{"id":11084,"date":"2025-11-06T13:22:41","date_gmt":"2025-11-06T13:22:41","guid":{"rendered":"https:\/\/www.betaklinik.de\/?page_id=11084"},"modified":"2026-01-07T10:00:27","modified_gmt":"2026-01-07T10:00:27","slug":"endovascular-therapy","status":"publish","type":"page","link":"https:\/\/www.betaklinik.de\/en\/specialties\/neuroradiology-and-pediatric-neuroradiology\/endovascular-therapy\/","title":{"rendered":"Endovascular therapy"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"11084\" class=\"elementor elementor-11084 elementor-4025\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4318cbdc e-flex e-con-boxed e-con e-parent\" data-id=\"4318cbdc\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-c506259 bk_heroPill e-con-full e-flex e-con e-child\" data-id=\"c506259\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8b02a61 e-flex e-con-boxed e-con e-parent\" data-id=\"8b02a61\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-570c208 bk_menu_toggle_button_shortcode elementor-widget elementor-widget-shortcode\" data-id=\"570c208\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\r\n<div class=\"bk-menu-toggle-wrapper\" data-animation-speed=\"300\">\r\n    <div class=\"bk-menu-toggle-button-wrapper\">\r\n        <button \r\n            class=\"elementor-button elementor-button-link elementor-size-sm bk-menu-toggle-btn\"\r\n                        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href=\"https:\/\/www.betaklinik.de\/en\/specialties\/neuroradiology-and-pediatric-neuroradiology\/aneurysma\/\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/2025\/07\/beta_arrow.svg\" alt=\"\" class=\"bk-menu-item-icon\" \/><span>Aneurysm\u00a0<\/span><\/a><\/li><li class=\"menu-item menu-item-9315\"><a href=\"https:\/\/www.betaklinik.de\/en\/specialties\/neuroradiology-and-pediatric-neuroradiology\/angiography\/\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/2025\/07\/beta_arrow.svg\" alt=\"\" class=\"bk-menu-item-icon\" \/><span>Angiography<\/span><\/a><\/li><li class=\"menu-item menu-item-9446\"><a href=\"https:\/\/www.betaklinik.de\/en\/specialties\/neuroradiology-and-pediatric-neuroradiology\/angioma-fistula\/\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/2025\/07\/beta_arrow.svg\" alt=\"\" class=\"bk-menu-item-icon\" \/><span>Angioma \/ fistula<\/span><\/a><\/li><li class=\"menu-item menu-item-9456\"><a href=\"https:\/\/www.betaklinik.de\/en\/specialties\/neuroradiology-and-pediatric-neuroradiology\/carotid-stenosis\/\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/2025\/07\/beta_arrow.svg\" alt=\"\" class=\"bk-menu-item-icon\" \/><span>Carotid stenosis<\/span><\/a><\/li><li class=\"menu-item menu-item-8049\"><a href=\"https:\/\/www.betaklinik.de\/en\/specialties\/neuroradiology-and-pediatric-neuroradiology\/ct\/\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/2025\/07\/beta_arrow.svg\" alt=\"\" class=\"bk-menu-item-icon\" \/><span>CT\u00a0<\/span><\/a><\/li><li class=\"menu-item menu-item-9345\"><a href=\"https:\/\/www.betaklinik.de\/en\/specialties\/neuroradiology-and-pediatric-neuroradiology\/discography\/\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/2025\/07\/beta_arrow.svg\" alt=\"\" class=\"bk-menu-item-icon\" \/><span>Discography<\/span><\/a><\/li><li class=\"menu-item menu-item-11084\"><a href=\"https:\/\/www.betaklinik.de\/en\/specialties\/neuroradiology-and-pediatric-neuroradiology\/endovascular-therapy\/\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/2025\/07\/beta_arrow.svg\" alt=\"\" class=\"bk-menu-item-icon\" \/><span>Endovascular therapy<\/span><\/a><\/li><li class=\"menu-item menu-item-9480\"><a href=\"https:\/\/www.betaklinik.de\/en\/specialties\/neuroradiology-and-pediatric-neuroradiology\/intracranial-stenosis\/\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/2025\/07\/beta_arrow.svg\" alt=\"\" class=\"bk-menu-item-icon\" \/><span>Intracranial stenosis | Beta Klinik Bonn<\/span><\/a><\/li><li class=\"menu-item menu-item-9385\"><a href=\"https:\/\/www.betaklinik.de\/en\/specialties\/neuroradiology-and-pediatric-neuroradiology\/mri\/\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/2025\/07\/beta_arrow.svg\" alt=\"\" class=\"bk-menu-item-icon\" \/><span>MRI<\/span><\/a><\/li><li class=\"menu-item menu-item-9397\"><a href=\"https:\/\/www.betaklinik.de\/en\/specialties\/neuroradiology-and-pediatric-neuroradiology\/myelography\/\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/2025\/07\/beta_arrow.svg\" alt=\"\" class=\"bk-menu-item-icon\" \/><span>Myelography<\/span><\/a><\/li><li