Operative and interventional vascular surgery. Our treatment concepts

Vascular surgery - constriction of the carotid artery

1. Reconstructions of the carotid arteries (arteria vertebralis): Carotis vertebralis bypass In case of obstructions or constrictions of the rear carotid artery, which passes through the lateral continuations of the cervical vertebral body
to the brain, different techniques can be used. For example, circulation can be reinstated by means of a balloon dilation, local removal graft or bypass with the body's own veins. 2. Reconstructions of the carotid arteries (Carotis TEA): In case of constrictions, typically at the branching of the A. carotis (carotis fork), of the inner carotid artery leading to the brain (carotis interna), the flow obstruction is removed by a removal graft, usually with subsequent sewing in of a narrow plastic strip.

Vascular surgery - disease of the aorta and pelvic artery

Diseases of the aorta and the pelvic artery consist of constriction or dilation of the arteries (aneurysms). Here too, operative or interventional methods are possible in vascular surgery:

  • Removal grafts / extension grafts
  • tubular graft implants
  • Y-prosthesis implant (AFBP)
  • bypass implant iliaco-femoral / profundal)
  • transverse bypass (iliaco-femoral, femero-femoral)
  • prosthesis implant (axillo-femoral / bifemoral)
  • interventional techniques: Balloon dilatation, stent implant or implantation of an endoprosthesis (stent graft)

Vascular surgery - circulatory problems in the legs

Here too, we offer all forms of operative therapy, i.e. removal grafting and bypass methods and all minimum-invasive or interventional treatment methods:

  • Removal grafts of the inguinal artery and the deep crural artery
  • Vein bypass  
  • Plastic bypass  
  • Balloon dilation, stent implantation 
  • Implantation of a stent-supported plastic prosthesis (stent graft) 
  • Lyse therapy via catheter

Modern varicose vein surgery

The range of vascular surgery treatments extends from the treatment of venous thromboses, modern varicose vein surgery through to injection treatment therapy for spider bursts. Varicosis treatment has changed and improved greatly due to use of colour duplex sonography. Damaged parts of the veins can be precisely removed. Microsurgery and standardised treatment concepts lead to a permanent and optimum cosmetic result. Through specific, targeted vascular surgery treatment, damage to the still healthy remaining vein system can be avoided. X-ray display of veins with contrast media can almost always be done without.

Vascular surgery - treatment of chronic wounds

Chronic wounds, e.g. venous or arterial ulcera cruris (lower leg ulcers) are almost always due to a circulatory problem. The treatment of such wounds in vascular surgery is a special field of vascular surgery. After the circulatory problem has been removed, the wounds are treated with ultrasound cleaning and vacuum therapy until sufficient granulation tissue exists. The final covering of the chronic wound is then done with a skin graft. The vascular surgery concept is drawn up in close collaboration between the clinic and the further treatment by the registered doctors and nursing services. In this way, chronic wounds which have already existed for decades can be healed.

Further vascular surgery treatment

  • Insertion of dialysis shunts in patients with kidney disease requiring dialysis
  • Implantation of intra-arterial and intra-venous port systems
  • Walking training therapy
  • Lymph drainage
  • Treadmill ergometry
  • Bicycle ergometry
  • Infusion therapy with prostaglandins
  • CT-controlled lumbar sympathicolysis

Vascular surgery - diagnostics and instrumental examinations

  • Colour duplex sonography
  • cw doppler, transcranial Doppler
  • light reflection rheography
  • vene occlusion plethysmography
  • acral oscillography
  • angiography in DSA technique
  • Computer tomography
  • magnetic resonance tomography and magnetic resonance angiography