemodynamicallysucessfull or unsuccessfull surgical revascularisation of lower limb ischaemia. J Vasc Surg 33:114–122

    Article  Google Scholar 

  • Klinkert P, Post PN, Breslau PJ, van Bockel JH (2004) Saphenous vein versus PTFE for above-knee femoropopliteal bypass. A review of the literature. Eur J Vasc Endovasc Surg 27:357–362

    Article  CAS  PubMed  Google Scholar 

  • Kommission für Krankenhaushygiene, Infektionsprävention beim Robert Koch-Institut (2007) Prävention postoperativer Infektionen im Operationsgebiet. Bundesges Gesundheitsforsch Gesundheitsschutz 50:377–393

    Article  Google Scholar 

  • Kopp R, Weidenhagen R, Hornung H, Jauch KW, Lauterjung L (2003) Akute Extremitätenischämie aus allgemeinchirurgischer Sicht. Chirurg 74:1090–1102

    Article  CAS  PubMed  Google Scholar 

  • Korhonen M, Biancari F, Söderström M, Arvela E, Halmesmäki K, Albäck A, Lepantälo M, Venermo M (2011) Femoropopliteal balloon angioplasty vs. bypass surgery for CLI: a propensity score analysis. Eur J Vasc Endovasc Surg 41(3):378–384

    Article  CAS  PubMed  Google Scholar 

  • Kugelmann U (2007) Perimalleoläre und pedale Rekonstruktionen bei kritischer Fußischämie. Gefäßchirurgie 12:191–205

    Article  Google Scholar 

  • Kujath P, Scheele J (2006) Auftreten und Virulenzfaktoren bakterieller Erreger bei Gefäßinfektionen. Gefaesschirurgie 11:393–401

    Article  Google Scholar 

  • Lindholt JS, Gottschalksen B, Johannesen N et al (2011) The Scandinavian Propaten trial – 1-year patency of PTFE vascular prostheses with heparin-bonded luminal surfaces compared to ordinary pure PTFE vascular prostheses – a randomised clinical controlled multi-centre trial. Eur J Vasc Endovasc Surg 41:668–673

    Article  CAS  PubMed  Google Scholar 

  • Larena-Avellaneda A, Franke S (2004) Die Bedeutung der Intimahyperplasie für den Gefäßchirurgen und therapeutische Möglichkeiten. Gefäßchirurgie 9:89–95

    Article  Google Scholar 

  • Lawall H, Huppert P, Rümenapf G (2015) S3 Leitlinine pAVK der Deutschen Gesellschaft für Angiologie und Deutschen Gesellschaft für Gefäßchirurgie, AWMF Register Nr.065/003. www.awmf-online.de. Zugegriffen am 30.11.2015

  • Lee TH, Goldmann L et al (1999) Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery. Circulation 100:1043–1049

    Article  CAS  PubMed  Google Scholar 

  • Lepäntalo M, Eskelinen E (2007) Outcome of infrapopliteal bypass in the elderly. Acta Chir Belg 107:1–7

    Article  PubMed  Google Scholar 

  • Lipsky BA, Berendt AR, Deery HG et al (2004) Diagnosis and treatment of diabetic foot infections. Clin Infect Dis 39:885–910

    Article  PubMed  Google Scholar 

  • Lorentzen JE, Nielsen OM, Arendrup H et al (1985) Vascular graft infection: an analysis of sixty-two graft infections in 2411 consecutively implanted synthetic vascular grafts. Surgery 98:81–86

    CAS  PubMed  Google Scholar 

  • Lösel-Sadée H, Alefelder C (2009) Heparin-bonded expanded polytetrafluoroethylene graft for infragenicular bypass: five-year results. J Cardiovasc Surg (Torino) 50(3):339–343

    Google Scholar 

  • Modrall JG, Hocking JA, Timaran CH et al (2007) Late incidence of chronic venous insufficiency after deep vein harvest. J Vasc Surg 46:520–525; discussion 525

