Brothers of Mercy Hospital Munich
Department of Vascular Surgery (579927)
Specialized in: vascular surgery
About the Department of Vascular Surgery at Brothers of Mercy Hospital Munich
The Department of Vascular Surgery at the Brothers of Mercy Hospital Munich provides the full range of modern diagnostic tests and surgical treatment of pathologies of blood vessels.The department's team of surgeons focuses on patients with carotid stenosis, abdominal aortic aneurysms, occlusive peripheral arterial disease and varicose veins. In most cases, the specialists of the medical facility manage to perform treatment with endovascular techniques. Hybrid surgical techniques can be used in complex cases. The department's surgical options are supplemented by procedures for the formation and repair of dialysis shunts, and reconstructive interventions on the blood vessels, for example, in chronic wounds or diabetic foot syndrome. Clinical practice is based on using the latest treatment methods and the high professionalism of surgeons, which in combination provides patients with the best treatment outcome. This is important for doctors to provide the patient with personalized medical care, considering their needs and wishes.
The Head Physician of the department is Prof. Dr. med. Richard Brandl. He has performed many successful vascular surgical interventions over 30 years of successful clinical practice. The professor had his professional training in the best medical facilities in Germany and also trained in prestigious medical facilities in the United States of America and Great Britain.
One of the most demanded operations in the department is surgery for carotid artery stenosis, which can lead to severe complications (in particular, stroke) without timely treatment. The department's specialists offer the following operations: open thromboendarterectomy with patch angioplasty and eversion thromboendarterectomy. The essence of thromboendarterectomy is the direct removal of atherosclerotic plaques from the inner surface of the carotid artery. The final stage of the intervention is the application of a patch to the operated site of the carotid artery. When performing surgery, neuromonitoring systems and modern binocular loupes are used. An intraoperative ultrasound examination serves to assess the treatment outcomes.
An equally common pathology in the clinical practice of the medical facility is an occlusive peripheral arterial disease, characterized by stenosis or total cessation of blood flow through the arteries of the lower limbs. The pathological condition leads to multiple complications. In severe cases, limb amputation becomes the only treatment. During the diagnostic examination, the doctor must determine the grade of blood vessel stenosis/occlusion. For this purpose, the department's specialists perform angiography or magnetic resonance angiography. Therapeutic options in this area include both sparing endovascular interventions and open surgery. The most commonly performed are stent implantation and balloon dilatation. With appropriate clinical indications, the department's surgeons resort to endarterectomy with subsequent plastic reconstruction, bypass surgery and prosthetic repair. In some cases, the specialists use hybrid surgical techniques, combining endovascular and open interventions.
The department's surgical team is deservedly proud of its successful results in treating abdominal aortic aneurysms. The pathology is an abnormal enlargement of the largest blood vessel in the human body, which is accompanied by a thinning of its wall. The insidiousness of an aneurysm is that it does not cause any symptoms and is often diagnosed incidentally during the diagnostic examination for other complaints. If a patient does not receive timely treatment, the risk of aneurysm rupture and the development of severe internal bleeding, which is often fatal, increases. The surgical treatment of abdominal aortic aneurysm is based on the removal of the affected area of the vessel with its follow-up prosthetic repair. Depending on the particular clinical case, both open and endovascular techniques can be used. Open surgery requires general anesthesia. The prosthesis is implanted under angiographic guidance.
The doctors of the medical facility provide effective treatment of varicose veins. A clinical examination and duplex ultrasound are required to determine the stage of the pathological process. When planning a regimen of therapeutic measures, doctors always consider an aesthetic aspect. As a rule, the specialists prefer sparing treatment methods: sclerotherapy, mini-phlebectomy, endovenous laser coagulation, etc. Open surgery is usually performed for severe varicose veins, accompanied by trophic ulcers.
The department's range of surgical services includes:
- Diagnostics and treatment of carotid artery stenosis
- Open thromboendarterectomy with patch angioplasty
- Eversion thromboendarterectomy
- Diagnostics and treatment of occlusive peripheral arterial disease
- Stent implantation
- Balloon dilatation
- Endarterectomy followed by plastic repair
- Bypass surgery
- Prosthetic repair
- Hybrid interventions combining open and endovascular techniques
- Diagnostics and treatment of abdominal aortic aneurysms
- Open surgical interventions for the implantation of vascular prostheses
- Endovascular prosthetic repair using catheter techniques
- Diagnostics and treatment of popliteal artery aneurysms
- Surgical removal of the aneurysm with bypass or endoprosthesis implantation
- Diagnostics and treatment of advanced kidney failure
- Arteriovenous fistula (dialysis access) formation or correction
- Dialysis shunt formation
- Catheter implantation into the atrium (for hemodialysis)
- Diagnostics and treatment of varicose veins
- Endovenous laser coagulation
- Classic open surgery
- Other vascular diseases and surgical treatment methods
Curriculum vitae of Prof. Dr. med. Richard Brandl
- 1975 - 1982 Human Medicine studies at Ludwig Maximilian University of Munich.
