Treatment of av-malformation of brain using platinum coils embolization (coiling) in Municipal Hospital Karlsruhe
Municipal Hospital Karlsruhe
Karlsruhe, Germany
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Program id #
593724
Prof. Dr. med. Peter Reimer
Department of Adult and Pediatric Interventional Radiology, Neuroradiology
Specialized in: adult and pediatric interventional radiology, neuroradiology The program includes:
- Initial presentation in the clinic
- clinical history taking
- review of medical records
- physical examination
- laboratory tests:
- complete blood count
- general urine analysis
- biochemical analysis of blood
- inflammation indicators (CRP, ESR)
- indicators blood coagulation
- neurological examination
- functionality x-ray
- CT/MRI scan
- neuropsychological tests (on indications):
- ENMG (electroneuromyography)
- EEG (electroencephalography)
- SEPs (somatosensory evoked potentials)
- VEPs (visually evoked potentials)
- BAEP tests (brainstem auditory evoked potential)
- preoperative care
- treatment of the av-malformation with coiling
- 1-day intensive care unit stay
- postoperative MRI control
- symptomatic treatment
- control examinations
- the cost of essential medicines and materials
- nursing services
- full hospital accommodation
- developing of further guidance
Required documents
- Medical records
- MRI/CT scan (if available)
- MR/CT-angiography (if available)
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About the department
The Department of Adult and Pediatric Interventional Radiology, Neuroradiology at the Municipal Hospital Karlsruhe provides the full range of imaging diagnostics and image-guided minimally invasive treatment. The medical facility admits patients of all age groups, including children and adolescents. In the field of interventional radiology, special attention is paid to the treatment of vascular diseases and cancers, and pain management for chronic pain. An integral part of the department's clinical practice is the interventional treatment of neurological disorders, including stroke, carotid stenosis, and cerebral aneurysms. Medical care is provided both on an inpatient and outpatient basis. The department is one of the largest medical facilities of this kind in Germany and has been awarded a prestigious certificate from the German Society for Interventional Radiology and Minimally Invasive Therapy (DeGIR). The department is headed by Prof. Dr. med. Peter Reimer.
The department is proud of its advanced equipment: 5 devices for computed tomography (CT), 4 devices for magnetic resonance imaging (MRI), 3 devices for angiography, 2 mammography systems, 5 X-ray systems, 3 ultrasound devices and 1 device for digital volume tomography. The department also cooperates closely with the Department of Nuclear Medicine, thanks to which patients have the opportunity to undergo PET/CT and SPECT/CT scans. The results of the performed examinations are recorded and stored using a modern picture archiving and communication system. The department also participates in the telemedicine project, in cooperation with the University Hospitals of Mannheim and Heidelberg. In addition, this equipment is used for imaging-guided interventional diagnostic and therapeutic procedures. The department's doctors take a responsible approach to compliance with radiation protection standards, so all examinations and treatment are absolutely safe.
The department performs many imaging-guided interventional therapeutic procedures. These procedures are an excellent alternative to open surgery, as only a skin puncture is needed for access, without any incisions or sutures. In addition, interventions are performed using local anesthesia. Therefore, this type of treatment significantly reduces the risks to the patient's health and contributes to the shortest possible hospital stay.
The most common scope of interventional treatment is catheter-based procedures for vascular pathologies: stenosis and occlusion of the blood vessels of the pelvis and lower limbs, arteries of the kidneys, bowel, lungs, aorta, deep vein thrombosis and other diseases. The department's doctors also successfully perform embolization (local injection of emboli to occlude blood vessels) for the treatment of uterine fibroids, benign prostatic hyperplasia, varicocele, internal bleeding, and hemorrhoids. Transarterial embolization and transarterial chemoembolization are successfully used for cancer treatment. The essence of these procedures is to block the blood vessels supplying the tumor, due to which the tumor is deprived of nutrition and thereby is destroyed. Selective internal radiation therapy (SIRT) is also available in the department and involves the introduction of radiation sources in close proximity to the tumor, due to which the tumor is destroyed, and healthy adjacent tissues are practically not affected. This type of therapy is most often used for liver tumor and metastasis treatment.
