R I Rückert1, U Hanack, S Aronés-Gomez, S Yousefi, K Brechtel. 1. Klinik für Gefäß- und endovaskuläre Chirurgie, Allgemein- und Viszeralchirurgie, Franziskus-Krankenhaus, Akademisches Lehrkrankenhaus, Charité - Universitätsmedizin Berlin, Budapester Str. 15-19, 10787, Berlin, Deutschland, ralph.rueckert@franziskus-berlin.de.
Abstract
BACKGROUND: Complications are a threat to successful revascularization for treatment of perpheral arterial occlusive disease (PAOD) and must, therefore, be either primarily prevented or effectively treated after having occurred. OBJECTIVES: The aim of this article is to give a survey of possible complications after revascularization for treatment of PAOD and their management. MATERIAL AND METHODS: A systematic literature review was performed in PubMed and Medline. The analysis mainly considered recent publications with a higher level of evidence. RESULTS: Revascularization for treatment of PAOD can basically be performed by an open surgical approach, an endovascular approach or as a combination of both methods (hybrid operation). The spectrum of possible complications varies accordingly. A differentiation can be made between bleeding, ischemic and systemic complications as well as between vascular and non-vascular complications. Optimal management of complications begins with primary prophylaxis and further includes a timely diagnosis and treatment of established complications. The best prophylaxis consists of a high quality of indications and performance of revascularization. CONCLUSION: Optimal management of complications is essential and of utmost importance for successful revascularization to treat PAOD.
BACKGROUND: Complications are a threat to successful revascularization for treatment of perpheral arterial occlusive disease (PAOD) and must, therefore, be either primarily prevented or effectively treated after having occurred. OBJECTIVES: The aim of this article is to give a survey of possible complications after revascularization for treatment of PAOD and their management. MATERIAL AND METHODS: A systematic literature review was performed in PubMed and Medline. The analysis mainly considered recent publications with a higher level of evidence. RESULTS: Revascularization for treatment of PAOD can basically be performed by an open surgical approach, an endovascular approach or as a combination of both methods (hybrid operation). The spectrum of possible complications varies accordingly. A differentiation can be made between bleeding, ischemic and systemic complications as well as between vascular and non-vascular complications. Optimal management of complications begins with primary prophylaxis and further includes a timely diagnosis and treatment of established complications. The best prophylaxis consists of a high quality of indications and performance of revascularization. CONCLUSION: Optimal management of complications is essential and of utmost importance for successful revascularization to treat PAOD.
Authors: Kaffer Kara; Amir A Mahabadi; Hanna Rothe; Patrick Müller; Jan Krüger; Horst Neubauer; Oliver Klein-Wiele; Andreas Mügge; Philipp Kahlert; Raimund Erbel Journal: J Endovasc Ther Date: 2014-12 Impact factor: 3.487
Authors: Dean J Arnaoutakis; Shalini Selvarajah; Nestoras Mathioudakis; James H Black; Julie A Freischlag; Christopher J Abularrage Journal: Ann Vasc Surg Date: 2013-12-24 Impact factor: 1.466