Vascular Surgery in Eschweiler: Chief Physician Prof. Dr Gawenda
- Aneurysmal disorders of the thoracic and abdominal aorta and iliac vessels
- Occlusive processes or stenoses of the abdominal aorta, the iliac vessels, the leg vessels, and the kidney, liver and intestinal arteries
- Carotid stenoses
- Peripheral bypass surgery
- Varicose veins and chronic venous ulcers
- Chronic and complex wounds, diabetic foot syndrome
Range of diagnostic services
Diagnostics for all vascular diseases in cooperation with the departments of angiology (vascular medicine), phlebology, diagnostic radiology, interventional radiology, nephrology, diabetology, neurology and dermatology
Range of therapeutic services
- Aneurysmal disorders of the thoracic and abdominal aorta and iliac vessels: surgical treatment by means of a tube or y graft and removal of the aneurysm, interventional treatment by means of an endovascular stent graft, including a custom-made stent graft
- Occlusion or stenosis of the abdominal aorta or iliac vessels and leg vessels: possibility of surgical or interventional treatment with recanalisation of the vessels
- Carotid stenosis: operation is possible under local anaesthesia as well as under intubation anaesthesia, if desired, with participation in the nationwide quality assurance programme.
- Peripheral bypass surgery: all available revascularisation measures are offered, including bypass grafts that use endogenous veins.
- Treatment of varicose veins and chronic venous ulcers
- Dialysis access: initial placement of a dialysis shunt, revision procedures for shunt malfunctions or occlusions (surgical or interventional), installation of dialysis and peritoneal dialysis catheters
- Treatment of chronic and complex wounds/diabetic foot syndrome: treatment in close cooperation with wound management with the Clinic for Plastic Surgery
- Occlusion of kidney, liver and intestinal arteries: open-surgical and interventional recanalisation/restenosis
- Conservative vascular surgery: inpatient infusion therapy with prostaglandins for Raynaud's syndrome and thromboangiitis obliterans or PAD, treatment of inflammatory vascular diseases of the rheumatic type (vasculitis)
About Prof. Dr Michael Gawenda
Prof. Dr Michael Gawenda is a specialist in vascular surgery and since April 2017 Chief Physician of the Clinic for Vascular Surgery and Endovascular Surgery. In addition, he is Head of the Euregio Vascular Centre in Eschweiler at St Antonius Hospital gGmbH near Aachen, North Rhine-Westphalia.
The multi-award-winning specialist physician, lecturer, and university professor attaches great importance to being close to his patients by speaking their language, treating them with empathy, and always regarding them in an interdisciplinary and holistic way.
Optimal Patient Care in the Eschweiler Vascular Centre
The Clinic for Vascular Surgery and Endovascular Surgery in Eschweiler, together with the Clinic for Internal Medicine, Department of Angiology, is certified by the German Society for Vascular Surgery (DGG) and the German Society for Angiology (DGA) as an interdisciplinary centre of excellence for vascular diseases. This makes the Eschweiler Vascular Centre one of the few centres in the Aachen region that has been certified twice.
Due to the vascular surgery department's intensive interdisciplinary collaboration, in particular with angiology, interventional radiology, nephrology, and the diabetological outpatient foot clinic, patients at the Vascular Centre in Eschweiler receive optimal, comprehensive, and competent diagnostics together with the treatment of all diseases of the veins or arteries.
Modern Hybrid Operating Room Enables Minimally Invasive Vascular Surgery
The Clinic for Vascular Surgery and Endovascular Surgery near Aachen has its own ward as well as state-of-the-art hybrid operating room. There, a high-performance angiography system delivers detailed, three-dimensional images of the heart and blood vessels, making it possible to diagnose and operate at the same time. For example, custom-made stent prostheses or stent grafts, so-called stents, are implanted using a minimally invasive technique with the aid of a catheter. At the same time, the functionality can be checked immediately.
Among other things, the Vascular Clinic offers a vascular surgery and an angiology consultation clinic for patients - by appointment - from Monday to Friday, between 8am and 4pm. Of course, emergencies can occur at any time. Four vascular surgeons work at the hospital. Therefore, a specialist is always available as part of a 24-hour on-call service.
The Whole Spectrum of Modern Vascular Surgery at the Interdisciplinary Vascular Centre in Eschweiler
At the Vascular Clinic, all diagnostic and treatment methods of modern vascular medicine are offered under one roof for diseases such as aortic aneurysms, peripheral circulatory disorders, carotid stenosis, varicose veins, or diabetic foot syndrome. Decisions on therapy measures are made collaboratively together with the weekly Interdisciplinary Vascular Conference ensuring optimal treatment for both inpatients and outpatients.
Follow-up care for patients who have undergone surgery, involving regular check-up examinations, takes place at the vascular surgery outpatient clinic as well.
