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vector-toc-toggle"> <span class="vector-icon mw-ui-icon-wikimedia-expand"></span> <span>Diagnose (opsporing) en behandeling van een AAA-subkopje inklappen</span> </button> <ul id="toc-Diagnose_(opsporing)_en_behandeling_van_een_AAA-sublist" class="vector-toc-list"> <li id="toc-Acuut_medisch_ingrijpen_bij_ruptuur" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Acuut_medisch_ingrijpen_bij_ruptuur"> <div class="vector-toc-text"> <span class="vector-toc-numb">3.1</span> <span>Acuut medisch ingrijpen bij ruptuur</span> </div> </a> <ul id="toc-Acuut_medisch_ingrijpen_bij_ruptuur-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> </ul> </div> </div> </nav> </div> </div> <div class="mw-content-container"> <main id="content" class="mw-body"> <header class="mw-body-header vector-page-titlebar"> <nav aria-label="Inhoud" class="vector-toc-landmark"> <div id="vector-page-titlebar-toc" class="vector-dropdown vector-page-titlebar-toc 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mw-portlet-lang" > <input type="checkbox" id="p-lang-btn-checkbox" role="button" aria-haspopup="true" data-event-name="ui.dropdown-p-lang-btn" class="vector-dropdown-checkbox mw-interlanguage-selector" aria-label="Ga naar een artikel in een andere taal. Beschikbaar in 65 talen" > <label id="p-lang-btn-label" for="p-lang-btn-checkbox" class="vector-dropdown-label cdx-button cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--weight-quiet cdx-button--action-progressive mw-portlet-lang-heading-65" aria-hidden="true" ><span class="vector-icon mw-ui-icon-language-progressive mw-ui-icon-wikimedia-language-progressive"></span> <span class="vector-dropdown-label-text">65 talen</span> </label> <div class="vector-dropdown-content"> <div class="vector-menu-content"> <ul class="vector-menu-content-list"> <li class="interlanguage-link interwiki-ar mw-list-item"><a href="https://ar.wikipedia.org/wiki/%D8%A3%D9%85_%D8%A7%D9%84%D8%AF%D9%85" title="أم الدم – Arabisch" lang="ar" hreflang="ar" data-title="أم الدم" data-language-autonym="العربية" data-language-local-name="Arabisch" class="interlanguage-link-target"><span>العربية</span></a></li><li class="interlanguage-link interwiki-ast mw-list-item"><a href="https://ast.wikipedia.org/wiki/Aneurisma" title="Aneurisma – Asturisch" lang="ast" hreflang="ast" data-title="Aneurisma" data-language-autonym="Asturianu" data-language-local-name="Asturisch" class="interlanguage-link-target"><span>Asturianu</span></a></li><li class="interlanguage-link interwiki-be mw-list-item"><a href="https://be.wikipedia.org/wiki/%D0%90%D0%BD%D0%B5%D1%9E%D1%80%D1%8B%D0%B7%D0%BC%D0%B0" title="Анеўрызма – Belarussisch" lang="be" hreflang="be" data-title="Анеўрызма" data-language-autonym="Беларуская" data-language-local-name="Belarussisch" class="interlanguage-link-target"><span>Беларуская</span></a></li><li class="interlanguage-link interwiki-be-x-old mw-list-item"><a href="https://be-tarask.wikipedia.org/wiki/%D0%90%D0%BD%D1%8D%D1%9E%D1%80%D1%8B%D0%B7%D0%BC%D0%B0" title="Анэўрызма – Belarusian (Taraškievica orthography)" lang="be-tarask" hreflang="be-tarask" data-title="Анэўрызма" data-language-autonym="Беларуская (тарашкевіца)" data-language-local-name="Belarusian (Taraškievica orthography)" class="interlanguage-link-target"><span>Беларуская (тарашкевіца)</span></a></li><li class="interlanguage-link interwiki-bg mw-list-item"><a href="https://bg.wikipedia.org/wiki/%D0%90%D0%BD%D0%B5%D0%B2%D1%80%D0%B8%D0%B7%D0%BC%D0%B0" title="Аневризма – Bulgaars" lang="bg" hreflang="bg" data-title="Аневризма" data-language-autonym="Български" data-language-local-name="Bulgaars" class="interlanguage-link-target"><span>Български</span></a></li><li class="interlanguage-link interwiki-bn mw-list-item"><a href="https://bn.wikipedia.org/wiki/%E0%A6%85%E0%A7%8D%E0%A6%AF%E0%A6%BE%E0%A6%A8%E0%A6%BF%E0%A6%89%E0%A6%B0%E0%A6%BF%E0%A6%9C%E0%A6%AE" title="অ্যানিউরিজম – Bengaals" lang="bn" hreflang="bn" data-title="অ্যানিউরিজম" data-language-autonym="বাংলা" data-language-local-name="Bengaals" class="interlanguage-link-target"><span>বাংলা</span></a></li><li class="interlanguage-link interwiki-br mw-list-item"><a href="https://br.wikipedia.org/wiki/Anevrism" title="Anevrism – Bretons" lang="br" hreflang="br" data-title="Anevrism" data-language-autonym="Brezhoneg" data-language-local-name="Bretons" class="interlanguage-link-target"><span>Brezhoneg</span></a></li><li class="interlanguage-link interwiki-bs mw-list-item"><a href="https://bs.wikipedia.org/wiki/Aneurizma" title="Aneurizma – Bosnisch" lang="bs" hreflang="bs" data-title="Aneurizma" data-language-autonym="Bosanski" data-language-local-name="Bosnisch" class="interlanguage-link-target"><span>Bosanski</span></a></li><li class="interlanguage-link interwiki-ca mw-list-item"><a href="https://ca.wikipedia.org/wiki/Aneurisma" title="Aneurisma – Catalaans" lang="ca" hreflang="ca" data-title="Aneurisma" data-language-autonym="Català" data-language-local-name="Catalaans" class="interlanguage-link-target"><span>Català</span></a></li><li class="interlanguage-link interwiki-cs mw-list-item"><a href="https://cs.wikipedia.org/wiki/Aneurysma" title="Aneurysma – Tsjechisch" lang="cs" hreflang="cs" data-title="Aneurysma" data-language-autonym="Čeština" data-language-local-name="Tsjechisch" class="interlanguage-link-target"><span>Čeština</span></a></li><li class="interlanguage-link interwiki-da mw-list-item"><a href="https://da.wikipedia.org/wiki/Aneurisme" title="Aneurisme – Deens" lang="da" hreflang="da" data-title="Aneurisme" data-language-autonym="Dansk" data-language-local-name="Deens" class="interlanguage-link-target"><span>Dansk</span></a></li><li class="interlanguage-link interwiki-de mw-list-item"><a href="https://de.wikipedia.org/wiki/Aneurysma" title="Aneurysma – Duits" lang="de" hreflang="de" data-title="Aneurysma" data-language-autonym="Deutsch" data-language-local-name="Duits" class="interlanguage-link-target"><span>Deutsch</span></a></li><li class="interlanguage-link interwiki-el mw-list-item"><a href="https://el.wikipedia.org/wiki/%CE%91%CE%BD%CE%B5%CF%8D%CF%81%CF%85%CF%83%CE%BC%CE%B1" title="Ανεύρυσμα – Grieks" lang="el" hreflang="el" data-title="Ανεύρυσμα" data-language-autonym="Ελληνικά" data-language-local-name="Grieks" class="interlanguage-link-target"><span>Ελληνικά</span></a></li><li class="interlanguage-link interwiki-en mw-list-item"><a href="https://en.wikipedia.org/wiki/Aneurysm" title="Aneurysm – Engels" lang="en" hreflang="en" data-title="Aneurysm" data-language-autonym="English" data-language-local-name="Engels" class="interlanguage-link-target"><span>English</span></a></li><li class="interlanguage-link interwiki-es mw-list-item"><a href="https://es.wikipedia.org/wiki/Aneurisma" title="Aneurisma – Spaans" lang="es" hreflang="es" data-title="Aneurisma" data-language-autonym="Español" data-language-local-name="Spaans" class="interlanguage-link-target"><span>Español</span></a></li><li class="interlanguage-link interwiki-et mw-list-item"><a href="https://et.wikipedia.org/wiki/Aneur%C3%BCsm" title="Aneurüsm – Estisch" lang="et" hreflang="et" data-title="Aneurüsm" data-language-autonym="Eesti" data-language-local-name="Estisch" class="interlanguage-link-target"><span>Eesti</span></a></li><li class="interlanguage-link interwiki-eu mw-list-item"><a href="https://eu.wikipedia.org/wiki/Aneurisma" title="Aneurisma – Baskisch" lang="eu" hreflang="eu" data-title="Aneurisma" data-language-autonym="Euskara" data-language-local-name="Baskisch" class="interlanguage-link-target"><span>Euskara</span></a></li><li class="interlanguage-link interwiki-fa mw-list-item"><a href="https://fa.wikipedia.org/wiki/%D8%A2%D9%86%D9%88%D8%B1%DB%8C%D8%B3%D9%85" title="آنوریسم – Perzisch" lang="fa" hreflang="fa" data-title="آنوریسم" data-language-autonym="فارسی" data-language-local-name="Perzisch" class="interlanguage-link-target"><span>فارسی</span></a></li><li class="interlanguage-link interwiki-fi mw-list-item"><a href="https://fi.wikipedia.org/wiki/Aneurysma" title="Aneurysma – Fins" lang="fi" hreflang="fi" data-title="Aneurysma" data-language-autonym="Suomi" data-language-local-name="Fins" class="interlanguage-link-target"><span>Suomi</span></a></li><li class="interlanguage-link interwiki-fr mw-list-item"><a href="https://fr.wikipedia.org/wiki/An%C3%A9vrisme" title="Anévrisme – Frans" lang="fr" hreflang="fr" data-title="Anévrisme" data-language-autonym="Français" data-language-local-name="Frans" class="interlanguage-link-target"><span>Français</span></a></li><li class="interlanguage-link interwiki-ga mw-list-item"><a href="https://ga.wikipedia.org/wiki/Ain%C3%A9aras" title="Ainéaras – Iers" lang="ga" hreflang="ga" data-title="Ainéaras" data-language-autonym="Gaeilge" data-language-local-name="Iers" class="interlanguage-link-target"><span>Gaeilge</span></a></li><li class="interlanguage-link interwiki-gl mw-list-item"><a href="https://gl.wikipedia.org/wiki/Aneurisma" title="Aneurisma – Galicisch" lang="gl" hreflang="gl" data-title="Aneurisma" data-language-autonym="Galego" data-language-local-name="Galicisch" class="interlanguage-link-target"><span>Galego</span></a></li><li class="interlanguage-link interwiki-he mw-list-item"><a href="https://he.wikipedia.org/wiki/%D7%9E%D7%A4%D7%A8%D7%A6%D7%AA" title="מפרצת – Hebreeuws" lang="he" hreflang="he" data-title="מפרצת" data-language-autonym="עברית" data-language-local-name="Hebreeuws" class="interlanguage-link-target"><span>עברית</span></a></li><li class="interlanguage-link interwiki-hi mw-list-item"><a href="https://hi.wikipedia.org/wiki/%E0%A4%A7%E0%A4%AE%E0%A4%A8%E0%A5%80_%E0%A4%B5%E0%A4%BF%E0%A4%B8%E0%A5%8D%E0%A4%AB%E0%A4%BE%E0%A4%B0" title="धमनी विस्फार – Hindi" lang="hi" hreflang="hi" data-title="धमनी विस्फार" data-language-autonym="हिन्दी" data-language-local-name="Hindi" class="interlanguage-link-target"><span>हिन्दी</span></a></li><li class="interlanguage-link interwiki-hr mw-list-item"><a href="https://hr.wikipedia.org/wiki/Aneurizma" title="Aneurizma – Kroatisch" lang="hr" hreflang="hr" data-title="Aneurizma" data-language-autonym="Hrvatski" data-language-local-name="Kroatisch" class="interlanguage-link-target"><span>Hrvatski</span></a></li><li class="interlanguage-link interwiki-hy mw-list-item"><a href="https://hy.wikipedia.org/wiki/%D4%B1%D5%B6%D5%B8%D5%A9%D5%A1%D5%AC%D5%A1%D5%B5%D5%B6%D5%A1%D5%B6%D6%84" title="Անոթալայնանք – Armeens" lang="hy" hreflang="hy" data-title="Անոթալայնանք" data-language-autonym="Հայերեն" data-language-local-name="Armeens" class="interlanguage-link-target"><span>Հայերեն</span></a></li><li class="interlanguage-link interwiki-id mw-list-item"><a href="https://id.wikipedia.org/wiki/Aneurisme" title="Aneurisme – Indonesisch" lang="id" hreflang="id" data-title="Aneurisme" data-language-autonym="Bahasa Indonesia" data-language-local-name="Indonesisch" class="interlanguage-link-target"><span>Bahasa Indonesia</span></a></li><li class="interlanguage-link interwiki-io mw-list-item"><a href="https://io.wikipedia.org/wiki/Anevrismo" title="Anevrismo – Ido" lang="io" hreflang="io" data-title="Anevrismo" data-language-autonym="Ido" data-language-local-name="Ido" class="interlanguage-link-target"><span>Ido</span></a></li><li class="interlanguage-link interwiki-it mw-list-item"><a href="https://it.wikipedia.org/wiki/Aneurisma" title="Aneurisma – Italiaans" lang="it" hreflang="it" data-title="Aneurisma" data-language-autonym="Italiano" data-language-local-name="Italiaans" class="interlanguage-link-target"><span>Italiano</span></a></li><li class="interlanguage-link interwiki-ja mw-list-item"><a href="https://ja.wikipedia.org/wiki/%E5%8B%95%E8%84%88%E7%98%A4" title="動脈瘤 – Japans" lang="ja" hreflang="ja" data-title="動脈瘤" data-language-autonym="日本語" data-language-local-name="Japans" class="interlanguage-link-target"><span>日本語</span></a></li><li class="interlanguage-link interwiki-jam mw-list-item"><a href="https://jam.wikipedia.org/wiki/Aniurizam" title="Aniurizam – Jamaicaans Creools" lang="jam" hreflang="jam" data-title="Aniurizam" data-language-autonym="Patois" data-language-local-name="Jamaicaans Creools" class="interlanguage-link-target"><span>Patois</span></a></li><li class="interlanguage-link interwiki-ka mw-list-item"><a href="https://ka.wikipedia.org/wiki/%E1%83%90%E1%83%9C%E1%83%94%E1%83%95%E1%83%A0%E1%83%98%E1%83%96%E1%83%9B%E1%83%90" title="ანევრიზმა – Georgisch" lang="ka" hreflang="ka" data-title="ანევრიზმა" data-language-autonym="ქართული" data-language-local-name="Georgisch" class="interlanguage-link-target"><span>ქართული</span></a></li><li class="interlanguage-link interwiki-kk mw-list-item"><a href="https://kk.wikipedia.org/wiki/%D0%90%D0%BD%D0%B5%D0%B2%D1%80%D0%B8%D0%B7%D0%BC%D0%B0" title="Аневризма – Kazachs" lang="kk" hreflang="kk" data-title="Аневризма" data-language-autonym="Қазақша" data-language-local-name="Kazachs" class="interlanguage-link-target"><span>Қазақша</span></a></li><li class="interlanguage-link interwiki-kn mw-list-item"><a href="https://kn.wikipedia.org/wiki/%E0%B2%B0%E0%B2%95%E0%B3%8D%E0%B2%A4%E0%B2%A8%E0%B2%BE%E0%B2%B3%E0%B2%A6_%E0%B2%89%E0%B2%AC%E0%B3%8D%E0%B2%AC%E0%B3%81_%E0%B2%97%E0%B3%81%E0%B2%B3%E0%B3%8D%E0%B2%B3%E0%B3%86_(%E0%B2%85%E0%B2%97%E0%B2%B2%E0%B3%81%E0%B2%AC%E0%B3%8D%E0%B2%AC%E0%B3%81)" title="ರಕ್ತನಾಳದ ಉಬ್ಬು ಗುಳ್ಳೆ (ಅಗಲುಬ್ಬು) – Kannada" lang="kn" hreflang="kn" data-title="ರಕ್ತನಾಳದ ಉಬ್ಬು ಗುಳ್ಳೆ (ಅಗಲುಬ್ಬು)" data-language-autonym="ಕನ್ನಡ" data-language-local-name="Kannada" class="interlanguage-link-target"><span>ಕನ್ನಡ</span></a></li><li class="interlanguage-link interwiki-ko mw-list-item"><a href="https://ko.wikipedia.org/wiki/%EB%8F%99%EB%A7%A5%EB%A5%98" title="동맥류 – Koreaans" lang="ko" hreflang="ko" data-title="동맥류" data-language-autonym="한국어" data-language-local-name="Koreaans" class="interlanguage-link-target"><span>한국어</span></a></li><li class="interlanguage-link interwiki-ky mw-list-item"><a href="https://ky.wikipedia.org/wiki/%D0%90%D0%BD%D0%B5%D0%B2%D1%80%D0%B8%D0%B7%D0%BC%D0%B0" title="Аневризма – Kirgizisch" lang="ky" hreflang="ky" data-title="Аневризма" data-language-autonym="Кыргызча" data-language-local-name="Kirgizisch" class="interlanguage-link-target"><span>Кыргызча</span></a></li><li class="interlanguage-link interwiki-la mw-list-item"><a href="https://la.wikipedia.org/wiki/Aneurysma" title="Aneurysma – Latijn" lang="la" hreflang="la" data-title="Aneurysma" data-language-autonym="Latina" data-language-local-name="Latijn" class="interlanguage-link-target"><span>Latina</span></a></li><li class="interlanguage-link interwiki-lt mw-list-item"><a href="https://lt.wikipedia.org/wiki/Aneurizma" title="Aneurizma – Litouws" lang="lt" hreflang="lt" data-title="Aneurizma" data-language-autonym="Lietuvių" data-language-local-name="Litouws" class="interlanguage-link-target"><span>Lietuvių</span></a></li><li class="interlanguage-link interwiki-mk mw-list-item"><a href="https://mk.wikipedia.org/wiki/%D0%90%D0%BD%D0%B5%D0%B2%D1%80%D0%B8%D0%B7%D0%BC%D0%B0" title="Аневризма – Macedonisch" lang="mk" hreflang="mk" data-title="Аневризма" data-language-autonym="Македонски" data-language-local-name="Macedonisch" class="interlanguage-link-target"><span>Македонски</span></a></li><li class="interlanguage-link interwiki-ml mw-list-item"><a href="https://ml.wikipedia.org/wiki/%E0%B4%85%E0%B4%A8%E0%B5%8D%E0%B4%AF%E0%B5%82%E0%B4%B1%E0%B4%BF%E0%B4%B8%E0%B4%82" title="അന്യൂറിസം – Malayalam" lang="ml" hreflang="ml" data-title="അന്യൂറിസം" data-language-autonym="മലയാളം" data-language-local-name="Malayalam" class="interlanguage-link-target"><span>മലയാളം</span></a></li><li class="interlanguage-link interwiki-ms mw-list-item"><a href="https://ms.wikipedia.org/wiki/Aneurisme" title="Aneurisme – Maleis" lang="ms" hreflang="ms" data-title="Aneurisme" data-language-autonym="Bahasa Melayu" data-language-local-name="Maleis" class="interlanguage-link-target"><span>Bahasa Melayu</span></a></li><li class="interlanguage-link interwiki-nn mw-list-item"><a href="https://nn.wikipedia.org/wiki/Aneurisme" title="Aneurisme – Noors - Nynorsk" lang="nn" hreflang="nn" data-title="Aneurisme" data-language-autonym="Norsk nynorsk" data-language-local-name="Noors - Nynorsk" class="interlanguage-link-target"><span>Norsk nynorsk</span></a></li><li class="interlanguage-link interwiki-no mw-list-item"><a href="https://no.wikipedia.org/wiki/Aneurisme" title="Aneurisme – Noors - Bokmål" lang="nb" hreflang="nb" data-title="Aneurisme" data-language-autonym="Norsk bokmål" data-language-local-name="Noors - Bokmål" class="interlanguage-link-target"><span>Norsk bokmål</span></a></li><li class="interlanguage-link interwiki-or mw-list-item"><a href="https://or.wikipedia.org/wiki/%E0%AC%86%E0%AC%A8%E0%AC%BF%E0%AD%9F%E0%AD%81%E0%AC%B0%E0%AC%BF%E0%AC%9C%E0%AC%AE%E0%AD%8D" title="ଆନିୟୁରିଜମ୍ – Odia" lang="or" hreflang="or" data-title="ଆନିୟୁରିଜମ୍" data-language-autonym="ଓଡ଼ିଆ" data-language-local-name="Odia" class="interlanguage-link-target"><span>ଓଡ଼ିଆ</span></a></li><li class="interlanguage-link interwiki-pam mw-list-item"><a href="https://pam.wikipedia.org/wiki/Aneurysm" title="Aneurysm – Pampanga" lang="pam" hreflang="pam" data-title="Aneurysm" data-language-autonym="Kapampangan" data-language-local-name="Pampanga" class="interlanguage-link-target"><span>Kapampangan</span></a></li><li class="interlanguage-link interwiki-pl mw-list-item"><a href="https://pl.wikipedia.org/wiki/T%C4%99tniak" title="Tętniak – Pools" lang="pl" hreflang="pl" data-title="Tętniak" data-language-autonym="Polski" data-language-local-name="Pools" class="interlanguage-link-target"><span>Polski</span></a></li><li class="interlanguage-link interwiki-pt mw-list-item"><a href="https://pt.wikipedia.org/wiki/Aneurisma" title="Aneurisma – Portugees" lang="pt" hreflang="pt" data-title="Aneurisma" data-language-autonym="Português" data-language-local-name="Portugees" class="interlanguage-link-target"><span>Português</span></a></li><li class="interlanguage-link interwiki-ro mw-list-item"><a href="https://ro.wikipedia.org/wiki/Anevrism" title="Anevrism – Roemeens" lang="ro" hreflang="ro" data-title="Anevrism" data-language-autonym="Română" data-language-local-name="Roemeens" class="interlanguage-link-target"><span>Română</span></a></li><li class="interlanguage-link interwiki-ru mw-list-item"><a href="https://ru.wikipedia.org/wiki/%D0%90%D0%BD%D0%B5%D0%B2%D1%80%D0%B8%D0%B7%D0%BC%D0%B0" title="Аневризма – Russisch" lang="ru" hreflang="ru" data-title="Аневризма" data-language-autonym="Русский" data-language-local-name="Russisch" class="interlanguage-link-target"><span>Русский</span></a></li><li class="interlanguage-link interwiki-sh