    Article  PubMed  Google Scholar 

  • Morbach S, Müller E, Reike H, Risse A, Spraul M (2004) Diagnostik, Therapie, Verlaufskontrolle und Prävention des diabetischen Fußsyndroms. Evidenzbasierte Leitlinien. Diabetes Stoffwechsel 13:9–30

    Google Scholar 

  • Monaco M, Di Tommaso L, Pinna GB et al (2012) Combination therapy with warfarin plus clopidogrel improves outcomes in femoropopliteal bypass surgery patients. J Vasc Surg 56:96–105

    Article  PubMed  Google Scholar 

  • Naundorf M (2006) Macht die Bypasschirurgie bei über 80-jährigen einen Sinn? Medreport Sonderausgabe 21. Gefäßchirurgisches Symposium, Berlin

    Google Scholar 

  • Neville RF, Lidsky M, Capone A, Babrowicz J, Rahbar R, Sidawy AN (2012) An expanded series of distal bypass using the distal vein patch technique to improve prosthetic graft performance in critical limb ischemia. Eur J Vasc Endovasc Surg 44:177–182

    Article  CAS  PubMed  Google Scholar 

  • Ngyen LL, Moneta GL, Conte MS et al (2006) Prospective multicenter study of quality of life before and after lower extremity vein bypass in 1404 patients with critical limb ischaemia. J Vasc Surg 23:495–499

    Google Scholar 

  • Nolan BW, De Martino RR, Stone DH, Schanzer A, Goodney PP, Walsh DW, Cronenwett JL, Vascular Study Group of New England (2011) Prior failed ipsilateral percutaneous endovascular intervention in patients with critical limb ischemia predicts poor outcome after lower extremity bypass. J Vasc Surg 54:730–735

    Article  PubMed  PubMed Central  Google Scholar 

  • O’Hara PJ, Hertzer NR, Beven EG et al (1986) Surgical management of infected abdominal aortic grafts: review of a 25-year experience. J Vasc Surg 3:725–731

    Article  PubMed  Google Scholar 

  • Oderich GS, Bower TC, Cherry KJ Jr et al (2006) Evolution from axillofemoral to in situ prosthetic reconstruction for the treatment of aortic graft infections at a single center. J Vasc Surg 43:1166–1174

    Article  PubMed  Google Scholar 

  • Odero A, Argenteri A, Cugnasca M et al (1997) The crimped bovine pericardium bioprosthesis in graft infection: preliminary experience. Eur J Vasc Endovasc Surg 14(Suppl A):99–101

    Article  PubMed  Google Scholar 

  • Ohki T, Veith FJ (2000) Endo vascular grafts and other image-guided catheter-based adjuncts to improve the treatment of ruptured aortoiliac aneurysms. Ann Surg 232(4):466–479

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Ouriel K, Shortell C, Deweese J, Green R, Francis C, Azodo M et al (1994) A comparison of thrombolytic therapy with operative revascularization in the initial treatment of acute peripheral arterial ischemia. J Vasc Surg 19:1021–1030

    Article  CAS  PubMed  Google Scholar 

  • Ouriel K, Veith F, Sasahara A (1998) A comparison of recombinant urokinase with vascular surgery as initial treatment for acute arterial occlusion of the legs. Thrombolysis or Peripheral Arterial Surgery (TOPAS) Investigators. N Engl J Med 338:1105–1111

    Article  CAS  PubMed  Google Scholar 

  • Pedersen G, Laxdal E, Hagala M, Aune S (2004) Local infections after above-knee prosthetic femoropopliteal bypass for intermittent claudication. Surg Infect (Larchmt) 5(2):174–179

    Article  Google Scholar 

  • Ploeg AJ, Lardenoye JW, Vrancken Peeters MP, Breslau PJ (2005) Contemporarc series of mobidity and mortality after lower limb amputation. Eur J Vasc Endovasc Surg 29:633–637

