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Die schnelle und akkurate Diagnostik sowie die Wahl der korrekten Therapie sind f\u00fcr das Patienten\u00fcberleben elementar.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Fragestellung<\/jats:title>\n                <jats:p>Bestimmung des aktuellen Standards der Abkl\u00e4rung von TAV im akuten Trauma-Setting und Evaluation der aktuellen Leitlinien zur Therapie.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methode<\/jats:title>\n                <jats:p>Eine Literaturrecherche wurde durchgef\u00fchrt, mit der Suche nach Publikationen, die die Abkl\u00e4rung und Diagnostik der TAV beschreiben. Au\u00dferdem wurden Leitlinien f\u00fcr die Behandlung und Nachsorge von TAV zusammengefasst.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>In der Literatur wird trotz geringer Spezifit\u00e4t eine konventionelle Thoraxr\u00f6ntgenaufnahme als Initialdiagnostik genannt. Es sollte prim\u00e4r, als Modalit\u00e4t der Wahl, zur Diagnostik und zur Therapiestratifizierung eine Computertomographie (CT) aufgrund der hohen Sensitivit\u00e4t und Spezifit\u00e4t nachfolgen. In allen Leitlinien ist die thorakale endovaskul\u00e4re Aortenrekonstruktion (\u201ethoracic endovascular aortic repair\u201c, TEVAR) die Therapie der Wahl bei h\u00f6hergradigen TAV (Grade\u00a0II\u2013IV) und hat die offene Chirurgie in dem meisten F\u00e4llen abgel\u00f6st.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerung<\/jats:title>\n                <jats:p>Nach einer kurzfristig erfolgten CT-Diagnostik und Einteilung wird die TEVAR der offenen Chirurgie bei therapiebed\u00fcrftigen TAV vorgezogen.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00113-021-01044-0","type":"journal-article","created":{"date-parts":[[2021,7,12]],"date-time":"2021-07-12T22:02:35Z","timestamp":1626127355000},"page":"601-609","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Diagnostik und Therapie traumatischer Aortenverletzungen","Diagnostics and treatment of traumatic aortic injuries"],"prefix":"10.1007","volume":"124","author":[{"given":"R. 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