mw-list-item"><a href="https://sh.wikipedia.org/wiki/Aneurizma" title="Aneurizma – Servo-Kroatisch" lang="sh" hreflang="sh" data-title="Aneurizma" data-language-autonym="Srpskohrvatski / српскохрватски" data-language-local-name="Servo-Kroatisch" class="interlanguage-link-target"><span>Srpskohrvatski / српскохрватски</span></a></li><li class="interlanguage-link interwiki-simple mw-list-item"><a href="https://simple.wikipedia.org/wiki/Aneurysm" title="Aneurysm – Simple English" lang="en-simple" hreflang="en-simple" data-title="Aneurysm" data-language-autonym="Simple English" data-language-local-name="Simple English" class="interlanguage-link-target"><span>Simple English</span></a></li><li class="interlanguage-link interwiki-sl mw-list-item"><a href="https://sl.wikipedia.org/wiki/Anevrizma" title="Anevrizma – Sloveens" lang="sl" hreflang="sl" data-title="Anevrizma" data-language-autonym="Slovenščina" data-language-local-name="Sloveens" class="interlanguage-link-target"><span>Slovenščina</span></a></li><li class="interlanguage-link interwiki-sr mw-list-item"><a href="https://sr.wikipedia.org/wiki/%D0%90%D0%BD%D0%B5%D1%83%D1%80%D0%B8%D0%B7%D0%BC%D0%B0" title="Анеуризма – Servisch" lang="sr" hreflang="sr" data-title="Анеуризма" data-language-autonym="Српски / srpski" data-language-local-name="Servisch" class="interlanguage-link-target"><span>Српски / srpski</span></a></li><li class="interlanguage-link interwiki-sv mw-list-item"><a href="https://sv.wikipedia.org/wiki/Art%C3%A4rbr%C3%A5ck" title="Artärbråck – Zweeds" lang="sv" hreflang="sv" data-title="Artärbråck" data-language-autonym="Svenska" data-language-local-name="Zweeds" class="interlanguage-link-target"><span>Svenska</span></a></li><li class="interlanguage-link interwiki-tg mw-list-item"><a href="https://tg.wikipedia.org/wiki/%D0%90%D0%BD%D0%B5%D0%B2%D1%80%D0%B8%D0%B7%D0%BC%D0%B0" title="Аневризма – Tadzjieks" lang="tg" hreflang="tg" data-title="Аневризма" data-language-autonym="Тоҷикӣ" data-language-local-name="Tadzjieks" class="interlanguage-link-target"><span>Тоҷикӣ</span></a></li><li class="interlanguage-link interwiki-th mw-list-item"><a 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</div> </nav> </div> </div> <div id="bodyContent" class="vector-body" aria-labelledby="firstHeading" data-mw-ve-target-container> <div class="vector-body-before-content"> <div class="mw-indicators"> </div> <div id="siteSub" class="noprint">Uit Wikipedia, de vrije encyclopedie</div> </div> <div id="contentSub"><div id="mw-content-subtitle"></div></div> <div id="mw-content-text" class="mw-body-content"><div class="mw-content-ltr mw-parser-output" lang="nl" dir="ltr"><div id="spoiler" align="center" style="margin:1em auto; width:fit-content; overflow:hidden;"><div style="display:flex; align-items:center; justify-content:center; gap:0.5em; border-top:2px solid var(--border-color-subtle,#c8ccd1); border-bottom:2px solid var(--border-color-subtle,#c8ccd1); padding:0.1em 0.2em;"> <div style="min-width:max-content;"><span class="noviewer" typeof="mw:File"><a href="/wiki/Bestand:Esculaap4.svg" class="mw-file-description" title="Esculaap"><img alt="Esculaap" src="//upload.wikimedia.org/wikipedia/commons/thumb/6/66/Esculaap4.svg/26px-Esculaap4.svg.png" decoding="async" width="26" height="40" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/6/66/Esculaap4.svg/40px-Esculaap4.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/6/66/Esculaap4.svg/53px-Esculaap4.svg.png 2x" data-file-width="200" data-file-height="300" /></a></span></div> <div style="text-wrap:balance;"><small>Neem het <a href="/wiki/Wikipedia:Voorbehoud_bij_medische_informatie" title="Wikipedia:Voorbehoud bij medische informatie"><i><b>voorbehoud bij medische informatie</b></i></a> in acht.<br />Raadpleeg bij gezondheidsklachten een <a href="/wiki/Arts" title="Arts">arts</a>.</small></div> </div></div> <table class="infobox" cellpadding="1" cellspacing="1"> <tbody><tr> <th class="infobox-kop notheme" style="color:inherit; text-align:center; font-size:120%;" colspan="3">Aneurysma </th></tr> <tr> <th class="infobox-kop notheme" style="color:inherit;" colspan="3">Coderingen </th></tr> <tr> <th><a href="/wiki/ICD-10" title="ICD-10">ICD-10</a><br /><a href="/wiki/ICD-9" title="ICD-9">ICD-9</a> </th> <td colspan="2"><a href="/wiki/ICD10_Hoofdstuk_IX" class="mw-redirect" title="ICD10 Hoofdstuk IX">I</a><a rel="nofollow" class="external text" href="https://icd.who.int/browse10/2019/en#/I72">72</a><br /><a rel="nofollow" class="external text" href="http://icd9.chrisendres.com/index.php?action=search&srchtext=442">442</a> </td></tr> <tr> <th><a href="/wiki/Diseases_Database" title="Diseases