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Dies kann Schwellungen, Schmerzen, trophische Hautver\u00e4nderungen und ein erh\u00f6htes Infektionsrisiko verursachen. Zudem k\u00f6nnen funktionelle Einschr\u00e4nkungen der betroffenen Extremit\u00e4t psychosoziale Folgen haben. Betroffene Patienten werden \u00fcblicherweise \u00fcber ihr lebenslang erh\u00f6htes Risiko f\u00fcr ein Lymph\u00f6dem informiert. Internationale sowie nationale Leitlinien empfehlen, ipsilaterale medizinische Eingriffe wie Gef\u00e4\u00dfpunktionen oder Blutdruckmessungen zu vermeiden. Ist eine kontralaterale Punktion schwierig, werden suboptimale Punktionsstellen wie der Fu\u00df gew\u00e4hlt oder die Anlage eines zentralven\u00f6sen Katheters durchgef\u00fchrt, obwohl dies mit einem erschwerten Zugang und einer eingeschr\u00e4nkten Visualisierung der Punktionsstelle verbunden sein kann. Frustrane Punktionsversuche k\u00f6nnen zu Schmerzen, Diskomfort und funktionellen Einschr\u00e4nkungen f\u00fchren; insbesondere die Anlage peripherer Venenverweilkan\u00fclen an ung\u00fcnstigen Stellen wie dem Fu\u00df kann die Mobilit\u00e4t erheblich beeintr\u00e4chtigen und das Risiko f\u00fcr Komplikationen wie eine tiefe Venenthrombose erh\u00f6hen. Fr\u00fcher war die Evidenz zu ipsilateralen Verfahren begrenzt und basierte \u00fcberwiegend auf kleinen Fallstudien. Neuere Daten zeigen jedoch, dass isolierte Eingriffe wie etwa ven\u00f6se Punktionen und Katheterplatzierungen nach ALND oder axill\u00e4rer Strahlentherapie sicher durchgef\u00fchrt werden k\u00f6nnen, sofern kein pr\u00e4existierendes Lymph\u00f6dem vorliegt. So sollte nach einer kontralateral frustranen Punktion eine ipsilaterale Punktion erwogen werden, bevor ung\u00fcnstige\nPunktionsstellen gew\u00e4hlt oder die Anlage eines zentralen Venenkatheters erwogen wird.<\/jats:p>","DOI":"10.1007\/s00101-026-01694-y","type":"journal-article","created":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T18:02:26Z","timestamp":1781546546000},"page":"649-655","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Ipsilaterale ven\u00f6se Gef\u00e4\u00dfpunktion und Katheterplatzierung nach axill\u00e4rer Lymphadenektomie","Ipsilateral venous puncture and catheter placement after axillary lymphadenectomy"],"prefix":"10.1007","volume":"75","author":[{"given":"J.","family":"Weber","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Wappler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Schieren","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Defosse","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,15]]},"reference":[{"key":"1694_CR1","doi-asserted-by":"publisher","first-page":"e392","DOI":"10.1016\/S1470-2045(16)30204-2","volume":"17","author":"MS Asdourian","year":"2016","unstructured":"Asdourian\u00a0MS, Skolny\u00a0MN, Brunelle\u00a0C et\u00a0al (2016) Precautions for breast cancer-related lymphoedema: risk from air travel, ipsilateral arm blood pressure measurements, skin puncture, extreme temperatures, and cellulitis. 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