The department's physicians often resort to image-guided interventional procedures to drain abscesses, ascites, form dialysis access, and place port systems. The specialists also use interventional manipulations to treat chronic pain syndromes, for example, facet joint block can effectively eliminate back pain without resorting to surgical interventions.
Neuroradiology is responsible for the interventional treatment of neurological disorders. Doctors most often deal with strokes, carotid stenosis, cerebral aneurysms, arteriovenous malformations, and dural fistulas. Despite the achievements of modern medicine and the availability of innovative navigation systems, catheter-based treatment of neurological pathologies remains safer, since the risk of damage to vital brain structures is negligible. In addition, patients recover much quicker after interventional treatment.
The department's diagnostic options include:
- Classic X-ray tests
- Computed tomography (also with contrast enhancement)
- Diagnostics of tumors
- Diagnostics of vascular pathologies
- Diagnostics of heart pathologies
- Emergency diagnostics
- Magnetic resonance imaging
- Diagnostics of brain and spinal pathologies
- Diagnostics of heart pathologies
- Diagnostics of breast pathologies
- Diagnostics of abdominal and small pelvis pathologies
- Diagnostics of vascular pathologies
- Diagnostics of musculoskeletal pathologies
- Fetal MRI diagnostics
- Ultrasound scans
- Color-coded duplex sonography of the carotid artery and other vessels
- Ultrasound scanning of the neck and thyroid soft tissues
- Abdominal and pelvic ultrasound scans
- Ultrasound-guided fusion biopsy of the prostate gland
- Diagnostics of breast pathologies
- Digital mammography
- High resolution breast sonography
- Tomosynthesis
- Contrast-enhanced spectral mammography
- Magnetic resonance imaging of the breast
- Imaging tests in children
- X-ray scans
- Diagnostics of skeletal pathologies
- Diagnostics of scoliosis
- Measurement of the length of the lower limbs and axial parameters of the lower limbs
- Lung examinations
- Bone examinations
- Fluorography
- Esophageal scans
- Gastrointestinal scans
- Contrast enema
- Urethral and bladder pressure testing
- Magnetic resonance imaging
- Skull scans
- Chest scans
- Abdominal scans
- Vascular imaging
- Whole-body magnetic resonance imaging
- Spectroscopy
- Fetal MRI
- Computed tomography
- Chest scans
- Abdominal scans
- Limb scans
- Digital volume tomography
- CT-guided interventional procedures
- Ultrasound examinations
- X-ray scans
- Other diagnostic services
The department's range of therapeutic services includes:
- Interventional radiology
- Image-guided interventions for stenoses and occlusions of the blood vessels of the pelvis and lower limbs, arteries of the kidneys, bowel, lungs, aorta, and deep vein thrombosis
- Embolization for uterine fibroids, benign prostatic hyperplasia, varicocele, internal bleeding, hemorrhoids, and vascular malformations
- Image-guided interventions for abscess and ascite drainage, dialysis access and port system placement
- Image-guided interventions for cancer treatment
- Transarterial embolization
- Transarterial chemoembolization
- Selective internal radiation therapy (SIRT)
- Ablation
- Pain management for chronic pain syndromes
- Periradicular therapy
- Facet joint block
- Nerve plexus block
- Vertebroplasty and kyphoplasty
- Interventional neuroradiology
- Image-guided interventions for stroke
- Image-guided interventions for cerebral aneurysms
- Image-guided interventions vascular malformations
- Image-guided interventions for carotid stenosis
- Image-guided interventions for dural fistulas
- Image-guided interventions for cerebral vein diseases
- Image-guided interventions for brain and spinal cord tumors
- Other medical services
Curriculum vitae
Higher Education and Professional Career
- 2009 Master of Health Services Administration, Koblenz University of Applied Sciences.
- Since 2000 Head Physician of the Department of Adult and Pediatric Interventional Radiology, Neuroradiology at the Municipal Hospital Karlsruhe.
- 1993 - 1999 Senior Physician and Assistant Professor in Radiology, Department of Radiology at the University Hospital Muenster.
