Treatment in Germany and Switzerland

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Vascular surgery in Germany

Vascular surgery is known as surgical treatment of blood vessel diseases by means of the open classical method. In addition, vascular surgery is also their treatment “inside” with the use of minimally invasive methods, in other words the treatment of the closed, inflamed and enlarged arteries of the body, chronic venous diseases (e.g. varicose veins, deep venous thrombosis, etc.) as well as the treatment of lymphatic vessels. Surgical interventions to prevent stroke or loss of legs, as well as surgical interventions in case of nephrempraxis leading to acute renal failure and consequently to neo-dialysis belong to the competence of vascular surgery.

The number of patients suffering from vascular disease is incredibly high. Almost 1 million patients receive treatment for this disease only in Germany, more than 250000 people annually have stroke, about 220000 patients have so-called aneurysm (aortic dilatation), the wall rupture of which can lead to sudden death.

Well-timed diagnosis and treatment are therefore very important!

The main causes of disease are heredity, smoking, consumption of rich food, excessive physical activity or its complete absence often associated with work conditions (work standing or just sitting).

Today, vascular surgery has a variety of methods of diagnosis and treatment, from the classic open technique till minimally invasive intravascular treatment used more and more.

The improvement of the well-known and the development of new minimally invasive treatment methods is a distinctive feature of German experts. The open classic method is used only if the minimally invasive methods do not have sufficient results.

Modern methods of treatment make it possible to perform complex surgical treatment with minimal invasion of the body. It greatly reduces the load on the organism as a whole and provides complication risk reduction, as well as reduction of the postoperative rehabilitation period, in other words the restoration process after the surgery is much faster.

Minimally invasive methods of vascular surgery

Clinics of Germany have the most modern medical equipment and offer a full range of currently known treatment methods of vascular diseases. Thereby, they give the preference over endovascular (minimally invasive) methods of vascular surgery.

Balloon angioplasty or stenting is a method used in case of narrowing or complete obstruction of the vessel. It means that a special balloon is introduced through a catheter into the zone of the narrowing. The inflation of the balloon leads to the dilatation of the necessary vessel. There are some cases when the vessel narrows after the blowing of the balloon (so-called elastic contraction). A stent is installed into the inflated vessel lumen in order to avoid this. The stent is a tube with a net structure which is the skeleton of the vessel and does not allow the vessel to re-narrow.

Biliary tract drainage followed by stenting

There is obstructive jaundice with biliary passage pressure through surrounding tissues (e.g. tumors). The pumping of the stagnant bilis is made by a puncture of the skin and liver tissue through an installed catheter. A stent (a netted tube) is installed into the lumen of the strangulated vessel in order to not allow the vessel to narrow further.

Regional chemotherapy is a method of introducing a medicine through the catheter into in the corresponding artery, namely directly into the ill region. This method has several advantages over conventional intravenous drugs: to reduce the dose of the drug and, consequently, the number of complications often associated with the use of toxic anticancer drugs, as well as allows you to control the recovery process more effectively step-by-step through an angiography.

Thrombolysis is an installation of a catheter in the region of the thrombus formation. The substances (so-called clot-busting drugs) are introduced through the catheter in order to resolve the thrombus. The timely application of this method, in other words in case of freshly formed blood clots, avoids surgical interventions.

Installing a Cava filter is a method, the timely application of which could release from many of the complications (sometimes fatal) associated with venous disease of the lower limbs, namely pulmonary embolism (the clot gets from the lower limb veins through the heart to the lungs). A special Cava filter is installed into the vein through a catheter. The Cava filter picks away the thrombus, thus preventing it from getting into the heart and lungs.

Embolization means embolism with the use of special materials and facilities (liquid sclerosants, plastic particles, coils) in order to stop internal bleeding (stomach, haemorrhoidal, uterine, etc.), stop feeding tumors (hemangioma, metrofibroma) by the overlap of the blood vessels, as well as to remove abnormal blood flow (varicocele, angiodysplasia, aneurysm). The whole procedure is carried out through the catheter deliberately switching the affected region of a body part in order to avoid an open surgery.

Vascular Examination Methods

Ultra sound examination

First, the patient has a detailed conversation with the doctor and the general clinical examination. Modern medical technologies used in various examinations help to make out an accurate diagnosis which is the most important in the treatment of any disease. As a rule, non-invasive (in other words, without operative intervention) methods are used for the early diagnosis. Ultra sound examination belongs to non-invasive methods.

Doppler Sonography

The use of this method allows you to judge the blood flow in very small vessels and makes it possible to determine certain vascular diseases after some tests.

Duplex Sonography is a noninvasive ultra sound examination and therefore determines the state of internal organs and their vessels, vessels of the neck, as well as upper and lower limbs and the bloodstream in them quiet quickly. If an examination of internal organs and their vessels is needed, you has to refrain from food from the evening the day before.

Angiography is an x-ray examination with the use of contrast substance contained iodine more often. The substance is introduced intravenously (in the groin or hand) through a thin catheter and spreads by means of the bloodstream throughout the vascular system providing a good vision of all the vessels. The doctor decides how and where to hold a catheterization. The blood analysis and allergy tests are requirements before the angiography.

Computer tomography is an X-ray examination method using a special apparatus and a computer capable of “divide” the human body in minute particles and save all the information. It also provides an opportunity to examine some areas in the three-dimensional image. In some cases, the contrast intravenous agent is used for better vision.

Magnetic resonance tomography (MRT) is the newest of the methods said above. The method is carried out using artificially created magnetic field, under the influence of which the atoms appear in the vibrational motion. The computer analyzes the irradiation of the vibrated atoms and the image is displayed on the screen. This method and the computer tomography “divide” the body into minute particles. The analysis of the images is possible in perspective and in 3D image.

The advantage of this still very expensive method is that the patient is not exposed to X-ray irradiation. Unfortunately, the patients with metal implants cannot be tested using the MRT. The examination can be carried out using a contrast agent. This increases the resolving power of the method and allows you to diagnose the pathology of vessels at a very early stage.

German experts have tremendous experience in the field of vascular surgery and are the best in the world in totality with the technical equipment of the clinics. All of this allows achieving excellent results with minimal surgical intervention!

If you have any questions about diagnosis and treatment of vascular diseases in the clinics of Germany (including vascular surgery),
please call us +49 (2283) 77-369-0 or write us a mail