Areas of Clinical Expertise
What is angiology?
The speciality of angiology is a branch of internal medicine that is concerned with diseases of the arteries, veins and lymphatic vessels. The various vascular diseases can be diagnosed with the help of a detailed patient interview (anamnesis), a thorough physical examination and the additional technical examination methods, such as ultrasound (e.g. Doppler / duplex sonography) or other imaging techniques (e.g. computed tomography, magnetic resonance imaging or angiography).
Possible conservative drug treatments are, for example:
- conservative treatment, such as walking exercise
- physical measures such as compression therapy
- administration of blood circulation promoting, vasodilator or anticoagulant drugs
To assess the best treatment for you from the forms of possible treatment, the clinic has a specialised senior physician, who is a specialist in internal medicine, angiology and cardiology. The treatment of choice, where possible, is conservative therapy, that is to say medical therapy without surgery, usually accompanied by a change in lifestyle (more exercise, healthier diet).
However, if as part of planned treatment surgery proves necessary, there is also a preoperative assessment of cardiac risk (possibly with transthoracic echocardiography), to ensure maximum patient safety for you.
We offer the following examination procedures:
- Doppler sonography
With this type of ultrasound we are able to assess flow behaviour, even in smaller vessels, and to pronounce on possible diseases of the vascular system with the aid of smaller tests.
- Duplex sonography
This procedure assesses the course of the blood vessels, the vessel calibre and character of the vascular inner lining. It is possible to exactly measure the wall thickness and atherosclerotic deposits such as calcareous plaque. Thus, you have a direct comparison in subsequent follow-ups. On the basis of the measured values conclusions can be drawn on a progression of the arteriosclerotic processes. Scientifically, the use of three-dimensional ultrasound in vascular disease is explored here in particular.
- Computer tomography (CT)
Computed tomography is an X-ray procedure which, by means of special equipment construction and a powerful computer, is capable of “cutting” parts of the human body into very fine slices to and then, if desired, piecing them together again in a three-dimensional image. With this method, even very small structures can be well assessed. In order to answer certain questions, it is necessary to carry out the study with a contrast agent injected into the veins. In this case, you should not eat or drink before the examination.
- Magnetic resonance imaging (MRI)
This is the latest of all the diagnostic methods listed here. By means of an artificially generated
magnetic field, the smallest atoms are excited to oscillate, or “vibrate”. Then the energy on the “return oscillation” can be evaluated. Thereby, similar to CT, certain regions of the body can be very well assessed in sectional images. One advantage of this study is the absence of X-rays. However, patients with metal implants and pacemakers cannot be examined by this method.
Also in this X-ray procedure, if necessary contrast agents are used and a three-dimensional representation of the vessels to be reconstructed
- Angiography (vascular imaging)
In this study, using a contrast agent injected into the vascular system the arteries of the desired bodily region are shown (e.g. the head, legs, arms). To introduce the contrast agent into the vascular system, the artery is punctured in the groin or arm and a thin catheter inserted. The doctor will decide together with you on the most suitable access path for you.
- Transthoracic echocardiography
If a cardiological evaluation is necessary as part of the preoperative risk evaluation, our own cardiologists at the clinic can perform a transthoracic echocardiography. If further diagnostics are indicated, a non-invasive cardiac ischemia can be carried out at any time by means of myocardial scintigraphy and / or cardiac MRI.
You can make an appointment here
Centre for Vascular Medicine and Polyclinic of the Clinic for Vascular and Endovascular Surgery
Ismaninger Str. 22
Tel.: 089 4140-6666
If you have already had tests, please bring these to your appointment, gladly in CD format if available.