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Recognize vascular diseases and treat them specifically

Achieving your highest possible
quality of life is our goal.

High quality of life and low risk of further vascular disease are our priorities.

Vascular diseases are often related to the patient’s life circumstances, in rarer cases they are congenital. We would like to present some common vascular diseases here. It is difficult as a patient to correctly classify one’s own symptom, so that one should always be examined by a vascular specialist. Please feel free to visit one of our practices at Münchner Freiheit or Promenadenplatz.

Common arterial diseases

Arteriosclerosis
Arterial occlusion
Stroke treatment
PAOD therapy
Treat functional circulatory disorders
Other arterial diseases
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Arteriosclerosis

Pathological storage of cholesterol and other fatty particles, which then lead to calcification of inner wall layers (plaques). Narrowings (stenoses) and occlusions in the arteries can occur.

Complaints:
Exercise-induced heart pain (angina) or muscle pain in the legs (claudication).

The most dangerous manifestation of arteriosclerosis is acute arterial vascular occlusion.
CAUTION: Acute symptoms caused by arterial vascular occlusion are a medical emergency.

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Arterial occlusion

This results from a sudden vascular occlusion of a preexisting narrowing, sometimes by a blood clot from the heart. Sudden vessel occlusion in the leg (artery).

Complaints:
Sudden onset of leg pain, usually on one side, paling of the leg, sensation of cold, sensation of discomfort in the leg.
Acute vascular occlusion is a medical emergency and should be further diagnosed and treated immediately.

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Stroke treatment

This usually results from a vascular occlusion due to a blood clot, more rarely from a cerebral hemorrhage. The blood clot can form at narrow points in the arteries supplying the brain or in the heart and then be washed out from there into a cerebral artery.

Complaints:

Impaired speech, impaired vision, paralysis, impaired consciousness.
Therapy of deficiency of blood supply in the brain is emergency and consists of blood thinning, catheter intervention or surgery.

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PAOD therapy

Peripheral arterial occlusive disease is a stress-induced (e.g., walking) lack of oxygen in the leg muscles with pain.

Complaints:
Pain triggered by movement in the calf muscles, less frequently the thigh muscles and gluteal muscles.

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Treat functional circulatory disorders

Functional circulatory disorders
Defective control of the vessel wall musculature by nerves without the presence of tangible vascular disease.

Complaints:
Paling of the fingers and/or toes (Raynaud’s phenomenon) as a result of reduced outside temperatures, followed by overheating with redness and swelling (“flushing”).

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Other arterial diseases

• Inflammatory vascular diseases (vasculitides)
• Vascular dilatations (aneurysms) of the abdominal aorta and also of the peripheral arteries (e.g. popliteal artery)
• Blockages of the renal and visceral arteries (mesenteric arteries)
• Embolism (formation of clots with leaching into smaller vessels)
• Compression of vessels from the outside caused by muscle pulls and tendons (e.g. entrapment phenomenon)
• Compression due to vessel wall weaknesses (e.g. cystic adventitia degeneration)
• Vascular malformations and vascular tumors
• Compression of vessels and nerves due to pressure increase in the musculature (e.g. compartment syndrome) “

 

Common vein diseases

Venous thrombosis treatment
Varicose veins treatment
Leg swelling
Superficial phlebitis
Spider veins
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Venous thrombosis treatment

Sudden occlusion of a deep vein by a blood clot is the most dangerous acute venous disease.

Risks:
The blood clot can be washed out into the pulmonary circulation (pulmonary embolism), and due to the resulting venous valve damage, an open leg (ulcus cruris) can develop in the long-term.

Complaints:
Feeling of tension, leg swelling, dull pain, sometimes pain when stepping. If pulmonary embolism occurs, shortness of breath and hemoptysis may occur.

Therapy for venous thrombosis must be initiated immediately (emergency).

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Varicose veins treatment

Weakness of the superficial venous system with resulting dilatation of existing skin veins (varicose vein formation).

Complaints:
Feeling of heaviness in the legs, visible varicose veins, ankle swelling, dark discoloration, typically on the inner ankles.

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Leg swelling

Leg swelling, open leg

Leaky venous valves mostly in the deep, sometimes also in the superficial venous system associated with impaired venous pumping function.

Consequence:

The “used” blood does not flow upwards to the heart, but back into the leg.

Complaints:
Congestion-related complaints on the legs are a feeling of heaviness and leg swelling. Persistent leg swelling can lead to skin changes and also the “open leg”/slow to non-healing wound typically on the inside of the inner ankle (ulcus cruris).

Ulcers, especially on the toes, can also be caused by an arterial circulatory disorder.

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Superficial phlebitis

A clot can form in a superficial vein and spread to the deep venous system.

Complaints:
Painful induration of a superficial skin vein, usually a known varicose vein, hyperthermia, tenderness, swelling.

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Spider veins

Visible enlargement of small superficial skin veins, which is harmless.

Complaints:
Rarely pain in the area of the spider vein, often associated with existing cellulitis, sometimes signs of relevant varicose vein disease.

Common diseases of the lymphatic system

Lymphedema treatment
Erysipelas treatment
Ulcer
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Lymphedema treatment

Disruption of lymphatic drainage with leg swelling as a result of another disease or surgery, sometimes congenital.

Complaints:
Feeling of heaviness, leg swelling, hardening of the skin, sometimes the appearance of an ulcer.

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Erysipelas treatment

Inflammation of the lymphatic gaps caused by bacteria.

Risk:
Bacterial spread, blood poisoning. Erysipelas must be treated immediately with antibiotics. Emergency.

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Ulcer

Growth disorder of the skin with sometimes occurring skin ulcers, caused by chronically congested lymphatic gaps.

Danger:

Bacterial infection.

 

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    Diagnostics

    The physicians working with us have years of experience in the specialty of vascular medicine. The doctors exchange information in morning meetings and personally explain every detail to you.

    Diagnostics

    Therapy

    Our principle is “most gentle treatment through minimally invasive treatment”. Due to modern therapy methods, open surgeries can be replaced by minimally invasive procedures in most cases.

    Therapy
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