Silent Danger: Abdominal Aortic Aneurysms
Measuring up to 2.5 centimetres in diameter, the main artery - the aorta - is the human body’s largest blood vessel. Running in an arc shape down from the heart through the chest first, then, leading down through the abdominal cavity. From there, it branches into two pelvic arteries and after that into the femoral arteries. Especially in the abdominal area, weak spots often occur at the aorta, which in return can lead to a widening, a so called aneurysm. This disease is so dangerous because aneurysms may cause no noticeable symptoms for a long time but then suddenly burst once they reach a certain size. At this point, the patient is in real danger of internal bleeding. Again, the vascular surgeons of the Vascular Clinic in Eschweiler are the right people to contact:
When diagnosed in time, abdominal aortic aneurysms can be treated well these days. The Vascular Centre in Eschweiler has modern screening methods for detecting aneurysms at an early stage and to determine optimal, individual therapy. Options include insertion of a tube or Y graft and the removal of the aneurysm. Alternatively, custom-made stent grafts can stabilise the damaged vessel. The specialist team around Prof. Gawenda also offers various surgical or interventional therapy procedures for occlusion or stenosis of the abdominal aorta, the major arteries (iliac vessels) and the leg vessels.
Carotid Stenosis – Life-Threatening Constrictions of the Carotid Artery
Carotid stenosis is a narrowing (stenosis) of the carotid artery. It can affect everyone but predominantly occurs with increasing age. Carotid stenosis usually goes a long time without causing any symptoms. Once these symptoms onset, they often only occur temporarily. Dizziness, headaches, disturbed vision, speech disorders or paralysis can be a result. Left untreated, a carotid stenosis can trigger a stroke in the worst case scenario.
If non-surgical therapies such as blood-thinning medicines, blood pressure, and blood sugar control are unsuccessful and there is a high risk of stroke present, only surgery can help. The dangerous deposits causing constriction are removed either surgically or the carotid artery is dilated by means of a balloon catheter from the inside. The vascular surgeons at the Vascular Centre in Eschweiler have achieved much expertise with risky interventions at the carotid artery. Both procedures can be performed either under local anaesthesia or intubation anaesthesia including neuromonitoring.
Peripheral Bypass Surgery – Competent Aid in Cases of Occlusion of the Pelvic and Femoral Arteries
As people get older as well as due to circulatory disorders or elevated blood glucose levels, the risk of occlusions of the peripheral blood vessels such as in the legs increases. In order to prevent impending amputations or strokes, affected patients who are at an advanced stage undergo bypasses, i.e. re-routing of the bloodstream.
At the Vascular Centre in Eschweiler, emphasis is placed on preferably using patients’ own body veins for the bypass device for leg procedures. The vascular specialists in Eschweiler also treat varicose veins with the aid of various therapeutic methods, such as sclerotherapy techniques, thermal methods using lasers or radio waves, as well as various surgical techniques.
Diabetic Foot Syndrome – When Wounds No Longer Heal
Diabetic foot syndrome (DFS) is a disease most commonly associated with type 2 diabetes and it is one of the most dreaded consequences of diabetes. High blood sugar levels damage the nerves and blood vessels in the feet. As a result, sores can easily occur, which can lead to serious infections. At worst, there is the threat of amputation. The Vascular Centre in Eschweiler offers a comprehensive therapy concept in close collaboration with the wound management team of the St Antonius-Hospital.
Get more information at the website of the Euregio Vascular Centre.
|1982 – 1988||Studies at the Rheinische Friedrich-Wilhelms-Universität, Bonn|
|As of 1988
As of 1999
|Surgical Clinic of the University of Cologne
in a permanent position as a research employee
|1990||Licence to practise medicine|
|1995||Specialist in surgery|
|1997||Specialist in Vascular Surgery|
|01.01.1998 – 31.07.1999||provisional accreditation to teach further training programmes in the "specialisation of vascular surgery"|
|March 1998||Period of study in Frankfurt am Main|
|01.08.1999 – 31.03.2017||Deputy Director of the Clinic for Vascular Surgery (Univ. Prof. Dr J. Brunkwall), University of Cologne|
|2001||Specialist in Abdominal Surgery|
|October 2003||Period of study at Harvard Medical School, Boston, USA|
|November 2003||Period of study at the University of Maastricht|
|2009||Endovascular specialist (certificate of the German Society for Vascular Surgery)|
|2009||Appointment as a member of the Board of Examiners as a specialist in vascular surgery (Nordrhein Medical Council)|
|2013||Appointment as a member of the habilitation committee (Faculty of Medicine, University of Cologne)|
|2016||Appointment as a member of the committee for technical language examinations (Nordrhein Medical Council)|
|As of April 2017||Chief Physician of the Clinic for Vascular Surgery and Endovascular Surgery, St Antonius Hospital, EUREGIO Vascular Centre, Eschweiler|
- Specialist studies in radiation protection, emergency diagnostics
- Specialist studies in radiation protection, angiography
- Specialist studies in radiation protection, intervention radiology
- Specialist studies in radiation protection, other tomographic procedures
- Specialist studies in oesophago-gastro-duodenoscopy
- Dr Peter Wallraff
Head Senior Physician – Permanent representative of the Chief Physician
- Dr Klaus Fürste
- Dr Jörg Harren
|Eschweiler Central Railway Station||1.5 km|
|Maastricht-Aachen Airport (NL)||50 km|
|Mönchengladbach Airport||50 km|
|Liège Airport (B)||70 km|
|Cologne/Bonn Airport||70 km|
|Düsseldorf Airport||80 km|
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Prof. Dr Michael Gawenda
St Antonius Hospital gGmbH
Euregio Vascular Centre, Department of Vascular Surgery and Endovascular Surgery
Dechant-Deckers-Str. 8, 52249 Eschweiler, Germany