Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen
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Demographic development leads to an exponential increase of cardiovascular illness. Additionally, technical development of conservative and invasive treatment modalities adds to an increase of specified therapy. ⋯ This concept implies that specific contents are referred and contained to the partner specialties. Angiology, vascular surgery and radiology are primary partners in this concept, however, in the following article the focus lies on vascular surgery and radiology.
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Cardiology and cardiothoracic surgery are closely related so that collaboration and communication are required to offer optimal therapy for patients. During the last decades many innovations have reduced the borders between cardiology and cardiothoracic surgery. ⋯ New developments in cardiothoracic surgery have led to less invasive procedures and many surgical procedures can now be performed with minimally invasive techniques and without a cardiopulmonary bypass. To enable optimal therapy for patients, closer collaboration between cardiologists and cardiothoracic surgeons is required setting the stage for individualized therapy in the future.
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Vascular surgeons increasingly claim that percutaneous interventional treatment of peripheral arterial disease belongs to their discipline. In further medical training interventional radiology is exclusively bound to the discipline of radiology and necessitates a minimum of 250 procedures for valid qualification. ⋯ The desired expansion of vascular surgery to include the complete field of vascular medicine is not based on adequate specific training, is functionally unnecessary and not achievable for practical reasons. However, this desired expansion endangers the consensus of an interdisciplinary concept of treatment as represented by interdisciplinary vascular centers which offer a high level of competence.