Vascular surgeries are considered one of the most complicated types of surgical procedures. Correction of pathological changes and functional disorders of the vascular system demands from the surgeon high level of professional skills, excellent knowledge of sparing treatment techniques and high accuracy when performing surgical interventions.
German vascular centers are often part of surgical departments integrated into multidisciplinary medical institutions. This area of medicine is distinguished by a wide use of innovations: German vascular surgeons have at their disposal modern technologies that allow them to conduct such interventions as the installation of vascular stents in IHD, the successful treatment of aortic aneurysm and varicose disease in the most sparing way.
On our site you can get acquainted with medical institutions that specialize in the field of vascular surgery. Leading medical institutions in Germany with multiple awards have access to the most modern technologies for the vascular surgery, there medical specialists with a high level of professional skills work hand in hand.
A surgical intervention is often required in case of severe damage of the blood vessels. Vascular surgery is aimed to normalize the blood supply.
The most common type of vascular surgery is a bypass surgery, its purpose is to exclude the affected parts of the blood vessels from the circulatory circle. Another common type of surgery is the removal of the aneurysm of the carotid artery, which is responsible for the blood supply to the human brain. This surgery helps to prevent stroke. Some of the most common types of vascular operations are described below.
Vessel surgeries in general stenosis
The most frequently used method of elimination of stenosis or the problem of vascular constriction is the installation of special balloons and catheters that forms a structure that widens the arteries. In order to normalize the blood circulation for a longer period of time, it is recommended to install special stents that prevent the formation of a new narrowing.
Surgical treatment of vessels in aortic aneurysms
Some problems with the obstruction of the aorta imply the use of conservative therapy with the appropriate drugs. If such therapy does not bring the desired results, doctors offer a surgery. All the necessary manipulations are performed through an incision that penetrates the affected area of the aorta. Then a catheter is inserted and the vessel is widened using a special balloon.
Vascular surgery in acute arterial obstruction
First, the patient is given a special medicine that contributes to the resorption of blood clot. However, in some cases this measure can be useless, then a surgical removal of the clot using a catheter prescribed. This operation has a similar principle to the aortic surgery.
An aneurysm is an expansion of an artery caused by lifting of weights or a trauma. Most often the aneurysm affects the abdominal aorta. This disease is extremely dangerous, as there is a high risk of aneurysm rupture, which severely disturbs the blood flow. Therefore, an aneurysm requires urgent surgical intervention.
The operation is performed to remove the affected area of the artery, to do so a small incision is made. Later the artery is restored with a special prosthesis.
In some cases, the implant is placed using a catheter. However, this type of operation is not always suitable. Everything depends on the passability of the patient's vessels.
Carotid artery stenosis surgery
The progress of clogged vessel disease can sometimes reach even such crucial arteries as, for example, carotid artery. Such consequences of the disease can cause the formation of a blood clot preventing blood supply of the human brain. The most dangerous outcome is the blot clot detachment that can lead to a stroke. In order to normalize the performance of the carotid artery, the classical surgical method of a balloon catheterization is used.
Surgery of lower limb thrombosis
When thrombosis of the lower limbs is treated using medication therapy, the situation is often aggravated even further. The blood flow is disturbed leading to blood stagnation in the lower limbs and accumulation of fluid in the tissues.
The surgery of the lower limbs thrombosis is aimed to restore the blood circulation and remove the affected parts of the vessels. One should note that such operations are carried out only in a few specialized clinics because of their complexity. The operation requires the highest accuracy and special knowledge.
Varicose veins surgery
The earlier the patient detects the first signs of varicosity, the easier it will be to perform a surgical intervention. If the damage to the veins is small, the operation is carried out fairly quickly and using minimally invasive techniques.
As a rule, a cryoprobe, which attracts vein using liquid nitrogen, is used to remove the damaged parts of the veins.
Modern treatment methods also utilize radio waves, laser and special chemical substances to normalize veins performance.
Occlusion of the lower leg arteries
Occlusion of the lower leg arteries is very dangerous because the disease it is not often noticeable at the initial stage. And only at a critical moment the patient begins to suffer from excruciating pain.
In this case, a classical operation to expand vessels with a balloon catheter is often used. This measure restores the normal blood circulation for a long period. If several lower leg vessels are affected, it can be necessary to perform a transplantation of those veins, replacing them with healthy, or to exclude the affected veins from blood circulation through a special shunt.
Reconstruction of damaged blood vessels
As a result of an injury or other accidents, vessels can be damaged which is not noticeable at first sight. One should prevent the development of vascular disorders, as in an extreme case this may result in amputation.
In order to reconstruct the vessels small incisions are made, through which the affected areas are stitched. If the damage is too extensive, the vessels are replaced by healthy veins.
Vascular surgery in blood vessel infections
Patients who have already had a vascular surgery or have implants in the vascular system are particularly susceptible to infection of blood vessels. It is very important to pay attention to your health condition, because the infection of blood vessels is a serious disease, which can result in amputation or even death.
In case of a blood vessels infection, the affected vessels are often replaced with healthy ones, taken, for example, from the lower limbs, or by synthetic vessels made of high-quality materials.