    Article  CAS  PubMed  Google Scholar 

  • Pulli R, Dorige W, Castelli P, Dorrucci V, Ferilli F, De Blasis G, Monaca V, Vecchiati E, Pratesi C, On behalf of the Propaten Italian Registry Group (2010) Midterm results from a multicenter registry on the treatment of infrainguinal critical limb ischemia using a heparin-bonded ePTFE graft. J Vasc Surg 51:1167–1177

    Article  PubMed  Google Scholar 

  • Quinones-Baldrich WJ, Hernandez JJ, Moore WS (1991) Long-term results following surgical management of aortic graft infection. Arch Surg 126:507–511

    Article  CAS  PubMed  Google Scholar 

  • Ramdev P, Rayan SS, Sheahan M, Hamdan AD, LoGerfo FW, Akbari CM, Campbell DR, Pomposelli FB (2002) A decade experience with infrainguinal revascularization in a dialysis dependent patient population. J Vasc Surg 26:969–974

    Article  Google Scholar 

  • Reilly LM, Altman H, Lusby RJ et al (1984) Late results following surgical management of vascular graft infection. J Vasc Surg 1:36–44

    Article  CAS  PubMed  Google Scholar 

  • Roberts JR, Walters GK, Zenilman ME, Jones CE (1993) Groin lymphorrhea complicating revascularization involving the femoral vessels. Am J Surg 165(3):341–344

    Article  CAS  PubMed  Google Scholar 

  • Rutherford RB, Jones DN, Bergentz SE et al (1988) Factors affecting the patency of infrainguinal bypass. J Vasc Surg 8:236–246

    Article  CAS  PubMed  Google Scholar 

  • Rumenapf G, Morbach S, Lejay A, Thaveau F, Georg Y, Bajcz C, Kretz JG, Chakfe N (2013) Autonomy following revascularisation in 80-year-old patients with critical limb ischemia. Eur J Vasc Endovasc Surg 2012;44:562–7. Eur J Vasc Endovasc Surg 45:693

    Article  CAS  PubMed  Google Scholar 

  • Santo VJ, Dargon P, Azarbal AF, Liem TK, Mitchell EL, Landry GJ, Moneta GL (2014) Lower extremity autologous vein bypass for critical limb ischemia is not adversely affected by prior endovascular procedure. J Vasc Surg 60:129–135

    Article  PubMed  Google Scholar 

  • Schmiedt W et al (2003) Krurale und pedale Bypasschirurgie bei kritischer Ischämie und nicht heilender Fußläsion. Gefäßchirurgie 8:525–558

    Article  Google Scholar 

  • Schneider JR, Walsh DB, McDaniel MD, Zwolak RM, Besso SR, Cronenwett JL (1993) Pedal bypass versus tibial bypass with autogenous vein: a comparison outcome and hemodynamic results. J Vasc Surg 17:1029–1038

    Article  CAS  PubMed  Google Scholar 

  • Seabrook GR, Cambria RA, Freischlag JA, Towne JB (1999) Health-related quality of life and functional outcome following arterial reconstruction for limb salvage. Cardiovasc Surg 7:729–786

    Article  Google Scholar 

  • Seeger JM, Pretus HA, Welborn MB et al (2000) Long-term outcome after treatment of aortic graft infection with staged extra-anatomic bypass grafting and aortic graft removal. J Vasc Surg 32:451–459; discussion 460–1

    Article  CAS  PubMed  Google Scholar 

  • Selvin E, Erlinger TP (2004) Prevalence of and risk factors for peripheral arterial disease in the United States: results from the National Health and Nutrition Examination Survey, 1999–2000. Circulation 110(6):738–743

    Article  PubMed  Google Scholar 

  • Sharp WJ, Hoballah JJ, Mohan CR et al (1994) The management of the infected aortic prosthesis: a current decade of experience. J Vasc Surg 19:844–850

