Treatment methods

We give you customised treatment

In any case, a PAD must be treated, as otherwise the performance of your legs will continue to deteriorate. Our specialists at Schoen Clinic can do a lot to prevent your disease from getting worse. 

On the one hand, drugs must be adapted and lifestyle changes may be required, because all risk factors, such as smoking, high blood pressure, increased blood lipid levels and increased blood glucose levels, can easily be treated. In addition, occluded vessels in more advanced stages can be re-opened again with minimally invasive surgeries or replaced with a bypass. The tremendous progress of medical technology allows us to even make smaller vessels, such as at the lower leg and foot, passable again in the vast majority of cases. In this way we can ensure the blood supply to all parts of the body.

After a detailed diagnosis, our vascular surgeons will discuss the most suitable treatment procedure for you. We always consider your individual situation and existing comorbidities, such as renal insufficiency, or previous operations.

Surgical treatment methods

Surgical or interventional treatment

The individual treatment initially depends on the degree of the pain. Which arteries are affected, whether there are vascular bottlenecks or occlusions and how extensive the findings are is all crucial.

Leg artery occlusion: Stents prevent renewed narrowing

In the event of acute occlusions due to a blood clot, you can break this up by using appropriate drugs that are introduced into the clot through a catheter. 

Short-term chronic narrowing and occlusion can be treated with minimally invasive (interventional) balloon dilation. A special catheter under local anaesthesia is usually put forward to the vessel bottleneck via the femoral artery. Then an expansion of the narrowed vessel area takes place so that there is an unhindered blood flow again afterwards. 

In addition, in some cases, a stent (tubular mesh) is placed in the expanded area to prevent it from narrowing again. In certain circumstances, the stent may be coated with an anticoagulant drug.

Leg artery occlusion: Bypass surgery re-establishes the blood flow

If there are long constrictions or occlusions, these usually have to be bypassed in the sense of a vascular replacement (bypass). For this purpose, the body's own veins are preferably used, but sometimes also plastic prostheses. The blood flow is restored to the leg by bypassing the "diseased" vascular area. This improves your symptoms and complications can be avoided. 

Sometimes these interventional catheter techniques are combined with surgical techniques in order to achieve the best possible result with just one intervention. This is made possible by our high-resolution X-ray system in the operating room.

Our range of services at a glance:

  • Balloon dilation, drug-eluting balloon
  • Stent implantation, drug-eluting stents  
  • Implantation of a stent-supported plastic prosthesis (stent graft)
  • Lysis treatment via catheter
  • Thrombectomies (removal of blood clots)
  • Removal plastic surgery of the iliac artery and the deep femoral artery
  • Vein bypasses
  • Plastic bypasses