Database">DiseasesDB</a> </th> <td colspan="2"><a rel="nofollow" class="external text" href="http://www.diseasesdatabase.com/ddb15088.htm">15088</a><br /> </td></tr> <tr> <th><a href="/wiki/MedlinePlus" title="MedlinePlus">MedlinePlus</a> </th> <td colspan="2"><a rel="nofollow" class="external text" href="http://www.nlm.nih.gov/medlineplus/ency/article/001122.htm">001122</a><br /> </td></tr> <tr> <td class="infobox-kop notheme center" style="color:inherit;" colspan="3"> <table cellspacing="0" cellpadding="0"> <tbody><tr> <td style="vertical-align:middle;"><b>Portaal</b>  <span class="noviewer" typeof="mw:File"><a href="/wiki/Bestand:Portal.svg" class="mw-file-description" title="Portaalicoon"><img alt="Portaalicoon" src="//upload.wikimedia.org/wikipedia/commons/thumb/c/c9/Portal.svg/22px-Portal.svg.png" decoding="async" width="22" height="20" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/c/c9/Portal.svg/33px-Portal.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/c/c9/Portal.svg/44px-Portal.svg.png 2x" data-file-width="36" data-file-height="32" /></a></span>   </td> <td class="ta-left"><b><a href="/wiki/Portaal:Geneeskunde" title="Portaal:Geneeskunde">Geneeskunde</a> </b> </td></tr></tbody></table> </td></tr> </tbody></table> <figure typeof="mw:File/Thumb"><a href="/wiki/Bestand:Aneurysem.jpg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/1/12/Aneurysem.jpg/300px-Aneurysem.jpg" decoding="async" width="300" height="282" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/1/12/Aneurysem.jpg/450px-Aneurysem.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/1/12/Aneurysem.jpg 2x" data-file-width="520" data-file-height="488" /></a><figcaption><b>Aneurysma.</b> <a href="/wiki/Angiogram" class="mw-redirect" title="Angiogram">Angiogram</a> van een <a href="/wiki/Slagader" title="Slagader">slagader</a> in de <a href="/wiki/Hersenen" title="Hersenen">hersenen</a>. De <a href="/wiki/Contraststof" title="Contraststof">contraststof</a> (op deze opname zwart) is door middel van een <a href="/wiki/Katheter" title="Katheter">katheter</a> in de slagader gespoten. Het aneurysma is zichtbaar als een uitstulping aan de slagader.</figcaption></figure> <p>Een <b>aneurysma</b> (<a href="/wiki/Grieks" title="Grieks">Grieks</a> <i>ἀνεύρυσμα</i>, meervoud <i>aneurysmata</i>) is een plaatselijke verwijding van een (meestal <a href="/wiki/Slagader" title="Slagader">slagaderlijk</a>) <a href="/wiki/Bloedvat" title="Bloedvat">bloedvat</a>, als gevolg van een (ter plaatse) zwakke <a href="/wiki/Vaatwand" title="Vaatwand">vaatwand</a>. Het meest voorkomend is een aneurysma van de slagader in het <a href="/wiki/Buik" title="Buik">abdomen</a> (de <a href="/wiki/Aorta" title="Aorta">aorta</a>), een <a href="/w/index.php?title=Abdominaal_aorta-aneurysma&action=edit&redlink=1" class="new" title="Abdominaal aorta-aneurysma (de pagina bestaat niet)">abdominaal aorta-aneurysma</a> (AAA). Een aneurysma van de aorta ter hoogte van de borstkas is een <a href="/w/index.php?title=Thoracaal_aorta-aneurysma&action=edit&redlink=1" class="new" title="Thoracaal aorta-aneurysma (de pagina bestaat niet)">thoracaal aorta-aneurysma</a> (TAA). Een aneurysma gaat meestal niet gepaard met klachten (<a href="/wiki/Symptoom" title="Symptoom">symptomen</a>). </p><p>Vroeger dacht men aan slagaderverkalking (<a href="/wiki/Atherosclerose" class="mw-redirect" title="Atherosclerose">atherosclerose</a>) als oorzaak van een aneurysma. Dit is echter niet de enige oorzaak, er zijn waarschijnlijk ook andere factoren van belang voor het ontstaan van een aneurysma. Tegenwoordig wordt een <a href="/wiki/Degeneratie#Medische_degeneratie" title="Degeneratie">degeneratief proces</a> in de wand van de aorta als oorzaak gezien. Hierbij is het evenwicht verstoord tussen <a href="/wiki/Prote%C3%AFne" class="mw-redirect" title="Proteïne">eiwitten</a> die de aortawand opbouwen en andere die hem afbreken. Tevens kunnen <a href="/wiki/Erfelijke_ziekte" class="mw-redirect" title="Erfelijke ziekte">erfelijk bepaalde stoornissen</a> in de opbouw en stevigheid van de vaatwand leiden tot het ontstaan van aneurysmata op jeugdige leeftijd. Naast afwijkingen in opbouw en stevigheid van de <a href="/wiki/Vaatwand" title="Vaatwand">vaatwand</a> spelen mogelijk ook bepaalde <a href="/wiki/Ontsteking_(geneeskunde)" title="Ontsteking (geneeskunde)">ontstekingsreacties</a> een rol. Verder zorgt <a href="/wiki/Roken_(tabak)" title="Roken (tabak)">roken</a> voor slijtage van de aderen. Rokers lopen een aanzienlijk groter risico een aneurysma te krijgen dan niet-rokers en als het aneurysma er is, groeit het sneller bij rokers en ex-rokers dan bij