For various reasons, the course of the blood vessels can be narrowed or even completely blocked by external structures. In this case, one speaks of a vascular compression syndrome (mechanical vascular constriction).
Vascular compression syndromes differ not only in terms of anatomical localization, but also in terms of symptoms. In principle, both the veins and the arteries can be affected. If the veins are affected, this usually leads to a drainage disorder with swelling in the affected area. If the arteries are affected, this leads to a circulatory disorder, which often manifests itself as pain.
The detection and diagnosis of vascular compression syndromes requires a wealth of experience. Imaging procedures such as ultrasound, CT and MRI are supplemented with special functional tests to visualize the blood flow in different situations.
Choice of therapy
If vascular compression syndrome causes symptoms, treatment should be sought at the latest. Sometimes, however, treatment is necessary even without symptoms. Constant constriction of a vessel can lead to injuries and changes in the vessel wall with more serious consequences. The choice of therapy usually depends on the type and localization of the constricting structure.
Decompression, i.e. relief of pressure, is usually necessary in the arteries. The constricting structures, e.g. muscles, tendons or bones, are incised or cut through in an operation. In the area of the veins, internal splinting with a stent is often sufficient. This can usually be placed minimally invasively via the inguinal vessels in the constricted area.
Before the type of therapy is determined, a number of examinations are often necessary to determine exactly where the problem lies. We will then discuss all the options with you, including the advantages and disadvantages, and advise you in detail. The therapy, the procedure and the duration of the stay depend entirely on the affected region. After insertion of a stent, discharge is often possible after just two to three days. After operations, the stay is usually somewhat longer due to the surgical wound and lasts six to seven days.
As a rule, no subsequent rehabilitation is required. In the vast majority of cases, outpatient physiotherapy is completely sufficient. As a center, we have proven expertise in the field of vascular compression syndromes, despite their rarity.