Interdisziplinarität in der Herzmedizin – gefäßchirurgische Perspektive
摘要
The medical specialties of cardiac surgery and vascular surgery have evolved from a shared historical foundation and common roots into 2 independent highly specialized disciplines but in the clinical routine are now coming closer together again. Interdisciplinarity is essential for holistic diagnostics and the multimodal treatment of complex cardiovascular diseases. Joint structures, such as certified aorta centers, interdisciplinary aorta boards and hybrid surgery improve the quality of the results, patient safety and efficiency. The example of university centers shows that a structured cooperation of both disciplines, supplemented by cardiology, radiology, anesthesia, intensive care and rehabilitation medicine, is decisive for modern patient management. The future collaboration is influenced by historical developments, current structural differences, health policy framework conditions and core challenges, such as centralization, technologization and recruitment of new personnel. This article highlights and discusses the chances, limits and necessary prerequisites for a successful interdisciplinary cardiac and vascular medicine from a vascular surgery perspective.