niet-rokers. </p> <meta property="mw:PageProp/toc" /> <div class="mw-heading mw-heading2"><h2 id="Symptomen">Symptomen</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Aneurysma&veaction=edit&section=1" title="Bewerk dit kopje: Symptomen" class="mw-editsection-visualeditor"><span>bewerken</span></a><span class="mw-editsection-divider"> | </span><a href="/w/index.php?title=Aneurysma&action=edit&section=1" title="De broncode bewerken van de sectie: Symptomen"><span>brontekst bewerken</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Een aneurysma van de lichaamsslagader in de buik ofwel het aneurysma aortae abdominalis heeft men vaak zonder symptomen. Mensen met een AAA weten dan ook vaak niet dat zij een aneurysma hebben. Soms worden klachten als een kloppend gevoel in de (boven)buik of pijn in de rug, door drukken van het aneurysma op de wervelkolom, beschreven. In de meerderheid van de gevallen is een gevonden AAA een toevalsbevinding bij radiologisch onderzoek voor een andere indicatie (zoals een echo van het hart of CT-scan van de nieren). Als de grootte van het aneurysma toeneemt, neemt hierbij ook het risico op scheuren toe. De vaatwand wordt zwakker en er kan zich een scheur vormen. Dit is een levensbedreigende situatie, waarbij er door bloeding een tekort aan circulerend bloed kan ontstaan, met weefsel-/orgaan-schade en zelfs de dood tot gevolg. Een scheuring van het aneurysma is lastig te herkennen, maar alarmsignalen zijn flauwvallen/bleekheid en acute pijn in de buik of in de onderrug. Bij een aneurysmaruptuur van de <a href="/wiki/Aorta" title="Aorta">aorta</a> in de <a href="/wiki/Buik" title="Buik">buik</a> is deze bloeding in 75% van de gevallen dodelijk. Meer dan 50% van de patiënten overlijdt voor aankomst in het ziekenhuis, waarna nog eens meer dan 50% van de geopereerden overlijdt tijdens de operatie. Een aneurysmaruptuur in de <a href="/wiki/Ribbenkast" title="Ribbenkast">thorax</a> (borstholte) is vrijwel altijd dodelijk. </p> <div class="mw-heading mw-heading2"><h2 id="Erfelijkheid">Erfelijkheid</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Aneurysma&veaction=edit&section=2" title="Bewerk dit kopje: Erfelijkheid" class="mw-editsection-visualeditor"><span>bewerken</span></a><span class="mw-editsection-divider"> | </span><a href="/w/index.php?title=Aneurysma&action=edit&section=2" title="De broncode bewerken van de sectie: Erfelijkheid"><span>brontekst bewerken</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Er is waarschijnlijk enige vorm van erfelijkheid, aangezien het vaker voorkomt binnen sommige families. Literatuur wijst uit dat ongeveer 25% van de mensen met een AAA ook één of meerdere aangedane eerstegraads familieleden heeft. Broers en zussen van aneurysmapatiënten laten zich dikwijls preventief onderzoeken op symptomen van een aneurysma. </p> <div class="mw-heading mw-heading2"><h2 id="Diagnose_(opsporing)_en_behandeling_van_een_AAA"><span id="Diagnose_.28opsporing.29_en_behandeling_van_een_AAA"></span>Diagnose (opsporing) en behandeling van een AAA</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Aneurysma&veaction=edit&section=3" title="Bewerk dit kopje: Diagnose (opsporing) en behandeling van een AAA" class="mw-editsection-visualeditor"><span>bewerken</span></a><span class="mw-editsection-divider"> | </span><a href="/w/index.php?title=Aneurysma&action=edit&section=3" title="De broncode bewerken van de sectie: Diagnose (opsporing) en behandeling van een AAA"><span>brontekst bewerken</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Vanwege de gevaren is het aan te raden een verdenking op een aneurysma goed te laten onderzoeken. Lichamelijk onderzoek alleen sluit een aneurysma nooit uit. Als gouden standaard voor het aantonen van een aneurysma wordt <a href="/wiki/Echografie" title="Echografie">echografie</a> van de buik gebruikt. Hierbij kan men nauwkeurig de juiste <a href="/wiki/Diameter" title="Diameter">diameter</a> van het verwijde <a href="/wiki/Bloedvat" title="Bloedvat">bloedvat</a> bepalen. Hierbij houdt men de grootst te meten voor-achterwaartse diameter (Anterior-Posterior- of AP-diameter) aan. Als arbitraire grens wordt een diameter van 55 mm gebruikt bij mannen en 50 mm bij vrouwen. Uit onderzoek is gebleken dat vanaf deze diameter het risico op ruptuur (een vaatbreuk) reëel is, en de risico's van een operatie niet meer opwegen tegen het risico op scheuren. </p><p>Een <a href="/wiki/CT-scan" class="mw-redirect" title="CT-scan">CT-scan</a> met <a href="/wiki/Contrastvloeistof" class="mw-redirect" title="Contrastvloeistof">contrastvloeistof</a> laat precies zien hoe de <a