Organ Arteries (Visceral Vessels)

The organ arte­ries (vis­ceral ves­sels) sup­ply the inter­nal organs, e.g. the kid­neys, the intes­ti­ne and the liver, with oxy­gen-rich blood. Various risk fac­tors, such as smo­king, ele­va­ted blood lipid levels or her­edita­ry pre­dis­po­si­ti­on, can lead to the nar­ro­wing (steno­sis) or wide­ning (aneu­rysms) of the organ arte­ries. With an increa­sed nar­ro­wing (steno­sis) of the ves­sels, the­re is a risk that the affec­ted organs can no lon­ger be ade­qua­te­ly sup­plied with blood. What then fol­lows ran­ges from organ dama­ge up to the loss of the organ with fatal con­se­quen­ces. The rare enlar­ge­ment (aneu­rysms) of organ arte­ries can lead to the burs­t­ing of the affec­ted ves­sel with the risk of life-threa­ten­ing inter­nal blee­ding.

The dia­gno­sis of organ arte­ry disea­se is car­ri­ed out pri­ma­ri­ly through ultra­sound or com­pu­te­ri­zed tomo­gra­phy, eit­her due to par­ti­cu­lar sym­ptoms or, as often in the case of vasodi­la­ti­ons, inci­den­tal fin­dings.

  • Endo­vascu­lar The­ra­py

The inser­ti­on of tubu­lar wire mes­hes (stents) into the ves­sels can, in the majo­ri­ty of cases, impro­ve per­fu­si­on in the organ arte­ries and thus help pre­ser­ve the organ (e.g. kid­ney). This is usual­ly done via a small access in the gro­in or on the arm and is not a bur­den for the pati­ent.

  • Cen­tral Bypass Sur­ge­ry

If an endo­vascu­lar pro­ce­du­re is not pos­si­ble for tech­ni­cal or ana­to­mi­c­al rea­sons, the­re is the opti­on of sur­gi­cal tre­at­ment by means of a vascu­lar bypass. This requi­res an incisi­on in the area of ​​the abdo­men. Fre­quent­ly, sur­gi­cal the­ra­py is also used when pre­vious endo­vascu­lar pro­ce­du­res have not been suc­cess­ful in the long term.
The decisi­on as to which form of the­ra­py is cho­sen in a par­ti­cu­lar case depends on various fac­tors, e.g. secon­da­ry ill­nes­ses, age and, if rele­vant, pre­vious ope­ra­ti­ons in the affec­ted regi­on.