    Article  CAS  PubMed  Google Scholar 

  • Soga Y, Mii S, Iida O, Okazaki J, Kuma S, Hirano K, Suzuki K, Kawasaki D, Yamaoka T, Kamoi D, Shintani Y (2014) Propensity score analysis of clinical outcome after bypass surgery vs. endovascular therapy for infrainguinal artery disease in patients with critical limb ischemia. J Endovasc Ther 21:243–253

    Article  PubMed  Google Scholar 

  • Stewart AH, Eyers PS, Earnshaw JJ (2007) Prevention of infection in peripheral arterial reconstruction: a systematic review and meta-analysis. J Vasc Surg 46:148–155

    Article  PubMed  Google Scholar 

  • Stonebridge PA, Prescott RJ, Ruckley CV (1997) Randomized trial comparing infrainguinal polytetrafluoroethylene bypass grafting with and without vein interposition cuff at the distal anastomosis. J Vasc Surg 26:543–550

    Article  CAS  PubMed  Google Scholar 

  • Storck M, Wagner H-J (2007) Periphere arterielle Verschlusskrankheit und akute Extremitätenischämie. Chirurg 78:611–619

    Article  CAS  PubMed  Google Scholar 

  • Szilagyi DE, Smith RF, Elliott JP et al (1972) Infection in arterial reconstruction with synthetic grafts. Ann Surg 176:321–333

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • TASC II document (2007) Eur J Vasc Endovasc Surg 33(Supplement 1)

    Google Scholar 

  • Taylor GI, Palmer JH (1992) The angiosome theory. Br J Plast Surg 45:327

    Article  CAS  PubMed  Google Scholar 

  • Tefera G, Hoch J, Turnispeed WD (2005) Limb salvage angioplasty in vascular surgery practice. J Vasc Surg 41:988–993

    Article  PubMed  Google Scholar 

  • The STILE Trial (1994) Results of a prospective randomized trial evaluating surgery versus thrombolysis for ischemia of the lower extremity. Ann Surg 220:251–266

    Article  Google Scholar 

  • Thompson MM, Sayers RD, Reid A, Underwood MI, Bell PR (1995) Quality of life following infragenicular bypass and lower limb amputation. Eur J Vasc Endovasc Surg 9:310–313

    Article  CAS  PubMed  Google Scholar 

  • Thorsen H, McKenna S, Tennant A, Holstein P (2002) NHP scores predict the outcome and support aggressive revascularisation for critical ischaemia. Eur J Vasc Endovasc Surg 23:495–499

    Article  CAS  PubMed  Google Scholar 

  • Tunis SR, Bass EB, Steinberg EP (1991) The use of angioplasty, bypass surgery, and amputation in the management of peripheral vascular disease. N Engl J Med 325(8):556–562

    Article  CAS  PubMed  Google Scholar 

  • Ubbink DT, Jacobs MJ, Tangelder GJ, Slaaf DW, Reneman RS (1994) The usefulnes of capillary microscopy, transcutaneus oximetry and laser Doppler fluxmetry in the assessment of the severity of lower limb ischaemia. Int J Microcirc Clin Exp 14:34–44

    Article  CAS  PubMed  Google Scholar 

  • Ueberrueck T, Zippel R, Tautenhahn J et al (2005) Vascular graft infections: in vitro and in vivo investigations of a new vascular graft with long-term protection. J Biomed Mater Res B Appl Biomater 74:601–607

    Article  PubMed  CAS  Google Scholar 

  • Uhl C, Hock C, Betz T, Bröckner S, Töpel I, Steinbauer M (2015a) The impact of infrainguinal endovascular interventions on the results of subsequent femoro-tibial bypass procedures: a retrospective cohort study. Int J Surg 13:261–266

    Article  CAS  PubMed  Google Scholar 

  • Uhl C, Hock C, Betz T, Greindl M, Töpel I, Steinbauer M (2015b) Comparison of venous and HePTFE tibial and peronealbypasses in critical limb ischemia patients unsuitable for endovascular revascularization. Vascular. pii:1708538114568701 (vor Druck)

