{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T12:36:44Z","timestamp":1763037404341},"reference-count":59,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zentralbl Chir"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Aneurysmen der Extremit\u00e4tenarterien haben eine geringe Inzidenz und manifestieren sich h\u00e4ufig durch Komplikationen. Schwerste Komplikationen sind die Ruptur und die extremit\u00e4tenbedrohende Isch\u00e4mie. Beide sind diagnosef\u00fchrend. Eine absolute Therapieindikation besteht bei symptomatischen Aneurysmen und bei asymptomatischen ab einer Gr\u00f6\u00dfe von 2,0\u2009cm. Goldstandard ist extrailiakal das Interponat oder der Bypass mit ven\u00f6sem Graftmaterial. Endovaskul\u00e4re Methoden sind inoperablen Patienten vorbehalten und klinische Einzelfallentscheidungen. Im Gegensatz dazu sind komplexe endovaskukl\u00e4re Techniken beim isolierten Iliakalaneurysma etabliert und haben die Behandlungsm\u00f6glichkeiten deutlich verbessert. Ihre Realisierung ist an die Existenz einer geeigneten Landungszone gebunden. Diese ist Grundlage einer neuen Klassifikation des isolierten Iliakalaneurysmas. Anhand morphologischer Subtypen ist mit dieser Klassifikation eine standardisierte Prozedurplanung zum Perfusionserhalt der\n\t\t\t\t\tA.\u00a0iliaca interna m\u00f6glich. Die vorliegende Arbeit gibt eine \u00dcbersicht \u00fcber die aktuelle Behandlungsstrategie der Extremit\u00e4tenarterienaneurysmen. Gemeinsamkeiten und regionale Unterschiede in der Therapie werden diskutiert.<\/jats:p>","DOI":"10.1055\/a-1027-7164","type":"journal-article","created":{"date-parts":[[2020,1,14]],"date-time":"2020-01-14T00:14:40Z","timestamp":1578960880000},"page":"456-466","source":"Crossref","is-referenced-by-count":3,"title":["Die Behandlung der Aneurysmen der Extremit\u00e4tenarterien \u2013 ein systematischer \u00dcberblick"],"prefix":"10.1055","volume":"145","author":[{"given":"Frank-Peter","family":"Pfabe","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Gef\u00e4\u00dfmedizin, Asklepios Klinikum Uckermark GmbH, Schwedt, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,1,13]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1007\/s00104-014-2718-x","article-title":"Aneurysma der Baucharta und der Beckenarterien. Paradigmenwechsel \u2013 operative Therapie, wenn m\u00f6glich endovaskul\u00e4r?","volume":"85","author":"R I R\u00fcckert","year":"2014","journal-title":"Chirurg"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1007\/s00772-018-0382-z","article-title":"Der kurze infrarenale Aortenaneurysmahals. Welche Optionen zur Versorgung gibt es?","volume":"23","author":"S Ludwig","year":"2018","journal-title":"Gef\u00e4sschirurgie"},{"key":"ref3","first-page":"6","article-title":"Klinik und Therapie der Aneurysmen der Gliedma\u00dfenarterien","volume":"5","author":"R G Ritter","year":"2008","journal-title":"Z Gef\u00e4\u00dfmed"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"912","DOI":"10.1111\/j.1445-2197.2006.03903.x","article-title":"Management of popliteal artery aneurysms","volume":"76","author":"M Hamish","year":"2006","journal-title":"ANZ J Surg"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"863","DOI":"10.1067\/mva.2000.105955","article-title":"Incidence of femoral and popliteal artery aneurysma in patients with abdominal aortic aneurysms","volume":"31","author":"A Diwan","year":"2000","journal-title":"J Vasc Surg"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1055\/s-2006-921410","article-title":"Chirurgisches Management des isolierten Beckenarterienaneurysmas","volume":"131","author":"D B\u00f6ckler","year":"2006","journal-title":"Zentralbl Chir"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1007\/s001040051324","article-title":"H\u00e4ufigkeit, Klassifikation und Therapie der isolierten Beckenarterienaneurysmen","volume":"72","author":"P U Reber","year":"2001","journal-title":"Chirurg"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1007\/s00772-013-1169-x","article-title":"Management isolierter Iliakalaneurysmen","volume":"18","author":"A S Peters","year":"2013","journal-title":"Gef\u00e4sschirurgie"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1007\/s00772-013-1266-x","article-title":"Das isolierte Iliakaaneurysma \u2013 eine morphologische Klassifikation unter endovaskul\u00e4ren Gesichtspunkten","volume":"19","author":"F P Pfabe","year":"2014","journal-title":"Gef\u00e4sschirurgie"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1016\/j.ejvs.2007.10.014","article-title":"Infected upper extremity aneurysms: a review","volume":"35","author":"L R Leon","year":"2008","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1007\/BF02133401","article-title":"Popliteal artery aneurysms: the risk of nonoperative management","volume":"8","author":"R C Lowell","year":"1994","journal-title":"Ann Vasc