Vascular surgery arterial system

The Department of Arterial Vascular Surgery at Zuger Kantonsspital treats arterial conditions using tried-and-tested surgical techniques and modern catheter-based procedures, often combined in a single procedure (hybrid procedures). Patients are cared for by a well-coordinated team comprising specialists in vascular surgery, angiology and interventional radiology.

What is arterial vascular surgery?

Arterial vascular surgery treats conditions affecting the arteries. These are the blood vessels that carry oxygen-rich blood from the heart to the rest of the body. With the advent of minimally invasive, endovascular techniques – that is, procedures performed via a catheter inside the blood vessel – this specialist field has undergone fundamental changes in recent years. Open surgical techniques and catheter-based procedures can now be combined in a single operation. This allows us to tailor the procedure precisely to your diagnosis and any underlying conditions.

Arteriosclerosis: the most common cause

One of the most common conditions we treat in this way is arteriosclerosis – colloquially known as ‘hardening of the arteries’. It becomes more prevalent with age and is accelerated by risk factors such as smoking, high blood pressure, diabetes mellitus and elevated blood lipid levels. The aim of treatment is to prevent secondary damage: a stroke, circulatory disorders affecting internal organs or the loss of limbs.

Your treatment pathway with us

We begin with a thorough assessment, usually involving ultrasound and imaging techniques. Based on this, we will discuss with you whether drug therapy, a catheter-based procedure or surgery is the right course of action. Following the procedure, we will support you during your aftercare and coordinate further treatment with your GP.

Why choose Zuger Kantonsspital?

Our vascular surgeons work closely within the hospital with the specialist teams in interventional radiology and angiology. We also collaborate closely with the nephrology and dialysis departments. This means that dialysis catheters, AV fistulas and shunt placements can usually be carried out on-site. For more extensive procedures requiring specialist centre logistics, we have a partnership with the Vascular Centre at Luzerner Kantonsspital, including permanent emergency cover.

Services

  • Stroke prophylaxis for constricted carotid arteries
  • Treatment of abdominal artery dilatation (aneurysm)
  • Treatment of circulatory disorders caused by narrowing/blockage of the pelvic and leg arteries (intermittent claudication, "smoker's leg")
  • Treatment of acute circulatory disorders (e.g. embolism)
  • Placement of haemodialysis shunts
  • Modern endovascular procedures and hybrid procedures (combined procedures) for the treatment of aortic aneurysms and peripheral arterial disease

Frequently Asked Questions (FAQ)

What does vascular surgery involve?

Vascular surgery treats disorders of the blood vessels – in the case of arterial vascular surgery, these are the arteries. Typical conditions include narrowing caused by atherosclerosis, dilation of the blood vessels (aneurysms) and circulatory disorders. Treatment depends on the findings and may involve medication, a catheter procedure or surgery.

What is an endovascular procedure?

In an endovascular procedure, we work from inside the blood vessel. Using a thin catheter – usually inserted via the groin – we widen narrowings or place a stent. The procedure is minimally invasive, which means it does not require a large incision. If necessary, we combine it with open surgery during the same procedure.

When is surgery required on an artery?

That depends on the findings, your symptoms and the level of risk. Surgery may be considered, for example, if a narrowing of the carotid artery increases the risk of a stroke, if the abdominal aorta is significantly dilated, or if blood flow to the legs is so severely restricted that it causes pain. We will discuss each recommendation with you on an individual basis.

What risk factors damage the arteries?

Smoking, high blood pressure, diabetes mellitus, high blood lipid levels, being overweight and a lack of exercise accelerate the progression of atherosclerosis. Treating these factors is a key part of any vascular treatment – including after surgery – to ensure that the results are as long-lasting as possible.