Diagnostic tests for mesenteric artery atherosclerosis

About the department

According to the reputable Focus magazine, the Department of Vascular Surgery and Angiology at the Hospital Nordwest Frankfurt am Main ranks among the best German medical facilities in the field of vascular surgery! 

The department offers the full range of surgical and conservative treatments for diseases of the arteries, veins and lymphatic vessels. The department also operates a specialized outpatient clinic for the treatment of chronic non-healing wounds. In the field of vascular surgery, key attention is paid to the treatment of circulatory disorders, vascular stenosis, bypass surgery, stent implantation and percutaneous transluminal angioplasty. Vascular surgeons cooperate closely with radiologists, as most surgical procedures are performed under image guidance. The specialists in the field of angiology provide conservative treatment of deep vein thrombosis, varicose veins and bleeding disorders. The department's medical team has all the necessary medical and technical resources, as well as exceptional professional skills to ensure the effective treatment of vascular pathologies of any severity.The department is headed by Prof. Dr. med. Bratislava Milan Lisy.

The key to successful treatment is accurate diagnostics, and therefore the department's diagnostic rooms are equipped with state-of-the-art systems for continuous-wave and pulse-wave Doppler sonography, duplex ultrasonography, percutaneous oxygen saturation measurement, plethysmography, phlebography, CT, MRI and other diagnostic studies. During the initial consultation, the attending physician studies the patient's medical history, receives information about his complaints, based on which he prescribes the required complex of diagnostic tests, which will help him to determine the nature of pathological changes in the vascular system and effectively eliminate them.

After establishing an accurate diagnosis, the department's specialists make a decision about the forthcoming treatment. Obviously, the preference is always given to conservative and sparing treatment methods. Whenever possible, the department's doctors use only drug therapy (for example, in case of bleeding disorders, deep vein thrombosis), but in many cases a surgical intervention is still required. A huge advantage for the patient is the fact that most surgical procedures in the department are performed using sparing endovascular techniques. The endovascular procedures are performed percutaneously, under image guidance, with the use of special instruments. At the same time, the doctor does not make large incisions in the skin and soft tissues, but small punctures up to 4 mm in size, so the patient can return to his usual life as soon as possible. As a rule, the hospitalization period does not exceed 3 days. The endovascular interventions are performed under local anesthesia, which is also one of the advantages of this type of treatment. Some vascular interventions can be performed on an outpatient basis. For example, the interventions to implant port systems, surgery to form a dialysis access, surgery to treat varicose veins, surgery to implant pacemakers and bronchoscopy are usually performed on an outpatient basis.

The department specializes in the diagnostics and treatment of the following diseases of the arteries, veins and lymphatic vessels:

• Disturbed blood flow in the lower and upper extremities
• Disturbed blood flow in the blood vessels of the brain
• Mesenteric artery stenosis and obstruction 
• Thrombosis of various localization
• Arterial and venous stenosis
• Aneurysms, including venous ones
• Varicose veins 
• Traumatic vascular injuries
• Vascular malformations
• Vascular tumors
• Chronic non-healing wounds
• Deep vein thrombosis
• Bleeding disorders (for example, antithrombin, protein C or S deficiency, factor V or prothrombin genetic mutations)
• Other vascular diseases

The department’s range of therapeutic services includes:

• Conservative treatment methods
  • Drug therapy (for example, for deep vein thrombosis, bleeding disorders)
  • Compression therapy (for example, for varicose veins)
• Interventional treatment methods
  • Thrombendarterectomy (removal of atherosclerotic plaques and restoration of vascular patency)
  • Reconstructive interventions on the subclavian artery
  • Interventions for thoracic aortic aneurysms
  • Bifurcated aortobifemoral bypass grafting
  • Reconstructive interventions on the kidney arteries
  • Reconstructive interventions on the mesenteric vessels
  • Embolectomy (removal of an embolus from the aorta or small arteries)
  • Thrombectomy (blood clot removal)
  • Percutaneous transluminal angioplasty
  • Stent implantation for vascular stenoses and occlusions
  • Sympathectomy (surgery to resect the sympathetic trunk for the treatment of excessive sweating)
  • Neurostimulation
  • Amputation
• Other treatment methods