2. periphere arterielle Verschlusskrankheit (pAVK) Flashcards

1
Q

(pAVK)

Stadien nach Fontaine: I

A

Beschwerdefreiheit

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2
Q

(pAVK)

Stadien nach Fontaine: II

A

Belastungsschmerz

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3
Q

(pAVK)

Stadien nach Fontaine: IIa

A

schmerzfreie Gehstreck > 200 m

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4
Q

(pAVK)

Stadien nach Fontaine: IIb

A

schmerzfreie Gehstrecke < 200 m

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5
Q

(pAVK)

Stadien nach Fontaine: III

A

ischämischer Ruheschmerz

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6
Q

(pAVK)

Stadien nach Fontaine: IV

A

trophische Störungen

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7
Q

(pAVK)

trophische Störungen (3)

A
  • Ulkus
  • Gangrän
  • Nekrose
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8
Q

(pAVK)

Leitsymptom

A

claudicatio intermittens

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9
Q

(pAVK)

Puls: Befunde (3)

A
  • mollis
  • parvus
  • tardus
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10
Q

(pAVK)

Screening

A

Knöchel-Arm-Index (ABI)

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11
Q

(pAVK)

ABI: Durchführung

A

vor und nach Belastung

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12
Q

(pAVK)

ABI: Auswertung (3)

A
  • > 1,3 = Mediasklerose
  • 0,9-1,2 = normal
  • < 0,9 = pAVK
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13
Q

(pAVK)

Schweregrad (3)

A
  • leicht: 0,75-0,9
  • normal: 0,5-0,75
  • schwer: < 0,5
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14
Q

(pAVK)

Bildgebung: Basisdiagnostik

A

farbkodierte Duplexsonografie (FKDS)

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15
Q

(pAVK)

Bildgebund: Goldstandard

A

digitale Subtraktionsangiografie (DSA)

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16
Q

(pAVK)

konservative Therapie ab Stadium I (2)

A
  • Nikotinverzicht
  • Statine
17
Q

(pAVK)

konservative Therapie ab Stadium II

A

ASS oder Clopidogrel

18
Q

(pAVK)

konservative Therapie nur in Stadien I und II

A

Gehtraining

19
Q

(pAVK)

konservative Therapie im Stadium IV

A

strukturierte Wundbehandlung und Druckentlastung

20
Q

(pAVK)

interventionelle Therapie: Standardverfahren

A

perkutane transluminale Angioplastie (PTA) mit Ballondilatation (ggf. Stent-Einlage)

21
Q

(pAVK)

interventionelle Therapie: Indikation

A

Ab Stadien II-III