Genetische Diagnostik in der Gefäßchirurgie
摘要
Genetic diagnostics are increasingly gaining importance in vascular surgery because many vascular diseases are closely linked to genetic alterations. Vascular diseases can be due to hereditary monogenic transmission; however, monogenic pathogenic genetic variants do not explain all cases, which is why polygenic risk factors also play a role. Polygenic risk scores (PRS) summarize the cumulative risk from many variants and complement classical risk indicators such as blood pressure, smoking behavior and family history. Various genetic analysis methods enable efficient diagnostics. Targeted gene panel tests help cover specific genes that correspond to the suspected diagnoses, while whole exome sequencing (WES) and whole genome sequencing (WGS) can identify rare or novel genetic variants. The choice of testing method depends on the clinical picture, family history, availability of genetic specialist centers and cost-benefit considerations.