{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T22:43:42Z","timestamp":1784673822038,"version":"3.55.0"},"reference-count":37,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zentralbl Chir"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Die endovaskul\u00e4re Aneurysmatherapie, initial als Behandlungsverfahren f\u00fcr diejenigen Patienten eingef\u00fchrt, die ein prohibitives Risiko f\u00fcr den offenen Aortenersatz vorwiesen, hat sich nach technischer Evolution zu einer sicheren und letztendlich pr\u00e4ferierten Behandlungsmodalit\u00e4t des Bauchaortenaneurysmas f\u00fcr alle Patienten entwickelt. Die Sp\u00e4tanalysen der prospektiv-randomisierten Studien zur endovaskul\u00e4ren Behandlung belegen allerdings eine eingeschr\u00e4nkte Ergebnisqualit\u00e4t gegen\u00fcber der offenen Operation durch erh\u00f6hte Sterblichkeit und Reinterventionsrate im Langzeitverlauf (8 Jahre). Die offen-chirurgische Behandlung des infrarenalen Bauchaortenaneurysmas kann eine Erfahrung im klinischen Einsatz von 7 Dekaden vorweisen und erzielt gerade bei j\u00fcngeren Patienten mit niedrigem operativem Risiko exzellente Ergebnisse. Faktoren wie Narbenbr\u00fcche, erektile Dysfunktion oder reduzierte Lebensqualit\u00e4t, die meist als spezifischer Nachteil der offenen Operation angef\u00fchrt werden,\n          k\u00f6nnen wirksam verhindert werden (Netzimplantation) bzw. zeigen in neueren Metaanalysen keinen Unterschied zur endovaskul\u00e4ren Therapie. Der individuellen Beurteilung des Patienten sowie seines operativen Risikos anhand validierter Parameter kommt damit eine zentrale Bedeutung in der Weichenstellung zwischen den beiden Behandlungsverfahren zu, die im Falle von niedrigem Alter und Komorbidit\u00e4tsprofil, gro\u00dfem Aneurysma sowie ggf. vorhandener atoper Nierenarterien bzw. dominanter A. mesenterica inferior eine Empfehlung f\u00fcr die offene Operation favorisieren sollte.<\/jats:p>","DOI":"10.1055\/a-1611-0119","type":"journal-article","created":{"date-parts":[[2021,10,19]],"date-time":"2021-10-19T23:33:39Z","timestamp":1634686419000},"page":"458-463","source":"Crossref","is-referenced-by-count":2,"title":["Debatte infrarenales AAA bei j\u00fcngeren Patienten (\u201efit for open repair\u201c): Der offene Aortenersatz ist sicher und hat ein besseres Langzeitergebnis"],"prefix":"10.1055","volume":"146","author":[{"given":"Bernhard","family":"Dorweiler","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, Uniklinik K\u00f6ln, Koln, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Spyridon","family":"Mylonas","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, Uniklinik K\u00f6ln, Koln, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oroa","family":"Salem","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, Uniklinik K\u00f6ln, K\u00f6ln, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2021,10,19]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"246","DOI":"10.1007\/s00268-002-6413-6","article-title":"Reflections on the 50th Anniversary of the First Abdominal Aortic Aneurysm Resection","volume":"27","author":"J Cervantes","year":"2003","journal-title":"World J Surg"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1007\/BF02015271","article-title":"Transfemoral intraluminal graft implantation for abdominal aortic aneurysm","volume":"5","author":"JC Parodi","year":"1991","journal-title":"Annals Vasc Surg"},{"key":"ref3","first-page":"123","article-title":"A self-fixing synthetic blood vessel endoprosthesis","volume":"137","author":"NL Volodos","year":"1986","journal-title":"Vestn Khir Im I Grek"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"843","DOI":"10.1016\/S0140-6736(04)16979-1","article-title":"Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysm (EVAR trial 1), 30-day operative mortality results: randomised controlled trial","volume":"364","author":"RM Greenhalgh","year":"2004","journal-title":"Lancet"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"1607","DOI":"10.1056\/NEJMoa042002","article-title":"Dutch Randomized Endovascular Aneurysm Management (DREAM)Trial Group. 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