href="/w/index.php?title=Vaatboom&action=edit&redlink=1" class="new" title="Vaatboom (de pagina bestaat niet)">vaatboom</a> rond de aorta eruitziet. Dit bepaalt ook of men laparo-tomisch (open maken van de <a href="/wiki/Buikholte" title="Buikholte">buikholte</a>) of endovasculair (vanuit de vaten na benadering in de liesslagader(s)) opereert. Men kiest respectievelijk voor het inhechten van een <a href="/w/index.php?title=Aortabifurcatieprothese&action=edit&redlink=1" class="new" title="Aortabifurcatieprothese (de pagina bestaat niet)">aortabifurcatieprothese</a>, ook wel broekprothese genoemd, of een endovasculaire <a href="/wiki/Stent" title="Stent">stent</a> op maat. Laatstgenoemde procedure noemt men ook wel EVAR; Endovascular Aneurysm Repair. </p><p>Een belangrijke complicatie van een EVAR operatie zijn endoleaks, waarbij bloed langs de stent lekt. Er worden vijf typen endoleaks onderscheiden: </p> <ul><li>Type 1; een lekkage waar de <a href="/wiki/Stent" title="Stent">stent</a> vastzit aan het bloedvat <ul><li>1a - <a href="/wiki/Proximaal_(anatomie)" title="Proximaal (anatomie)">proximaal</a></li> <li>1b - <a href="/wiki/Distaal_(anatomie)" title="Distaal (anatomie)">distaal</a></li> <li>1c - verstopper arteria iliaca</li></ul></li> <li>Type 2; het vullen van het aneurysma via zijtakken (o.a. <a href="/wiki/Arteria_mesenteria_inferior" class="mw-redirect" title="Arteria mesenteria inferior">arteria mesenteria inferior</a> en met name lumbale arteriën L2-L4), tevens de meestvoorkomende endoleak <ul><li>2a - enkel vat</li> <li>2b - twee of meer zijtakken betrokken</li></ul></li> <li>Type 3; bloedlek door een defect in de stent <ul><li>3a - lekkage tussen onderdelen van de stent</li> <li>3b - breuken of gaten in de stent</li></ul></li> <li>Type 4; bloedlekkage door de stent heen t.g.v. poreusheid van de stent</li> <li>Type 5; toenemende grootte van aneurysma sac zonder daadwerkelijk lek te bewijzen</li></ul> <p><br /> </p> <div class="mw-heading mw-heading3"><h3 id="Acuut_medisch_ingrijpen_bij_ruptuur">Acuut medisch ingrijpen bij ruptuur</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Aneurysma&veaction=edit&section=4" title="Bewerk dit kopje: Acuut medisch ingrijpen bij ruptuur" class="mw-editsection-visualeditor"><span>bewerken</span></a><span class="mw-editsection-divider"> | </span><a href="/w/index.php?title=Aneurysma&action=edit&section=4" title="De broncode bewerken van de sectie: Acuut medisch ingrijpen bij ruptuur"><span>brontekst bewerken</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Op het moment dat een aneurysma scheurt, telt iedere minuut. Na het maken van een CT-scan kiest men meestal voor de laparotomische procedure voor het inhechten van een broekprothese. Een duidelijk protocol en een goede samenwerking van de spoedeisende hulp, de afdeling radiologie, de anesthesist, de vaatchirurg en het OK-personeel zijn essentieel voor het overleven van de patiënt. De peri-operatieve mortaliteit van een geruptureerd AAA is zeer hoog, ongeveer 20% bij de EVAR-methode en ongeveer 50% bij de conventionele open methode. </p>    </div><noscript><img src="https://login.wikimedia.org/wiki/Special:CentralAutoLogin/start?type=1x1" alt="" width="1" height="1" style="border: none; position: absolute;"></noscript> <div class="printfooter" data-nosnippet="">Overgenomen van "<a dir="ltr" href="https://nl.wikipedia.org/w/index.php?title=Aneurysma&oldid=67068869">https://nl.wikipedia.org/w/index.php?title=Aneurysma&oldid=67068869</a>"</div></div> <div id="catlinks" class="catlinks" data-mw="interface"><div id="mw-normal-catlinks" class="mw-normal-catlinks"><a href="/wiki/Categorie:Alles" title="Categorie:Alles">Categorie</a>: <ul><li><a href="/wiki/Categorie:Vaataandoening" title="Categorie:Vaataandoening">Vaataandoening</a></li></ul></div><div id="mw-hidden-catlinks" class="mw-hidden-catlinks mw-hidden-cats-hidden">Verborgen categorie: <ul><li><a href="/wiki/Categorie:Wikipedia:Geen_afbeelding_lokaal_en_wel_op_Wikidata" title="Categorie:Wikipedia:Geen afbeelding lokaal en wel op Wikidata">Wikipedia:Geen afbeelding lokaal en wel op Wikidata</a></li></ul></div></div> </div> </main> </div> <div class="mw-footer-container"> <footer id="footer" class="mw-footer" > <ul id="footer-info"> <li id="footer-info-lastmod"> Deze pagina is voor het laatst bewerkt op 20 feb 2024 om 16:07.</li> <li id="footer-info-copyright">De tekst is beschikbaar onder de licentie <a rel="nofollow" class="external text" href="//creativecommons.org/licenses/by-sa/4.0/deed.nl">Creative Commons Naamsvermelding/Gelijk delen</a>, er kunnen aanvullende voorwaarden van toepassing zijn. 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