Surg"},{"key":"ref12","first-page":"43","article-title":"Prospective study of 36 patients with 46 popliteal artery aneurysms with non-surgical treatment","volume":"31","author":"H Stiegler","year":"2002","journal-title":"Vasa"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1007\/s00772-006-0474-z","article-title":"Poplitealaneurysma","volume":"11","author":"M K Widmer","year":"2006","journal-title":"Gef\u00e4sschirurgie"},{"issue":"09","key":"ref14","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD009536.pub2","article-title":"Medical treatment for small abdominal aortic aneurysm","author":"G Rughani","year":"2012","journal-title":"Cochrane Database Syst Rev"},{"key":"ref15","first-page":"730","article-title":"[Aneurysms of the subclavian artery in thoracic outlet syndrome]","volume":"122","author":"J D Gruss","year":"1997","journal-title":"Zentralbl Chir"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"604","DOI":"10.1177\/1538574411414306","article-title":"Long-term outcome of popliteal artery aneurysms after ligation and bypass","volume":"45","author":"J E Vrijenhoek","year":"2011","journal-title":"Vasc Endovascular Surg"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"586","DOI":"10.1067\/mva.2003.141","article-title":"Surgery of popliteal artery aneurysms: a 12-year experience","volume":"37","author":"A Mahmood","year":"2003","journal-title":"J Vasc Surg"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"982","DOI":"10.1055\/s-2001-19659","article-title":"Mykotische Aneurysmen. Eine retrospektive Analyse","volume":"126","author":"F Klein","year":"2001","journal-title":"Zentralbl Chir"},{"key":"ref19","first-page":"535","article-title":"Neue Aspekte der endovaskul\u00e4ren Behandlung des Poplitealaneurysmas: Erste Ergebnisse einer Pilotstudie","volume":"140","author":"J Tessarek","year":"2015","journal-title":"Zentralbl Chir"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"84","DOI":"10.2310\/6670.2007.00018","article-title":"Surgical and endovascular treatment of symptomatic aberrant right subclavian artery (arteria lusoria)","volume":"15","author":"R Kopp","year":"2007","journal-title":"Vascular"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1111\/j.1442-2050.2007.00787.x","article-title":"Dysphagia lusoria: a comprehensive review","volume":"20","author":"B Levitt","year":"2007","journal-title":"Dis Esophagus"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1097\/MD.0b013e31815c95d3","article-title":"Long-term follow-up of hypothenar hammer syndrome: a series of 47 patients","volume":"86","author":"I Marie","year":"2007","journal-title":"Medicine (Baltimore)"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1016\/j.ejvs.2011.12.011","article-title":"Long-term results of iliac aneurysm repair with iliac branched endograft: a 5-year experience on 100 consecutive cases","volume":"43","author":"G Parlani","year":"2012","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"1147","DOI":"10.1016\/j.jvs.2008.11.101","article-title":"Open vs. endovascular repair of isolated iliac artery aneurysms: a 12-year experience","volume":"49","author":"N V Patel","year":"2009","journal-title":"J Vasc Surg"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"1203","DOI":"10.1016\/j.jvs.2008.01.050","article-title":"Common iliac artery aneurysm: expansion rate and results of open surgical and endovascular repair","volume":"47","author":"Y Huang","year":"2008","journal-title":"J Vasc Surg"},{"key":"ref26","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1007\/s00270-010-0055-0","article-title":"Standard of practice for the interventional management of isolated iliac artery aneurysms","volume":"3","author":"R Uberoi","year":"2011","journal-title":"Cardiovasc Intervent Radiol"},{"issue":"S 01","key":"ref27","doi-asserted-by":"crossref","first-page":"S213","DOI":"10.1148\/rg.25si055517","article-title":"Endovascular treatment of iliac artery aneurysms","volume":"25","author":"I Sakamoto","year":"2005","journal-title":"Radiographics"},{"key":"ref28","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1053\/j.semvascsurg.2005.09.007","article-title":"Isolated iliac artery aneurysms","volume":"18","author":"R S Sandhu","year":"2005","journal-title":"Semin Vasc Surg"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1007\/s00270-003-0005-1","article-title":"Endovascular therapeutic options for isolated iliac aneurysms with a working classification","volume":"26","author":"M Fahrni","year":"2003","journal-title":"Cardiovasc Intervent Radiol"},{"key":"ref30","doi-asserted-by":"crossref","first-page":"935","DOI":"10.1007\/s00270-019-02199-5","article-title":"Current status of endovascular preservation of the internal iliac artery with iliac branch devices (IBD)","volume":"42","author":"M D\u02bcOria","year":"2019","journal-title":"Cardiovasc Intervent