{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T23:42:36Z","timestamp":1789429356690,"version":"build-2803163510"},"reference-count":41,"publisher":"Springer Science and Business Media LLC","issue":"12","license":[{"start":{"date-parts":[[2024,7,22]],"date-time":"2024-07-22T00:00:00Z","timestamp":1721606400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,7,22]],"date-time":"2024-07-22T00:00:00Z","timestamp":1721606400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinikum Magdeburg"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Chirurgie"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Ziel<\/jats:title>\n                <jats:p>Ziel der Arbeit ist die Darstellung der Diversit\u00e4t von Gef\u00e4\u00dfverletzungen in Bezug auf Gef\u00e4\u00dfsegmente bzw. K\u00f6rperregionen, Unfallmechanismen und spezifische Patientenkonstellationen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methode<\/jats:title>\n                <jats:p>Es erfolgte eine repr\u00e4sentative Fallsammlung(-serie).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Die Diagnostik von Gef\u00e4\u00dfverletzungen im Rahmen von Traumata und Frakturen beginnt mit einer gr\u00fcndlichen k\u00f6rperlichen Untersuchung. Zus\u00e4tzlich sollten die von der Western Trauma Association pr\u00e4ferierten harten und weichen Zeichen in die Entscheidung mit einbezogen werden. Die Ultraschall-Doppler-Untersuchung ist durch vergleichende Messungen das sicherste und schonendste nichtinvasive Untersuchungsverfahren beim Verdacht auf eine Gef\u00e4\u00dfverletzung. Die Stabilisierung einer Fraktur, ideal mittels Fixateur externe, sollte m\u00f6glichst vor der Gef\u00e4\u00dfrekonstruktion erfolgen, es sei denn, dass massive Blutung, hypovol\u00e4mischer Schock oder ein sich rasch ausbreitendes H\u00e4matom eine sofortige Indikation zum Eingriff darstellen. Bei kindlichen suprakondyl\u00e4ren Frakturen wird h\u00e4ufig eine Gef\u00e4\u00dfverletzung ohne relevante Isch\u00e4mie beschrieben (\u201epink pulseless hand\u201c). Hier sollte zun\u00e4chst die Reposition der Fraktur erfolgen, weil es h\u00e4ufig wieder zu einer Erholung des Pulses kommt. Aufgrund der zunehmenden Verf\u00fcgbarkeit, der guten technischen Handhabung und der hohen technischen Erfolgsquote sowie des eher limitierten Interventionstraumas hat sich eine endovaskul\u00e4re Versorgung traumatisch bedingter Gef\u00e4\u00dfverletzungen weitgehend durchgesetzt. Traumatische Aortenrupturen sind mit einer hohen Mortalit\u00e4t bereits am Unfallort behaftet. Die schnelle endovaskul\u00e4re Versorgung mittels einer Stentprothese erh\u00f6ht die \u00dcberlebenschancen des Verletzten deutlich.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerung<\/jats:title>\n                <jats:p>Gef\u00e4\u00dfverletzungen im Zusammenhang mit Frakturen oder Mehrfachverletzungen erfordern ein interdisziplin\u00e4res Zusammenspiel der beteiligten Fachgebiete.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00104-024-02124-8","type":"journal-article","created":{"date-parts":[[2024,7,22]],"date-time":"2024-07-22T17:02:06Z","timestamp":1721667726000},"page":"990-1002","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Traumaassoziierte Gef\u00e4\u00dfverletzungen und deren gef\u00e4\u00dfchirurgische\/interventionelle Rekonstruktionsm\u00f6glichkeiten","Trauma-associated vascular injuries and the vascular surgical\/interventional options for vascular reconstruction"],"prefix":"10.1007","volume":"95","author":[{"given":"U.","family":"Barth","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Piatek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Stojkova","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Krause","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Meyer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Z.","family":"Halloul","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,7,22]]},"reference":[{"issue":"3","key":"2124_CR1","doi-asserted-by":"publisher","first-page":"156","DOI":"10.1007\/s00772-022-00892-3","volume":"27","author":"T Jerkku","year":"2022","unstructured":"Jerkku\u00a0T, Tsilimparis\u00a0N, Banafsche\u00a0R (2022) Die Gef\u00e4\u00dfverletzung \u2013 eine untersch\u00e4tzte Entit\u00e4t? 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