{"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":1789429356954,"version":"build-2803163510"},"reference-count":30,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2024,11,14]],"date-time":"2024-11-14T00:00:00Z","timestamp":1731542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,11,14]],"date-time":"2024-11-14T00:00:00Z","timestamp":1731542400000},"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":[[2025,7]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n          <jats:sec>\n            <jats:title>Einleitung<\/jats:title>\n            <jats:p>Ven\u00f6se Aneurysmen bilden in der Gef\u00e4\u00dfchirurgie eine seltene Entit\u00e4t, die meist in Einzelfallserien und daraus generierten Metaanalysen beschrieben wird. Die Behandlungskonzepte sind vielf\u00e4ltig, hervorgehoben wird die operative Therapie wegen des Thromboserisikos und des Risikos f\u00fcr Lungenembolien. Uneinigkeit besteht hinsichtlich der postoperativen Notwendigkeit und Dauer der Antikoagulation.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methode<\/jats:title>\n            <jats:p>Serie einer konsekutiven Patientenkohorte mit ven\u00f6sem Aneurysma der letzten 18\u00a0Jahre einer Gef\u00e4\u00dfchirurgie der hochspezialisierten Versorgung mit zentrumsgleichen Strukturen inklusive einer Bewertung der eigenen Erfahrungen aus der t\u00e4glichen gef\u00e4\u00dfchirurgischen Praxis im Lichte einer aktuellen Literaturauswahl zu m\u00f6glichen und vor allem etablierten diagnosespezifischen Therapiekonzepten.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Ergebnisse<\/jats:title>\n            <jats:p>Zwischen 2005 und 2023 wurden insgesamt 11\u00a0F\u00e4lle ven\u00f6ser Aneurysmen bei Patienten im Alter von 30\u00a0bis 84 (Mittelwert: 52,5; Median: 50) Jahre(n) eruiert, wobei bei einem Patienten nach 2\u00a0Jahren ein Rezidiv operiert werden musste. Das Geschlechterverh\u00e4ltnis betrug 7:3 (m:w). Von der anatomischen Region war die V.\u00a0poplitea mit 36,4\u202f% am h\u00e4ufigsten betroffen, gefolgt von der V.\u00a0jugularis interna und V.\u00a0axillaris\/subclavia mit je 18,2\u202f%. Ein Aneurysma der V.\u00a0cava inferior, der V.\u00a0iliaca communis und V.\u00a0cubiti media traten nur einmal auf. In 9\u00a0F\u00e4llen erfolgte eine operative Versorgung der Aneurysmen. Dabei kamen als Operationsmethoden eine <jats:bold>i)<\/jats:bold>\u00a0tangentiale Resektion der Aneurysmawand und fortlaufende Raffungsnaht, <jats:bold>ii)<\/jats:bold>\u00a0Resektion des Aneurysmas und Interposition einer 8\u2011mm-GORE-TEX\u00aeVascular-Graft-Prothese (W.L. Gore, Putzbrunn, Deutschland), <jats:bold>iii)<\/jats:bold>\u00a0Ligatur des Aneurysmas und <jats:bold>iv)<\/jats:bold>\u00a0Ligatur mit anschlie\u00dfender Resektion des Aneurysmas zur operativ-technischen Anwendung.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Schlussfolgerung<\/jats:title>\n            <jats:p>Die Seltenheit des Auftretens der ven\u00f6sen Aneurysmen sollte Anlass geben, diese F\u00e4lle zentral zu registrieren und auszuwerten (ggf. bundesweites Register). Die chirurgische Behandlung ist meist unproblematisch und mit wenigen Komplikationen behaftet. Das Risiko von Lungenembolien scheint bei ven\u00f6sen Aneurysmen der Extremit\u00e4ten, Beckenvenen und V.\u00a0cava inferior deutlich erh\u00f6ht zu sein, w\u00e4hrend ven\u00f6se Aneurysmen im Kopf- und Halsbereich deutlich weniger dazu neigen. Die peri- und postoperative Antikoagulation hat sich an die Entwicklung der Antikoagulanzien angepasst zugunsten der Therapie mit direkten oralen Antikoagulanzien (DOAKs). Eine unmittelbar postoperative(s) \u201elow-dose\u201c-Heparinisierung und anschlie\u00dfendes therapeutisches Bridging mit einem niedermolekularen Heparin vor Einstellung auf ein ambulantisierf\u00e4higes Antikoagulans scheint die perioperative Phase bez\u00fcglich operationsbedingter, insbesondere thrombotischer Komplikationen (aber auch Blutung) nach eigener Erfahrung abzusichern.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00104-024-02191-x","type":"journal-article","created":{"date-parts":[[2024,11,14]],"date-time":"2024-11-14T20:52:07Z","timestamp":1731617527000},"page":"583-592","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Management ven\u00f6ser Aneurysmen und deren gef\u00e4\u00dfchirurgische Therapiem\u00f6glichkeiten","Management of venous aneurysms and the vascular surgical treatment options"],"prefix":"10.1007","volume":"96","author":[{"given":"U.","family":"Barth","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Stojkova","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":[[2024,11,14]]},"reference":[{"issue":"6","key":"2191_CR1","doi-asserted-by":"publisher","first-page":"858","DOI":"10.1097\/00000658-196406000-00004","volume":"159","author":"OA Abbott","year":"1964","unstructured":"Abbott\u00a0OA, Leigh\u00a0TF (1964) Aneurysmal Dilatations of the Superior Vena Caval System. 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