Radiol"},{"key":"ref31","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1583\/10-3112.1","article-title":"Endovascular treatment of common iliac artery aneurysms using the bell-bottom technique: long-term results","volume":"17","author":"G Torsello","year":"2010","journal-title":"J Endovasc Ther"},{"key":"ref32","doi-asserted-by":"crossref","first-page":"1195","DOI":"10.1007\/s00270-012-0378-0","article-title":"Single-center experience and 1-year follow-up results of \u201csandwich technique\u201d in the management of common iliac artery aneurysms during EVAR","volume":"35","author":"C Ricci","year":"2012","journal-title":"Cardiovasc Intervent Radiol"},{"key":"ref33","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/j.ejvs.2014.03.017","article-title":"Parallel endografts in the treatment of distal aortic and common iliac aneurysms","volume":"48","author":"S Lepidi","year":"2014","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"ref34","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1583\/11-3519.1","article-title":"Isolated Common Iliac Artery Aneurysms: A Revised Classification to Assist Endovascular Repair","volume":"18","author":"N Melas","year":"2011","journal-title":"J Endovasc Ther"},{"key":"ref35","doi-asserted-by":"crossref","first-page":"1223","DOI":"10.1016\/j.jvs.2010.10.121","article-title":"Surgical versus endovascular repair by iliac branch device of aneurysms involving the iliac bifurcation","volume":"53","author":"K P Donas","year":"2011","journal-title":"J Vasc Surg"},{"key":"ref36","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1016\/j.avsg.2016.10.052","article-title":"Hybrid EVAR: preservation of pelvic perfusion with external to internal iliac artery bypass","volume":"42","author":"N A Mansukhani","year":"2017","journal-title":"Ann Vasc Surg"},{"key":"ref37","doi-asserted-by":"crossref","first-page":"956","DOI":"10.1016\/j.jvs.2011.10.121","article-title":"A comparative study of the bell-bottom technique vs. hypogastric exclusion for the treatment of aneurysmal extension of the iliac bifurcation","volume":"55","author":"P A Naugthon","year":"2012","journal-title":"J Vasc Surg"},{"key":"ref38","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1583\/10-3320.1","article-title":"Sandwich technique for aortoiliac aneurysms extending to the internal iliac artery or isolated common\/internal iliac artery aneurysms: a new endovascular approach to preserve pelvic circulation","volume":"18","author":"A C Lobato","year":"2011","journal-title":"J Endovasc Ther"},{"key":"ref39","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1111\/j.1445-2197.2009.04856.x","article-title":"Treatment of internal iliac artery aneurysms: single-centre experience","volume":"79","author":"N Tsilimparis","year":"2009","journal-title":"ANZ J Surg"},{"key":"ref40","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1007\/s00772-016-0117-y","article-title":"Ausschaltung eines persistierenden Endoleaks Typ II\u200ab eines A.-iliaca-interna-Aneurysmas nach prim\u00e4r chirurgischer Versorgung","volume":"21","author":"F P Pfabe","year":"2016","journal-title":"Gef\u00e4sschirurgie"},{"key":"ref41","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1016\/j.jvs.2014.01.039","article-title":"Pelvic ischemia and quality of life scores after interventional occlusion of the hypogastric artery in patients undergoing endovascular aortic aneurysm repair","volume":"69","author":"E Jean-Baptiste","year":"2014","journal-title":"J Vasc Surg"},{"key":"ref42","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1007\/s00270-013-0659-2","article-title":"Embolisation of the internal iliac artery before EVAR. Is it effective? Is it safe? Which technique should be used?","volume":"37","author":"J Y Chun","year":"2014","journal-title":"Cardiovasc Intervent Radiol"},{"key":"ref43","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1007\/s00270-013-0689-9","article-title":"Technical and outcome considerations of endovascular treatment for internal iliac artery aneurysms","volume":"37","author":"A Muradi","year":"2014","journal-title":"Cardiovasc Intervent Radiol"},{"key":"ref44","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1053\/ejvs.1999.0842","article-title":"True and anastomotic femoral artery aneurysms: is the risk of rupture and thrombosis related to the size of the aneurysms?","volume":"18","author":"N Levi","year":"1999","journal-title":"Eur Vasc Endovasc Surg"},{"key":"ref45","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1024\/0301-1526.33.3.170","article-title":"Time for a new classification of femoral artery aneurysm?","volume":"33","author":"N Amer","year":"2004","journal-title":"Vasa"},{"key":"ref46","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1055\/s-0032-1327820","article-title":"Aneurysma der A. profunda femoris \u2013 Eine systematische