    Google Scholar 

  • Virkkunen J, Venermo M, Saarinen J et al (2008) Impact of endovascular treatment on clinical status and health-related quality of life. Scand J Surg 97:50–55

    Article  CAS  PubMed  Google Scholar 

  • Wann-Hansson C, Halberg IR, Risberg B, Klevsgard R (2004) A comparison of NHP and SF 36health survey in patients with chronic lower limb ischaemia in a longitudinal propesctive. Health Qual Life Outcomes 2:1–11

    Article  Google Scholar 

  • Webster J, Alghamdi AA (2007) Use of plastic adhesive drapes during surgery for preventing surgical site infection. Cochrane Database Syst Rev 4:CD006353

    Google Scholar 

  • Weis-Müller BT, Römmler V, Lippelt I, Porath M, Godehardt E, Balzer KM, Sandmann W (2011) Critical chronic peripheral arterial disease: does outcome justify crural or pedal bypass surgery in patients with advanced age or with co-morbidities? Ann Vasc Surg 25(6):783–95

    Google Scholar 

  • Wilson PW (1994) Established risk factors and coronary artery disease: the Framingham study. Am J Hypertens 7:7S–12S

    Article  CAS  PubMed  Google Scholar 

  • Wolfe JN (1986) Defining the outcome of critical ischaemia: a one year prospective study. Br J Surg 73:321

    Article  Google Scholar 

  • Yashar JJ, Weyman AK, Burnard RJ et al (1978) Survival and limb salvage in patients with infected arterial prostheses. Am J Surg 135:499–504

    Article  CAS  PubMed  Google Scholar 

  • Yeager RA, Taylor LM Jr, Moneta GL et al (1999) Improved results with conventional management of infrarenal aortic infection. J Vasc Surg 30:76

    Article  CAS  PubMed  Google Scholar 

  • Zegelman M, Guenther G, Eckstein HH et al (2006) In-situ-Rekonstruktion mit alloplastischen Prothesen beim Gefäßinfekt. Evaluation von mit Silberacetat beschichteten Prothesen. Gefässchirurgie 11:402–406

    Article  Google Scholar 

  • Zühlke H (2006) Autologe Verfahren zur Therapie von Gefäßinfektionen. Gefässchirurgie 11:409–422

    Article  Google Scholar 

  • Zühlke HV, Harnoss BM, Lorenz EPM (1994) Postoperative Infektionen in der Gefäßchirurgie 12–18

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Klinik und Poliklinik für Gefäßmedizin, Universitäres Herz- und Gefäßzentrum GmbH, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland

    Holger Diener

  2. Klinik und Poliklinik für Gefäßmedizin, Universitätsklinikum Hamburg-Eppendorf (UKE), Hamburg, Deutschland

    Eike Sebastian Debus

Authors
  1. Holger Diener
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Eike Sebastian Debus
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding authors

Correspondence to Holger Diener or Eike Sebastian Debus .

Editor information

Editors and Affiliations

  1. Klinik und Poliklinik für Gefäßmedizin Gefäßchirurgie – Angiologie – endovaskuläre Therapie, Universitätsklinikum Hamburg-Eppendorf Universitäres Herz- und Gefäßzentrum, Hamburg, Germany

    Eike Sebastian Debus

  2. Abteilung für Diagnostische und Interventionelle Radiologie, Asklepios Klinikum Harburg, Hamburg, Germany

    Walter Gross-Fengels

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Diener, H., Debus, E.S. (2020). Verschlusserkrankungen der kruropedalen Arterien: Klinik und offene Revaskularisation. In: Debus, E., Gross-Fengels, W. (eds) Operative und interventionelle Gefäßmedizin. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53380-2_87

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-53380-2_87

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-53378-9

  • Online ISBN: 978-3-662-53380-2

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation