Basically, the following rings true: the sooner you contact us with your symptoms, the better. You should definitely get in touch with us immediately should you experience sudden pains in the leg or (typically, one-sided) swelling of the leg.
The patient is administered a daily dose of a blood-thinning agent for a specified period of time (in the form of tablets or injections) in order to prevent the progression of the thrombosis and, hence, a pulmonary embolism. The blood-thinning treatment is continued for around 3 to 6 months. Basically, compresses must be applied to the affected leg and, once the swelling has gone down, a compression stocking is to be worn and general measures be carried out.
Once a deep-vein thrombosis as a complication has been ruled out, compresses are applied to the leg and, if necessary, an anti-inflammatory is administered. It is only in rare cases that a temporary blood-thinning agent is required. The cause of the inflammation of the vein – usually a superficial varicose vein – must then be treated.
According to international guidelines, the catheter treatment of saphenous varicosis is the no. 1 treatment option (1A recommendation), thereby replacing the earlier stripping method. In the case of a catheter treatment, the vein is generally punctuated on the lower leg and then, subject to ultrasonic testing, a catheter is painlessly pushed into the vein as far as the groin. The vein is then closed from inside by means of heat during its extraction and the catheter is removed. Thanks to this gentle treatment, the patient can immediately go home following the procedure. The patient only has to wear a compression stocking for around three weeks following the procedure.
The therapy is performed in the superficial vein system by closing off the diseased vein. We perform particularly gentle procedures to this end: foam sclerotherapy, radio wave catheter, mini-phlebectomy.
Swellings caused by diseases of the deep veins in the legs are usually treated in a conservative manner by means of compression therapy, with medication and by means of general measures.
The ulcus cruris can generally be treated by means of disinfecting would care, compression therapy and occasional improvement to the arterial oxygen supply.
Foam sclerotherapy is suitable for treating smaller lateral saphenous branch varicose veins: the vein is closed by injecting a micro foam. The vein is then broken down by the body in the following weeks.
Diagnostics and therapy of the existing risk factors
The therapy of risk factors takes precedence over the performance of invasive measures. These risk factors could be high blood pressure, diabetes, increased blood fats or smoking. In addition to the treatment of increased blood pressure, increased blood fat values or diabetes with medication, we recommend strict abstinence from nicotine, a diet and exercise in order to normalise the patient’s weight. Furthermore, the patients should take gait training. Arterial vascular blockages can be treated by means of catheterisation.
The patient takes up a comfortable supine position on the surgery couch, and is conscious. The diseased vessel is made visible by means of a contrast agent and X-ray technology, in order to target it. Thanks to a local anaesthetic, the patient doesn’t feel any pain when a thin plastic tube is inserted in the groin artery. The vascular blockage is generally unblocked by using a catheter-aided balloon. In order to attain vascular patency, where necessary we use so-called stents which smoothly heal, without any complications.
Vascular diseases can have any one of an array of causes. Our Vascular Centre combines the experience and competence of 5 doctors with decades of professional experience in their fields.
Our specialists offer personal consultation, explain every single detail to you and recommend the best possible solution for your issue.
Outside of surgery hours,
please call the emergency
medical assistance service on:
Telephone number 116 117.