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Interner Bereich Raumbelegung
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Medical Focus Areas

Carotid Artery Surgery
A large number of strokes could be prevented through timely detection and removal of carotid stenosis. In Speyer 150 patients and in Mannheim 40 patients with carotis stenosis undergo surgical treatment annually.

Aortic Aneurysms
Arteriosclerosis can be the cause a life-threatening dilation of the abdominal artery. Aortic aneurysms which are 5 cm or more in size should be removed. In Speyer approximately 50 patients with aortic aneurysms undergo surgical treatment annually, in Mannheim approximately 10 to 20.  The aneurysm is either removed by means of open surgery via an abdominal incision and replaced by a synthetic prosthesis or an endovascular elimination of the aneurysm is carried out through so-called stent prostheses (EVAR), which are inserted through the inguinal arteries.

PAOD of the Femoral Arteries
Uncomplicated femoral artery constrictions or blockages are expanded under a local anesthetic. Complicated constrictions are treated by means of vascular surgery with the aid of bypasses using a vein from the same patient or a synthetic substitute material (e.g. teflon). Open surgical and so-called endovascular techniques are combined for “hybrid interventions“.

Diabetic Foot Syndrome (DFS)
Diabetics are up to 50 times more likely to incur a foot injury, which can result in amputation than normal individuals. Our topmost priority is to avoid amputations.

Expansion of Constrictions in Various Bodily Arteries
Annually over 1,000 so-called endovascular procedures i.e. expansions of constrictions through balloon catheters and, if required, implants of so-called stents (wire-mesh for propping open the artery) are carried out on pelvic and femoral arteries, the aorta and the carotid arteries in the Clinic for Vascular Surgery.

Varicose Vein Surgery
During the stripping method only superficial leg veins which are actually diseased are removed or sealed. A reasonable alternative is the CHIVA method, during which only ligatures and partitions of the artery can be carried out after extensive ultrasound testing of the leg, without stripping or cauterizing the truncal veins or destroying them by means of heat application.

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