class=\"menu-item menu-item-9490\"><a href=\"https:\/\/www.betaklinik.de\/en\/specialties\/neuroradiology-and-pediatric-neuroradiology\/stenosis-renal-artery\/\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/2025\/07\/beta_arrow.svg\" alt=\"\" class=\"bk-menu-item-icon\" \/><span>Stenosis of renal artery<\/span><\/a><\/li><li class=\"menu-item menu-item-9496\"><a href=\"https:\/\/www.betaklinik.de\/en\/specialties\/neuroradiology-and-pediatric-neuroradiology\/stenosis-pelvis-leg\/\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/2025\/07\/beta_arrow.svg\" alt=\"\" class=\"bk-menu-item-icon\" \/><span>Stenosis pelvis-leg<\/span><\/a><\/li><li class=\"menu-item menu-item-11442\"><a href=\"https:\/\/www.betaklinik.de\/en\/specialties\/neuroradiology-and-pediatric-neuroradiology\/stenting\/\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/2025\/07\/beta_arrow.svg\" alt=\"\" class=\"bk-menu-item-icon\" \/><span>Stenting<\/span><\/a><\/li><li class=\"menu-item menu-item-11106\"><a href=\"https:\/\/www.betaklinik.de\/en\/specialties\/neuroradiology-and-pediatric-neuroradiology\/widening-dilatation\/\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/2025\/07\/beta_arrow.svg\" alt=\"\" class=\"bk-menu-item-icon\" \/><span>Widening \/ dilatation<\/span><\/a><\/li><li class=\"menu-item menu-item-9431\"><a href=\"https:\/\/www.betaklinik.de\/en\/specialties\/neuroradiology-and-pediatric-neuroradiology\/x-raying\/\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/2025\/07\/beta_arrow.svg\" alt=\"\" class=\"bk-menu-item-icon\" \/><span>X-raying<\/span><\/a><\/li><\/ul><\/div>\r\n\r\n                    <div class=\"bk-menu-toggle-separator\"><\/div>\r\n            <\/div>\r\n<\/div>\r\n\r\n<script>\r\ndocument.addEventListener('DOMContentLoaded', function() {\r\n    const toggleBtn = document.querySelector('[data-target=\"bk-menu-toggle-2640\"]');\r\n    const content = document.getElementById('bk-menu-toggle-2640');\r\n    const wrapper = toggleBtn.closest('.bk-menu-toggle-wrapper');\r\n    const animationSpeed = parseInt(wrapper.dataset.animationSpeed) || 300;\r\n\r\n    if (toggleBtn && content) {\r\n\r\n        toggleBtn.addEventListener('click', function() {\r\n\r\n            const isExpanded = this.getAttribute('aria-expanded') === 'true';\r\n\r\n            if (isExpanded) {\r\n                content.style.height = content.scrollHeight + 'px';\r\n                setTimeout(() => {\r\n                    content.style.height = '0px';\r\n                }, 10);\r\n                setTimeout(() => {\r\n                    content.style.display = 'none';\r\n                    this.setAttribute('aria-expanded', 'false');\r\n                }, animationSpeed);\r\n\r\n            } else {\r\n                content.style.display = 'block';\r\n                content.style.height = '0px';\r\n                setTimeout(() => {\r\n                    content.style.height = content.scrollHeight + 'px';\r\n                    this.setAttribute('aria-expanded', 'true');\r\n                }, 10);\r\n                setTimeout(() => {\r\n                    content.style.height = 'auto';\r\n                }, animationSpeed);\r\n            }\r\n        });\r\n\r\n        content.querySelectorAll('.menu-item-has-children > a').forEach(parent => {\r\n            parent.addEventListener('click', function(e) {\r\n                e.preventDefault();\r\n                this.parentElement.classList.toggle('open');\r\n            });\r\n        });\r\n    }\r\n});\r\n<\/script>\r\n\r\n<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c1a8c37 e-flex e-con-boxed e-con e-parent\" data-id=\"c1a8c37\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5cdfaab elementor-widget elementor-widget-text-editor\" data-id=\"5cdfaab\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h1>Endovascular therapy<\/h1><div class=\"wpb-content-wrapper\"><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column wpb_content_element \"><div class=\"wpb_wrapper\"><p>The minimally invasive, endovascular therapy is a treatment option for vascular diseases or tumors inside the vessels. During this kind of surgery, vessel dilating balloons,\u00a0<a title=\"Stenting\" href=\"https:\/\/www.betaklinik.de\/en\/specialties\/neuroradiology-and-pediatric-neuroradiology\/stenting\/\">stents<\/a>\u00a0or special glues are used. The affected vessels should be dilated permanently or damaged vessels should be glued in order to ensure a sufficient blood circulation and prevent bleedings.