- 1982 State Medical Exam and admission to medical practice.
- 1982 Doctoral thesis defense with honors, Ludwig Maximilian University of Munich.
- 1982 Assistant Physician in the Department of Surgery at the University Hospital of Ludwig Maximilian University of Munich.
- 1988 Board certification in Surgery.
- 1989 Assistant Physician, Department of Vascular Surgery, City Hospital Neuperlach Munich.
- 1990 Partial specialization in Vascular Surgery, Bavarian State Medical Association.
- 1990 - 1999 Study internship abroad, USA and UK.
- 1992 Senior Physician in the Department of Surgery and Head of the Section of Vascular Surgery, University Hospital Regensburg.
- 1994 Senior Physician in the Department of Vascular Surgery at the University Hospital Rechts der Isar Munich.
- 1994 - 2002 Head of the Working Groups on Vascular Surgery in the Region.
- 1995 - 1999 Scholarship of the German Research Foundation, Br1583/1-1 und Br1583/1-2 for research projects on prognostic indicators of recurrent stenosis.
- 1997 Founding Member of the Commission for Ultrasound Diagnostics of the German Society of Vascular Surgery and Vascular Medicine. Foundation of the Interdisciplinary Research Laboratory at the Institute of General Pathology and Pathological Anatomy at the University Hospital Rechts der Isar Munich.
- 1998 Habilitation and PD title; Alexis Carrel Scientific Prize of the German Society of Vascular Surgery; recognized as a Qualified Instructor in Ultrasound Diagnostics by the Bavarian Association of Compulsory Health Insurance; additional specialization in Phlebology, Bavarian State Medical Association.
- 1998 - 2000 Review activities in journals: GEFÄSSCHIURGIE (the official body of the German, Austrian and Swiss Society of Vascular Surgery), VASA, Der Chirurg, Deutsche Medizinische Wochenschrift and The Thoracic and Cardiovascular Surgeon.
- 1999 Participation in the design and construction of the Interdisciplinary Vascular Outpatient Clinic at the University Hospital Rechts der Isar Munich.
- 2002 Head Physician in the Department of Vascular Surgery at the City Hospital Munich Schwabing (since 01.07.2006, the Department of Vascular Surgery, Schwabing Clinic, Munich Municipal Hospital Group GmbH); Founding Member of the Scientific Committee of the German Society of Vascular Surgery.
- 2003 Admission for advanced training courses in Vascular Surgery, Bavarian State Medical Association; admission for advanced training courses in Surgery, Bavarian State Medical Association.
- 2004 Extraordinary Professorship for Vascular Surgery at the Technical University of Munich.
- 2005 Admission for training of medical Specialists in Vascular Surgery, Bavarian State Medical Association.
- 2006 Foundation of the Interdisciplinary Center for Vascular Surgery at the Hospital Munich Schwabing and its recognition as a certified Center for Vascular Surgery by the German Society for Angiology, German Society for Vascular Surgery and the German Society of Interventional Radiology.
- 2007 Appointed as an Examination Committee Member on Vascular Surgery of the Bavarian State Medical Association.
- 2009 Admission for advanced training courses in Phlebology, Bavarian State Medical Association.
- 2012 Opening of the Private Practice for Vascular Surgery and Phlebology in Munich.
- 2012 - 2013 Medical Advisor in Vascular Surgery and Phlebology, Brothers of Mercy Hospital Munich.
- Since 2013 Head of the Department of Vascular Surgery at the Brothers of Mercy Hospital Munich.
Membership in Professional Societies
- German Society of Vascular Surgery and Vascular Medicine.
- German Society of Angiology.
- German Society of Phlebology.
- Professional Association of German General Practitioners of the Federal State of Bavaria.
- Bavarian Association of Surgeons.
- Working Group of Private Practice Vascular Surgeons in Germany.
- Professional Association of German Surgeons.
- Bavarian Red Cross.
Photo of the doctor: (c) Barmherzige Brüder Krankenhaus München
Department of Vascular Surgery.
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