Department of Vascular Surgery

OCCH FN Nitra – Scope of activities and provided healthcare

1. Acute conditions within the competence of a vascular surgeon

The following acute conditions are the subject of interest for a specialist – vascular surgeon:

• symptomatic and ruptured abdominal aneurysms

• limb and visceral arterial embolisms and thromboses

• vascular injuries

• strokes in progress or TIA type in patients with severe carotid artery stenosis

• acute venous thromboses of the phlegmasia dolens type

2. Surgical treatment of chronic vascular diseases

OCCH at FN Nitra deals on a daily basis with the surgical treatment of chronic vascular diseases, which include:

2.1 Cerebrovascular diseases

• cerebrovascular insufficiency (carotid endarterectomies – prevention of ischemic stroke)

• surgery of supra-aortic branches – a. subclavia, subclavian steal syndrome

• aneurysms of supra-aortic arteries

2.2 Syndromes and specific diseases

• thoracic outlet syndrome (TOS)

• entrapment syndrome and cystic adventitial degeneration

2.3 Upper limb diseases

• obliterative arterial diseases of the upper limbs

2.4 Dialysis access

• A-V shunts for hemodialysis

• management of their complications

2.5 Aneurysmal and obliterative diseases

• abdominal aortic aneurysms

• obliterative and aneurysmal diseases of visceral arteries

• obliterative and aneurysmal diseases of the lower limb arteries

  • aorto-femoral reconstructions

  • femoro-popliteal reconstructions

  • femoro-crural reconstructions

  • pedal reconstructions

• extra-anatomical reconstructions

• aneurysms of limb arteries

2.6 Diabetic foot

• treatment of diabetic foot

• treatment of its complications

2.7 Chronic venous insufficiency

• surgery of lower limb varicose veins

• minimally invasive laser treatment (EVLA)

• radiofrequency ablation (RFA)

3. Hybrid surgical procedures

A significant part of the work consists of hybrid surgical procedures for both chronic and acute diseases:

• inflow procedures

• run-off procedures

• ROMS procedures

The department also focuses on:

• treatment of most early and late complications after arterial reconstructive procedures and A-V shunts

• implantation of secondary vascular reconstructions

4. Multidisciplinary cooperation

As part of a multidisciplinary approach, OCCH works closely with:

• neurologists (surgical treatment of cerebrovascular insufficiency)

• angiologists (surgical treatment of peripheral artery disease of the lower limbs, treatment of abdominal aortic and limb artery aneurysms, treatment of varicose veins)

• diabetologists (diabetic foot)

• general surgeons

• urologists and gynecologists (radical oncosurgical procedures)

• traumatologists (vascular injuries)

• rheumatologists (certain types of arteritis)

• nephrologists (A-V shunts, acute catheters, permcaths and their complications)

• oncologists (implantation of PICC and ports for chemotherapy)

• interventional cardiologists (treatment of access complications after PTCA and ECMO)

• general practitioners

5. Invasive diagnostics and endovascular interventions

OCCH is the only vascular surgery facility in Slovakia fully engaged in:

• invasive vascular diagnostics

• peripheral endovascular interventions:

  • PTA

  • stents

  • thrombolysis

  • thromboaspiration

  • mechanical atherectomy

  • lithotripsy

Procedures are carried out mainly:

• on lower limb arteries

• in supra-aortic branches

• in visceral branches

• on the abdominal aorta

• on upper limbs

• on A-V fistulas and bypasses

6. Modernization of the facility

The quality of diagnostics and endovascular treatment significantly increased in 2020:

• by completing the Endovascular Treatment Unit

• by installing one of the most modern DSA devices in Slovakia (software and hardware)

• integrated ultrasound

7. Professional level of the facility

OCCH FN Nitra:

• has an appropriate number of qualified vascular specialists

• is equipped with modern technology required by the current approach in vascular medicine

• is capable of managing almost all serious peripheral vascular diseases at the level of “evidence-based medicine”

The guarantee of quality specialized healthcare is an experienced and educated team of:

• doctors

• nurses

• scrub nurses

• other healthcare professionals

8. Annual volume of procedures

On average, the following are performed annually at OCCH:

• 1000 surgical procedures in the operating room (including hybrid and endovenous)

• 600 procedures at the Endovascular Treatment Unit (including access for chemotherapy)

9. Diagnostic modalities

OCCH has at its disposal:

• CTA (2 devices)

• MRA (2 devices, including the QISS protocol for non-contrast MR angiography in patients with kidney diseases or iodine allergy)

• DSA

• vascular color-coded ultrasound

• vascular Doppler for measuring peripheral pressures

• intraoperative Doppler

• mobile C-arm with a complete vascular program

• carbon fiber “high-end” operating table

• several other devices necessary for quality healthcare

OCCH has long-term cooperation with:

• Jessenius – diagnostické centrum a.s.

• Kardiocentrum Nitra

10. Bed capacity

OCCH has at its disposal:

• 22 beds

  • 18 standard

  • 2 monitored

  • 2 premium

Premium rooms can be reserved by patients subject to available capacity (€30/night).

The area code before the extension is 037 / 6545 + extension