The Interventional radiology at our hospital Sachsenhausen, Germany, Frankfurt

The Interventional radiology at our hospital Sachsenhausen, Germany, Frankfurt

In the heart of the Rhine-Main area is the private medical consultancy for interventional angiology at the Sachsenhausen Hospital - your competence center for arterial vascular diseases. Here we offer you highly specialized treatments of vascular diseases using modern minimally invasive procedures.

Dear patients,

Our competent, friendly and proven team accompanies you from the registration to the therapy and aftercare and is available for questions and your concerns.

Together we are there for you

Our employees are diversely trained in order to provide you with the best possible support in both outpatient and inpatient treatment.

Range of services Stationary

In the Sachsenhausen hospital we offer you a comprehensive angiological care of the arteries

Angiology (Greek: angeion "vessel") is concerned with vascular diseases. It deals with the development, epidemiology, diagnosis, conservative and interventional therapy, rehabilitation and disease prevention. Our department specializes in PAOD diagnostics and the treatment of acute and chronic arterial occlusions using PTA (percutaneous transluminal angioplasty).

  • P - percutaneous: means surgery through the skin by means of puncture.
  • T - transluminal: means microinvasive surgery from the vessel lumen.
  • A - Angioplasty: means plastic surgery on the vascular system and restoration of form and function.

There are many methods under this definition. The most important are: balloon dilation, stent implantation, local intra-arterial fibrinolysis (enzymatic dissolution of blood clots), mechanically accelerated fibrinolysis with combination use of balloon dilation and aspiration technique. By choosing the right combination of causes and choosing different methods, the success rate is significantly increased. In the abovementioned cases, these are very modern and gentle methods for expanding or reopening narrowed or closed blood vessels by means of catheter intervention. The treatments are performed in the hospital's cath lab.

Of course, we are also available for acute emergencies ("cold leg" and bleeding). In addition, if necessary, the interdisciplinary cooperation with other departments can be sought.

Focus of our treatment are:

  • Limb and mesenteric ischemia
  • dialysis shunts
  • renal artery stenosis
  • carotid artery
  • Pelvic arteries in potency disorders
  • Occasionally central venous occlusions
  • Combined interventions before, after or during vascular surgery after consultation

Peripheral arterial disease (PAD)

  • Bottleneck in the artery
  • Deposits in the wall, possibly with calcification of the arteries (= arteriosclerosis), can lead to constriction or subsequently to occlusion by blood clots of the large arteries.

lack of oxygen

If a leg artery is impaired in its function, a corresponding lack of oxygen results in the corresponding running load, which leads to a loss of function of the muscle with spasmodic pain.

The Bergiff "intermittent disease"

This usually affects the calf muscle due to upstream blood circulation restriction and forces you to stop after a short running distance. The patient therefore goes only "from shop window to shop window".

Stadiums of the PAD according to Fontaine description:

Stage I

Asymptomatic PAD

The vessels show minor atherosclerotic stenosing changes (= bottlenecks), but the patients feel no discomfort. The diagnosis of PAD is at this stage usually too incidental. Occasional leg pain should be taken seriously at this stage in order to be able to initiate early, easier treatment through training, if necessary.

Stage II

Claudicatio intermittens

First alarm signals under stress: Pain mostly in the calf, buttocks or thigh muscles. The skin often has a marbled pattern and sensible temperature difference. The systolic pressure around the ankle arteries may be less than 50 mmHg. Longer distances can then no longer be gone without pain:

II a: Walking distance 200 m and more

II b: short walk, less than 200 m

Stage III

rest pain

There is pain in the feet and toes even at rest even while lying on. Further vascular diseases already affect the resting metabolism and seriously endanger the limbs.

Stage IV

Necrosis or gangrene

The tissue is badly damaged. It forms ulcers (= ulcer) or necroses (= dead tissue, black discoloration), it may be necessary amputation.

IV a: trophic disorder, dry necrosis

IV b: bacterial infection of necrosis, wet gangrene

Typical symptoms of occlusive disease - 6 Ps

The typical symptoms of acute arterial occlusion, the PAD, are referred to as the "6 Ps." Acute vascular occlusions can be life-threatening and above all very painful, especially if the downstream organ can not be supplied via bypass circuits. If there is a suspicion of peripheral arterial occlusive disease no time must be lost. A comprehensive investigation should be initiated immediately, in particular with a view to reducing the risk of stroke and heart attack, and, where appropriate, treatment.

Pain – Pulslessness – Paleness – Paraestheasia - Paralysis - Prostration

How we treat: Minimally invasive procedure

Minimally invasive surgical methods require only punctures, no further separation of the skin or muscle parts. These so-called keyhole operations have permanently changed invasive surgery.

Minimally invasive means only minimal access trauma of skin and soft tissues. Instead of long cuts that leave such scars, percutaneous techniques only perform punctures. The smaller access also reduces risks and postoperative pain.

This method is usually gentler and less burdensome on the body than conventional ("open") surgical procedures. No method, however, is free from disadvantages. Minimally invasive surgery is technically more complex and time-consuming. However, the benefits of being treated by an experienced and well-trained physician are, in our opinion, significantly greater.

The advantages

  1. Lower pain
    Due to the relatively small injury area, the pain after the procedure is limited.
  2. Wundheilung
    Smaller skin defects due to punctures heal better than large ones after cutting.
  3. Scars
    Lower risk of adhesions.
  4. Aesthetics
    Cosmetically excellent results.
  5. th recovery
    The patients recover quickly and become mobile again quickly.
  6. Mobility
    Faster resumption of work and exercise.
  7. Hospitalization
    Significantly shorter hospital stays.
  8. Less secondary complications
    Lower risk of complications due to a shorter hospital stay.

If you have questions about our treatment offers in interventional radiology/ phlebology / angiology at our hospital, do not hesitate to contact us

Dr. Oliver Ruprecht

Dr. Oliver Ruprecht

Senior Physician

Arun Kumarasamy MBA

Arun Kumarasamy MBA

Chief Physician

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