<\/p><p>The main advantage of the endovascular surgery of brain vessels, for example, is that you do not need a new access to the vessel created by a cut or by drilling a hole in the skull, but you can use existing blood vessels for accessing the vessel to be treated. This enables us to avoid large cuts, drilling bones or create big scars. Endovascular surgery is easy on the body and bears a reduced risk of infections in comparison to open surgery. This makes short hospitalization, short recreation periods and quick return to occupational or sports activities possible.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column wpb_content_element \"><div class=\"wpb_wrapper\"><h2>Advantages of minimally invasive, endovascular surgery<\/h2><p>(in comparison to open surgery procedures)<\/p><ul><li>easy on the body<\/li><li>reduced risk of infections<\/li><li>short hospitalization, short recreation periods and quick return to occupational or sports activities<\/li><li>no scars<\/li><\/ul><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column wpb_content_element \"><div class=\"wpb_wrapper\"><h2>Endovascular surgery<\/h2><p>During endovascular surgery, general\u00a0<a title=\"Anesthesia and pain therapy\" href=\"https:\/\/www.betaklinik.de\/en\/specialties\/anesthesia\/\">anesthesia<\/a>\u00a0is necessary. Because of this, a comprehensive preparation of the procedure is crucial including taking a blood sample,\u00a0<a title=\"Anesthesia\" href=\"https:\/\/www.betaklinik.de\/en\/specialties\/anesthesia\/\">anesthesiological consultation<\/a>\u00a0and further preliminary examinations, if necessary.\u2028Endovascular therapy uses existing vessels by inserting a catheter to access the damaged vessel. The exact position of the catheter and guide wires is controlled during surgery by taking\u00a0<a title=\"X-raying\" href=\"https:\/\/www.betaklinik.de\/en\/specialties\/neuroradiology-and-pediatric-neuroradiology\/x-raying\/\">X-ray<\/a>\u00a0images with the\u00a0<a title=\"Angiography\" href=\"https:\/\/www.betaklinik.de\/en\/specialties\/neuroradiology-and-pediatric-neuroradiology\/angiography\/\">angiography device<\/a>. If\u00a0<a title=\"Angiography\" href=\"https:\/\/www.betaklinik.de\/en\/specialties\/neuroradiology-and-pediatric-neuroradiology\/angiography\/\">angiography<\/a>\u00a0is used as a\u00a0diagnostic means, therapy can just follow directly after the examination in one procedure.\u2028Endovascular surgery is not painful and there will be no visible wounds because the skin of the groin is only tapped but not cut. After the operation and the anesthetization no severe symptoms are to be expected. To avoid a groin bleeding, it is sometimes necessary to rest in the bed for a couple of hours subject to the size of the used catheter. But patients will be mobile again at the ward after this short period.\u2028It is common to control the results of endovascular surgery employing\u00a0<a title=\"CT\" href=\"https:\/\/www.betaklinik.de\/en\/specialties\/neuroradiology-and-pediatric-neuroradiology\/ct\/\">CT<\/a>\u00a0or\u00a0<a title=\"MRI\" href=\"https:\/\/www.betaklinik.de\/en\/specialties\/neuroradiology-and-pediatric-neuroradiology\/mri\/\">MRI<\/a>. If symptoms have declined, patients can be discharged from the hospital 1-3 days after surgery. The whole period of hospitalization amounts about 2-5 days.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column wpb_content_element \"><div class=\"wpb_wrapper\"><h2>Aftercare and rehabilitation endovascular therapy<\/h2><p>The aftercare consists of a drug therapy with drugs preventing the blood from clotting (antiplatelet drugs) or anti-inflammatory drugs. A special rehabilitation is only necessary in rare cases. Follow-ups are often a single event weeks or months after endovascular surgery by using\u00a0<a title=\"MRI\" href=\"https:\/\/www.betaklinik.de\/en\/specialties\/neuroradiology-and-pediatric-neuroradiology\/mri\/\">MRI<\/a>\u00a0or catheter\u00a0<a title=\"Angiography\" href=\"https:\/\/www.betaklinik.de\/en\/specialties\/neuroradiology-and-pediatric-neuroradiology\/angiography\/\">angiography<\/a>.