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Interner Bereich Raumbelegung
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Medical Focus Areas

Surgery of the Carotid Arteries
Constrictions of the carotid arteries (carotid stenosis) are often able to trigger a stroke. A large number of strokes may be prevented through the early identification and removal of carotid stenoses. We perform surgery on approx. 150 patients with carotid stenosis annually. Approximately 95% of all carotid artery surgery is carried out along the lines of classical shelling out and dilatation with a plastic strip.

Aortic Aneurysms
Dangerous, possibly fatal, dilations of the abdominal artery (aortic aneurysms) can occur as a result of arteriosclerosis. In our clinic we apply two methods for the removal of such aortic aneurysms: open surgery, during which the aneurysm is removed via an abdominal incision and replaced by means of a plastic prosthesis as well as endovascular aneurysm elimination by means of so-called stent prostheses (EVAR), which are inserted via the femoral arteries. We perform EVAR on one out of three patients.

PAOD of the Femoral Arteries
Constrictions or occlusions of the femoral arteries lead to insufficient circulation of musculature. Patients suffer from so-called intermittent claudication or rest pains in their feet. In the final stages the tissue on the feet dies off. Uncomplicated constrictions or occlusions can be dilated under a local anaesthetic; complicated occlusions are treated with vascular surgery by means of a bypass. For over 10 years we have also been performing so-called hybrid interventions in our clinic, by means of which these two techniques can be combined.

Diabetic Foot Syndrome (DFS)
Approximately one out of 10 open sores (ulcers) which appear on the feet of diabetic individuals result in amputation. The Vascular Center Speyer treats the largest number of diabetics with vascular disorders throughout Germany. At the vascular surgery clinic approximately 200 bypasses are created for lower leg and foot arteries (pedal bypass) per year to prevent amputations. Dilatation of constrictions is also on the increase, usually as a combination intervention in connection with minor amputations on the foot.

Dilatation of constrictions in various bodily arteries
Vascular surgery is moving increasingly towards endovascular procedures, during which constrictions are dilated by means of balloon catheters and if required, the implantation of so- called stents. At the vascular surgery clinic over 1,000 such dilations are performed annually on pelvic and leg arteries, the aorta and carotid arteries.

Varicose Vein Surgery
Surgical options for the treatment of varicose veins are becoming increasingly more differentiated: in addition to classic procedures such as stripping, an increasing number of new procedures such as the CHIVA method or the fast-closure method are being implemented in our clinic. The most crucial aspect being to remove or eliminate only superficial veins, which are actually diseased. The CHIVA method is particularly ideal for diabetics with circulatory disorders of the legs, in order to alleviate suffering on the one hand and to preserve the leg veins for possible bypass operations at a later stage.

Vascular Center Speyer
The Vascular Center Speyer is an interdisciplinary association of different occupational groups with the objective of providing patients with individual treatments. It is the largest establishment of its kind in Rhineland-Palatinate and the metropolitan region of Rhine-Neckar. In cooperation with the Medical Clinic of the Diakoniekrankenhaus Mannheim and the Clinic for Internal Medicine at the Klinikum Landau-Südliche Weinstraße, the clinic provides the entire spectrum of conservative, minimally invasive and surgical treatments in vascular surgery for its patients.

© Diakonissen Speyer-Mannheim