{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T23:03:46Z","timestamp":1780959826138,"version":"3.54.1"},"reference-count":55,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zentralbl Chir"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Basierend auf 1. selektiven Referenzen der medizinisch-wissenschaftlichen Literatur und 2. eigenen klinisch-interdisziplin\u00e4ren Managementerfahrungen aus der t\u00e4glichen Praxis soll die gef\u00e4\u00dfchirurgische Versorgung kindlicher Gef\u00e4\u00dfalterationen illustriert werden.<\/jats:p>\n                  <jats:p>Narrative Review mit Literatursuche in PubMed unter Nutzung der Stichworte \u201evascular surgery\u201c, \u201echildhood\u201c, \u201evascular injury\u201c und \u201evascular intervention\u201c.<\/jats:p>\n                  <jats:p>Die Entwicklung des Gef\u00e4\u00dfsystems ist ein komplexer Vorgang, in dem sowohl Gef\u00e4\u00dfneubildungs- und R\u00fcckbildungsprozesse durch genetische Faktoren eng verzahnt laufen als auch durch epigenetische Faktoren im Zielgewebe erst nach etwa 16 Jahren ihre komplette Ausreifung erfahren, was bei der kindlichen Gef\u00e4\u00dferkrankung in das Behandlungskonzept mit eingeplant werden sollte.Die relativ selten auftretenden gef\u00e4\u00dfchirurgischen Krankheitsbilder und die Besonderheiten der Patientenklientel verlangen das H\u00f6chstma\u00df gef\u00e4\u00dfmedizinischer Expertise sowohl in der klinischen Untersuchung (z.\u00a0B. Habitus bei Marfan-Syndrom, extremit\u00e4tendifferente Blutdruckwerte bei Aortenstenose, unspezifische Symptome einer arteriellen Hypertonie bei Nierenarterienstenosen) als auch in der apparativen Diagnostik.Geeignetes autologes Arterienersatzmaterial steht in Qualit\u00e4t und Quantit\u00e4t nur limitiert zur Verf\u00fcgung, sodass sowohl endovaskul\u00e4re Therapiekonzepte, sei es als angioplastisches\n        \u201eBridging\u201c-Verfahren oder unter Verwendung nachdilatierbarer Stents in definitiver Intention, insbesondere bei Erkrankungen der Aorta, zunehmend an Bedeutung gewinnen. Auch xenogenes Gef\u00e4\u00dfersatzmaterial erschlie\u00dft sich neben \u201eTissue Engineering\u201c zunehmend Raum in dieser besonderen Patienten- und Krankheitsklientel.<\/jats:p>\n                  <jats:p>Die besondere Patienten- und Krankheitsklientel betont die Notwendigkeit eines 1. hochspezialisierten interdisziplin\u00e4ren Teams aus P\u00e4diatern, Radiologen, Gef\u00e4\u00df- und Kinderchirurgen sowie 2. den hohen Stellenwert einer sorgf\u00e4ltigen k\u00f6rperlichen Untersuchung unter prim\u00e4rer Anwendung der Duplexsonografie, jedoch unter Bereithaltung aller weiteren angiografischen Diagnostik- und Therapieverfahren in jeweils altersgerechter Dimensionierung, wie sie in ihrer Komplexit\u00e4t nur einem Zentrum (der hochspezialisierten Betreuung) vorgehalten werden kann.<\/jats:p>","DOI":"10.1055\/a-2698-6628","type":"journal-article","created":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T23:47:58Z","timestamp":1764892078000},"page":"256-267","source":"Crossref","is-referenced-by-count":0,"title":["Die gef\u00e4\u00dfchirurgische Versorgung im Kindesalter"],"prefix":"10.1055","volume":"151","author":[{"given":"Stephan","family":"Arndt","sequence":"additional","affiliation":[{"name":"Otto-von-Guericke-Universit\u00e4t mit Universit\u00e4tsklinikum, Deutschland","place":["Magdeburg"],"department":["Klinik f\u00fcr Allgemein-, Viszeral-, Gef\u00e4\u00df- und Transplantationschirurgie, Arbeitsbereich Gef\u00e4\u00dfchirurgie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Udo","family":"Barth","sequence":"additional","affiliation":[{"name":"Otto-von-Guericke-Universit\u00e4t mit Universit\u00e4tsklinikum, Deutschland","place":["Magdeburg"],"department":["Klinik f\u00fcr Allgemein-, Viszeral-, Gef\u00e4\u00df- und Transplantationschirurgie, Arbeitsbereich Gef\u00e4\u00dfchirurgie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salmai","family":"Turial","sequence":"additional","affiliation":[{"name":"Otto-von-Guericke-Universit\u00e4t mit Universit\u00e4tsklinikum, Deutschland","place":["Magdeburg"],"department":["Klinik f\u00fcr Allgemein-, Viszeral-, Gef\u00e4\u00df- und Transplantationschirurgie, Abteilung f\u00fcr Kinderchirurgie, Kindertraumatologie und Kinderurologie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"March","sequence":"additional","affiliation":[{"name":"Otto-von-Guericke-Universit\u00e4t mit Universit\u00e4tsklinikum, Deutschland","place":["Magdeburg"],"department":["Klinik f\u00fcr Radiologie und Nuklearmedizin"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maciej","family":"Pech","sequence":"additional","affiliation":[{"name":"Otto-von-Guericke-Universit\u00e4t mit Universit\u00e4tsklinikum, Deutschland","place":["Magdeburg"],"department":["Klinik f\u00fcr Radiologie und Nuklearmedizin"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank","family":"Meyer","sequence":"additional","affiliation":[{"name":"Otto-von-Guericke-Universit\u00e4t mit Universit\u00e4tsklinikum Magdeburg A. \u00f6. 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