Das Krankheitsbild der Darmischamie mit konsekutivem Mesen- terialinfarkt und Darmgangran ist schon seit dem 19.1ahrhundert bekannt und immer wieder experimentell und klinisch untersucht worden. Trotz der permanenten Weiterentwicklung diagnostischer Me- tho den und therapeutischer Verfahren hat diese Erkrankung heute noch eine Letalitat von 70-93%. Dies liegt - wie unsere Ergebnisse im Tierversuch und am groBten radiologisch untersuchten Kran- kengut der Weltliteratur zeigen - an der kurzen ischamischen Tole- ranzzeit des Darms nach arteriellem oder venosem GefaBverschluB und an der zu spaten Diagnosestellung. Das vorliegende Buch erarbeitet ein klinisch-radiologisches Konzept, das es ermoglicht, mit Hilfe bildgebender Verfahren -ins- besondere der radiologischen Nativdiagnostik, der Realtime-Sono- graphie und der Angiographie -die Diagnose in vielen Fallen friih- zeitiger zu stell en und somit die Letalitat dieses Krankheitsbildes zu senken. Es zeigt aber auch die Wichtigkeit des interdisziplinaren Ge- sprachs zwischen behandelndem Arzt, Radiologen und Chirurgen, urn die Moglichkeit eines ischamischen Geschehens -insbesondere bei alteren Patienten mit bekannten praexistenten Herz-und Ge- fa13leiden oder hochdosierter Glykosidtherapie - in Erwagung zu ziehen und eine noch erfolgversprechende, kausale Therapie einzu- leiten. Wir sind sehr zu Dank verpflichtet: Herrn Prof. Dr. B.SWART, Neuss und Herrn Prof. Dr. G. FRIEDMANN, Koln, fUr ihre Beratung bei den experimentellen und klinischen Untersuchungen und die Uberlassung des radiologischen Untersuchungsmaterials. Herrn Prof. Dr. PICHLMAIER, Koln und Herrn Prof. Dr. COBURG, Neuss fUr die Moglichkeit der Auswertung der Krankenakten, Herrn Dr. M. BOHR, Pathologisches Institut der Universitat Koln, ftir die DurchfUhrung der histologischen Untersuchungen, Herrn Prof. Dr.

Things aren't quite what they seem. One day you are sharing a mocha with your friends at the local cafe and the next you're running for your life. Not knowing who or what is chasing you. Just knowing that if they find you, you'll wish you were dead. The things they would do, the torture they would put you threw and in the end if you where good enough, they would keep you as their pet, their puppet. Use you for their petty work. But if you weren't good enough they would throw you out. Or at least let you think that you were free. You would get five maybe ten minutes head start if you were lucky before they released their pets on you. Using you in turn for training of the "Better Stock." Survival, there is none. Because once you are captured there is no turning back. That is the life Augusta's parents had known, the life that her mother is trying to keep her safe from. Little does Augusta know that her life will soon never be the same.

Things aren't quite what they seem. One day you are sharing a mocha with your friends at the local cafe and the next you're running for your life. Not knowing who or what is chasing you. Just knowing that if they find you, you'll wish you were dead. The things they would do, the torture they would put you threw and in the end if you where good enough, they would keep you as their pet, their puppet. Use you for their petty work. But if you weren't good enough they would throw you out. Or at least let you think that you were free. You would get five maybe ten minutes head start if you were lucky before they released their pets on you. Using you in turn for training of the "Better Stock." Survival, there is none. Because once you are captured there is no turning back. That is the life Augusta's parents had known, the life that her mother is trying to keep her safe from. Little does Augusta know that her life will soon never be the same.