Our Specilisations.

The Department for Vascular and Endovascular Surgery is specialised in classic surgical treatments, vascular therapy using catheter techniques (called interventional, endovascular or minimum-invasive), using  balloon catheter dilatation, the implatation of stents (metal supports) and also of vascular prostheses/endoprostheses (i.e. aortic endografts).

 

We offer diagnosis and treatment of the following diseases:

  • Carotid arterial disease (for  lesions of the carotid artery, prophylaxis  of strokes!)
  • Aneurysms (vessel dilatations of the aorta, the pelvic and peripheral vascular system)
  • Stenosis, occlusions as well as aneurysms in the abdominal and pelvic arteries
  • Peripheral arterial occlusive disease - Arteriosclerosis (Intermittent claudication)
  • Vascular tumours
  • Vascular access surgery for dialysis
  • Central Vein catheters (mainly for cancer therapy)
  • Varicosis - varicose vein surgery (operative and also minimum invasive using the CELON method)
 

Our treatment for vascular surgery.

Lesions of the carotid or vertebral arteries.

Both arteries supply our brain. Therefore treatment of a severe stenosis  demands a high amount of experience and a well trained team of anaethesiologists, surgeons and monitoring specialists. According to international standards and scientific studies concerning  the carotid artery we offer open surgery for obstructions or stenosis for this artery; very rarely there is an indication for endovascular procedures.

 The vertebral artery on the other hand often calls for catheter techniques including stenting.

Reconstruction of the carotid artery bifurcation  ( TEA)
Angioplasty /Stenting  of the subclavian artery
Angioplasty /Stenting  of the vertebral artery
Reconstruction of vertebral artery  (TEA, bypass)

 

Thoracic and abdominal aneurysms and occlusive disease of the aorta and the pelvic arteries

Diseases of the thoracic or abdominal  aorta and the pelvic arteries include stenosis or occlusion, or, on the other hand, dilation of these arteries (aneurysms). Both operative or endovascular methods may be indicated, depending in the individual situation and morphology of the diseased vessel:

  • Stentgraft for aortic aneurysm (endovascular therapy)
  • Tubular graft for aortic aneurysm (open surgery)
  • Y-shaped graft  for aortic plus iliac aneurysm
  • Y-shaped graft for aortic and iliac occlusive disease
  • Prosthetic bypass graft for iliac aneurysms
  • Prosthetic bypass graft (aorto-iliac, iliac-iliac, iliaco-femoral / profundal) for iliac occlusive disease
  • Extraanatomic prosthetic bypass (axillo-Bi - femoral/ bifemoral, cross-over femoral)
  • Balloon angioplasty for stenosis or short occlusions
  • Balloon angioplasty  plus stent 
  • Implantation of a stent-supported endoprosthesis (stent plus vascular prothesis)
 

Claudication - Peripheral arterial occlusive disease, PAOD

The problems caused by PAOD vary from a mild claudication, i.e. limiting painfree walking distance to a severe tissue loss of the foot or  lower leg. Depending on the severity and the number of vessels involved, we offer all forms of operative therapy, i.e. all forms of vein and prosthetic bypass methods and, if reasonable and technically possible, all minimal-invasive i.e. endovascular treatments.

  • Classic balloon angioplasty, including use of Drug Eluting Ballons
  • Stent implantation
  • Implantation of a stent-supported  endoprosthesis (stent graft) 
  • Lyse therapy via catheter
  • Thrombendarterektomy
  • Prosthetic bypass  
  • Vein bypass with leg or arm veins
  • Complex spliced vein bypass
  • Composite bypass, including bridging bypass
 

Varicose veins

The range of vascular surgery treatment beginns with the treatment of venous thrombosis, modern varicose vein surgery, a combination of Microsurgery and Obliteration of lager veins with Laser or  Radiofrequency catheters and ends with injection treatment therapy for spider bursts. Treatment of varicose veins has changed and improved greatly due to the use of colour duplex sonography. Damaged parts of the veins can be precisely detected and then either sclerosed or 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 avoided

 

Further treatment options

  • Vascular access surgery, i. e. dialysis shunts in patients with kidney disease requiring dialysis
  • Implantation of intra-arterial and intra-venous port systems
  • Walking training therapy
  • Lymphatic drainage
  • Treadmill Ergometry
  • Bicycle Ergometry
  • Infusion therapy with prostaglandins
  • CT-controlled lumbar sympathicolysis
 

Vascular surgery - diagnostics

  • Colour duplex sonography
  • Cw - Doppler
  • Vein Plethysmography
  • Acral Oscillography
  • Digital Substraction Angiography
  • Computed Tomography including CT Angiography
  • Magnetic Resonance Imaging including MRI Angiography