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column wpb_content_element \"><div class=\"wpb_wrapper\"><h2>Return to work after endovascular surgery<\/h2><p>Patients are normally able to resume work one week after being discharged from the clinic.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column wpb_content_element \"><div class=\"wpb_wrapper\"><h2>Return to sports activities after endovascular surgery<\/h2><p>Patients are normally able to resume sports activities one week after being discharged from the clinic.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column wpb_content_element \"><div class=\"wpb_wrapper\"><h2>Fields of application of endovascular surgery<\/h2><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column wpb_content_element \"><div class=\"wpb_wrapper\"><h3>Aneurysm or brain aneurysm \/ cerebral aneurysm<\/h3><p>The\u00a0<a title=\"Aneurysm\" href=\"https:\/\/www.betaklinik.de\/en\/specialties\/neuroradiology-and-pediatric-neuroradiology\/aneurysma\/\">aneurysm<\/a>\u00a0or\u00a0cerebral aneurysm\u00a0is a bulge in the wall of a vessel that may rupture and, thus, cause bleedings. The aim of endovascular therapy is to close the bulge over a vascular access through a groin artery or, more rarely, the elbow artery. Platinum coils are guided to the\u00a0<a title=\"Aneurysm\" href=\"https:\/\/www.betaklinik.de\/en\/specialties\/neuroradiology-and-pediatric-neuroradiology\/aneurysma\/\">aneurysm<\/a>\u00a0via micro-catheters to close the bulge. Besides platinum coils, we also use coils coated with bioactive material, so-called bioactive coils. This way, the closure of the\u00a0aneurysm\u00a0and the durability of the results can be improved. The procedure is also called coiling due to the usage of coils.\u2028In addition to the closure within the\u00a0aneurysm, also\u00a0stents\u00a0and flow diverting\u00a0stents\u00a0are placed. Flow diverting stents\u00a0have an impact on the blood flow and stop the\u00a0aneurysm\u00a0of being an active part of blood circulation.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column wpb_content_element \"><div class=\"wpb_wrapper\"><h3>AV angioma and AV fistula (so-called dural fistula)<\/h3><p>The\u00a0<a title=\"Angioma \/ fistula\" href=\"https:\/\/www.betaklinik.de\/en\/specialties\/neuroradiology-and-pediatric-neuroradiology\/angioma-fistula\/\">arteriovenous angioma<\/a>\u00a0and\u00a0arteriovenous fistula\u00a0found in the brain and the spinal cord are often treated with endovascular surgery. Because arterial and venous blood is mixed, these vascular malformations can cause severe symptoms. The aim of endovascular surgery is to close (embolize) the abnormal connections between veins and arteries over a vascular access through a groin artery or, more rarely, the elbow artery. By employing micro-catheters, glues and embolization agents like Onyx are guided to the damaged vessel in order to close it.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Minimally invasive endovascular therapy is the treatment of vascular diseases or tumours within the vessels.<\/p>\n","protected":false},"author":5,"featured_media":3697,"parent":7359,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"fachrichtung":[155],"class_list":["post-11084","page","type-page","status-publish","has-post-thumbnail","hentry","fachrichtung-neuroradiology"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.betaklinik.de\/en\/wp-json\/wp\/v2\/pages\/11084","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.betaklinik.de\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.betaklinik.de\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.betaklinik.de\/en\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/www.betaklinik.de\/en\/wp-json\/wp\/v2\/comments?post=11084"}],"version-history":[{"count":3,"href":"https:\/\/www.betaklinik.de\/en\/wp-json\/wp\/v2\/pages\/11084\/revisions"}],"predecessor-version":[{"id":14428,"href":"https:\/\/www.betaklinik.de\/en\/wp-json\/wp\/v2\/pages\/11084\/revisions\/14428"}],"up":[{"embeddable":true,"href":"https:\/\/www.betaklinik.de\/en\/wp-json\/wp\/v2\/pages\/7359"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.betaklinik.de\/en\/wp-json\/wp\/v2\/media\/3697"}],"wp:attachment":[{"href":"https:\/\/www.betaklinik.de\/en\/wp-json\/wp\/v2\/media?parent=11084"}],"wp:term":[{"taxonomy":"fachrichtung","embeddable":true,"href":"https:\/\/www.betaklinik.de\/en\/wp-json\/wp\/v2\/fachrichtung?post=11084"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}