[Vascular surgery emergencies in geriatrics. Diagnosis and operative measures]

Particularly in the elderly patient, acute vascular occlusion must be treated quickly and with as little risk as possible. Among the surgical possibilities, preference is given to the inflatable balloon catheter to eliminate the occlusion. This procedure is usually possible in acute arterial and venous obstructions. Acute arterial thrombosis requires a vascular reconstructive procedure. Here, in unilateral thrombotic occlusion of a pelvic artery, the femoro-femoral bypass is particularly useful. After successful surgery, anticoagulant treatment should always be given unless contraindicated.