Literaturanalyse","volume":"137","author":"N Tsilimparis","year":"2012","journal-title":"Zentralbl Chir"},{"key":"ref47","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1007\/s00772-012-1048-x","article-title":"Poplitealaneurysma. Konventionelle und endovaskul\u00e4re Therapie","volume":"17","author":"R Gothbi","year":"2012","journal-title":"Gef\u00e4sschirurgie"},{"key":"ref48","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1007\/s00772-017-0299-y","article-title":"Poplitealaneurysma. Pathogenese, Klinik und Therapie einer seltenen Entit\u00e4t","volume":"22","author":"G Jung","year":"2017","journal-title":"Gef\u00e4sschirurgie"},{"key":"ref49","doi-asserted-by":"crossref","first-page":"954","DOI":"10.1067\/mva.2003.258","article-title":"Fate of excluded popliteal artery aneurysms","volume":"37","author":"J L Ebaugh","year":"2003","journal-title":"J Vasc Surg"},{"key":"ref50","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1055\/s-0031-1283776","article-title":"Gibt es das Endoleak Typ II nach operativer Ausschaltung des Poplitealarterienaneurysmas? Analyse von 42 Patienten im Spiegel der aktuellen Literatur","volume":"136","author":"M Naundorf","year":"2011","journal-title":"Zentralbl Chir"},{"key":"ref51","doi-asserted-by":"crossref","first-page":"1047","DOI":"10.1016\/j.jvs.2007.06.032","article-title":"Bilateral popliteal aneurysm as a result of vascular type IV entrapment in a young patient: a report of an exceptional case","volume":"46","author":"D L\u00f3pez Garcia","year":"2007","journal-title":"J Vasc Surg"},{"key":"ref52","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1016\/j.ejvs.2015.03.026","article-title":"Treatment of popliteal aneurysm by open and endovascular surgery: a contemporary study of 592 procedures in Sweden","volume":"50","author":"A Cervin","year":"2015","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"ref53","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1016\/j.ejvs.2009.11.010","article-title":"Clinical outcome of acute leg ischaemia due to thrombosed popliteal artery aneurysm: systematic review of 895 cases","volume":"39","author":"R H Kropmann","year":"2010","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"ref54","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1016\/j.jvs.2005.04.049","article-title":"Open repair versus endovascular treatment for asymptomatic popliteal artery aneurysm: results of a prospective randomized study","volume":"42","author":"M Antonello","year":"2005","journal-title":"J Vasc Surg"},{"key":"ref55","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1016\/j.jvs.2006.09.064","article-title":"Mid-term outcomes of endovascular popliteal artery aneurysm repair","volume":"45","author":"M A Curi","year":"2007","journal-title":"J Vasc Surg"},{"key":"ref56","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1583\/12-4169R.1","article-title":"Early experience with the multilayer aneurysm repair stent in the endovascular treatment of trans\/infragenicular popliteal artery aneurysms: a mixed bag","volume":"20","author":"T Thakar","year":"2013","journal-title":"J Endovasc Ther"},{"key":"ref57","first-page":"267","article-title":"Endovascular treatment of asymptomatic popliteal aneurysms: 8-year concurrent comparison with open repair","volume":"48","author":"M Antonello","year":"2007","journal-title":"J Cardiovasc Surg (Torino)"},{"key":"ref58","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1016\/j.jvs.2016.09.029","article-title":"Meta-analysis of open and endovascular repair of popliteal artery aneurysms","volume":"65","author":"A E Leake","year":"2017","journal-title":"J Vasc Surg"},{"key":"ref59","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1007\/s00772-018-0377-9","article-title":"POPART \u2013 ein Register zur Versorgung Poplitealarterienaneurysmas. Erste Ergebnisse","volume":"23","author":"G Jung","year":"2018","journal-title":"Gef\u00e4sschirurgie"}],"container-title":["Zentralblatt f\u00fcr Chirurgie - Zeitschrift f\u00fcr Allgemeine, Viszeral-, Thorax- und Gef\u00e4\u00dfchirurgie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1027-7164.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,10,7]],"date-time":"2020-10-07T22:42:09Z","timestamp":1602110529000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1027-7164"}},"subtitle":["Der Therapiewandel beim isolierten Iliakalaneurysma im Spiegel einer neuen Klassifikation"],"short-title":[],"issued":{"date-parts":[[2020,1,13]]},"references-count":59,"journal-issue":{"issue":"05","published-online":{"date-parts":[[2020,10,7]]},"published-print":{"date-parts":[[2020,10]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1027-7164","relation":{},"ISSN":["0044-409X","1438-9592"],"issn-type":[{"value":"0044-409X","type":"print"},{"value":"1438-9592","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1,13]]}}}