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2022 | Varikosis | OriginalPaper | Buchkapitel

24. Endovenöse thermische Ablationsverfahren

verfasst von : Thomas Noppeney, Helmut Nüllen, Claus-Georg Schmedt, Ronald Sroka, Bernd Steckmeier

Erschienen in: Varikose

Verlag: Springer Berlin Heidelberg

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Zusammenfassung

Die Prinzipien der klassischen Varizenchirurgie (KV) gehen zurück auf die Konzepte zur Beseitigung des Refluxes im epifaszialen Venensystem, wie sie im 19. Jahrhundert von Trendelenburg (1891) u. a. entwickelt und wie sie in unserer Zeit unter dem Terminus Ausschaltung des Rezirkulationskreises bei der primären Varikose in Sinne von Hach (1994) weiterentwickelt und perfektioniert wurden. Die KV gilt als relativ invasives Verfahren. Das Streben nach Minimierung der Invasivität führte zur Entwicklung der endovenös thermischen Verfahren. Diese schalten analog der Operation die Refluxstrecke aus, verzichten aus Gründen der Invasivität auf die operative Crossektomie und unterscheiden sich dadurch von den Prinzipien der klassischen Varizenchirurgie. Die Radiofrequenzablation (RFA) wurde 1998 zur Behandlung in Deutschland zugelassen, die endovenöse Lasertherapie (ELT) 1999. Sie haben sich als alternative Verfahren zur offenen Operation mittlerweile etabliert. Entsprechend der Empfehlung der aktuellen Leitlinie sollten sie den Patienten als Alternative zu anderen Therapieverfahren angeboten werden.

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Titel: Endovenöse thermische Ablationsverfahren
verfasst von: Thomas Noppeney
Helmut Nüllen
Claus-Georg Schmedt
Ronald Sroka
Bernd Steckmeier
Verlag: Springer Berlin Heidelberg
Buch: Varikose
Print ISBN: 978-3-662-59116-1

Electronic ISBN: 978-3-662-59117-8

Copyright-Jahr: 2022
DOI: https://doi.org/10.1007/978-3-662-59117-8_24

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24. Endovenöse thermische Ablationsverfahren

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