- 1989 - 1991 Research Fellow, Massachusetts General Hospital, Boston, USA.
- 1986 - 1989, 1991 - 1992 Internships, Hannover Medical School.
- 1978 - 1985 Study of Medicine, Faculty of Medicine, University of Cologne.
Memberships in Professional Societies
- German Radiological Society (DRG).
- German Society of Ultrasound in Medicine (DEGUM).
- Society of Southwest Germany Radiologists and Nuclear Medicine Specialists.
- International Society for Magnetic Resonance in Medicine (ISMRM).
- Radiological Society of North America (RSNA).
- European Society of Cardiology (ESCR).
- European Society of Cardiovascular Radiology (ESCR).
- European Congress of Radiology (ECR).
- European Society for Magnetic Resonance in Medicine and Biology.
- Academy of Radiology.
- Cardiovascular and Interventional Radiological Society of Europe (CIRSE).
- European Society of Urogenital Radiology.
- German Society for Interventional Radiology and Minimally Invasive Therapy (DeGIR).
- Working Group on the Diagnostics of the Heart and Blood Vessels.
- Working Group on Radiological Tests of the Musculoskeletal System.
Photo of the doctor: (c) Städtische Klinikum Karlsruhe
About hospital
The Municipal Hospital Karlsruhe is a modern maximum care medical facility, which combines a long tradition and the advanced achievements of modern medicine. The hospital operates on the basis of the University of Freiburg, so scientific innovations in the field of diagnostics and treatment are continuously introduced into practice here. The hospital presents almost all areas of modern medicine, including many medical services for young patients.
A highly qualified and experienced team of more than 4,500 employees provides impeccable medical care. The medical facility has 1,571 beds for the hospitalization of its patients. The hospital admits more than 63,000 inpatients and about 186,000 outpatients annually. A large number of patients wishing to receive medical care in the hospital speak for themselves and are a confirmation of the exceptional service, as well as the effectiveness of the treatment provided.
The quality management system of the hospital's medical care is certified in accordance with the DIN EN ISO 9001 standards. Since 2016, the hospital has implemented a regular quality control in compliance with the strict standards of the Initiative Quality Medicine (IQM). In addition, almost all departments of the hospital have numerous certificates in their areas of specialization, including certificates from the German Cancer Society (DKG), the German Society for General and Visceral Surgery (DGAV), the German Cardiac Society (DGK), the German Diabetes Society (DDG), the German Society of Nephrology (DGN), the German Trauma Society (DGU), etc.
The main value of the hospital's staff is the health and satisfaction of their patients, so a respect and a humane attitude towards each patient remain priorities. The doctors and nursing staff support each patient in every possible way on their path to recovery. The specialists also strive to perform the most sparing, but at the same time the most effective and safe treatment.
Photo: (с) depositphotos
Accommodation in hospital
Patients rooms
The patients of the Municipal Hospital Karlsruhe live in cozy patient rooms with everything necessary for a comfortable stay. Standard patient room furnishing includes an automatically adjustable bed, a bedside table, a TV, and a telephone. The patient rooms have Wi-Fi. Each patient room also has an ensuite bathroom with a shower and a toilet.
The patient rooms in the pediatric departments are specially designed for children, so that young patients feel at home. Children can live in their patient room with one of their parents. There are also special playrooms designed for children.
Meals and Menus
The patients of the hospital are offered tasty and varied three meals a day: breakfast, lunch and dinner. The menu also features dietary meals. The kitchen staff will gladly accept all the individual wishes of patients.
The hospital also has a cozy cafe where one can have a tasty snack, drink tea, coffee and soft drinks.
Further details
Standard rooms include:
Shower
Toilet
Wi-Fi
TV
Religion
The hospital has two chapels that regularly host Protestant, Catholic, and Ecumenical worship services. A patient can watch the broadcast of the worship on TV channels in his own room, if desired.
Accompanying person
Your accompanying person may stay with you in your patient room or at the hotel of your choice during the inpatient program.
Hotel
You may stay at the hotel of your choice during the outpatient program. Our managers will support you for selecting the best option.
