Vascular surgery

Vascular Surgery

The aim of vascular surgery is to eliminate circulatory disorders caused by constrictions or occlusions of blood vessels, as well as precautionary treatment of bulging of the main arteries, known as aneurysms.

Minimally invasive endovascular procedures, which allow vessels to be "repaired from the inside", play an increasingly important role in vascular medicine. According to interdisciplinary approaches, these gentle methods are increasingly applied if they prove to be medically useful, even in advanced diseases. For this purpose, the AngioSuite is available in radiology as well as the operating room for more complex procedures and so-called hybrid procedures, in which open operations on the vascular system are combined with endovascular procedures. Around 1,000 operations are performed each year.

The Albertinen Hospital cooperates closely with the radiology department. We also work closely with the anesthesia and intensive care, cardiology, cardiac surgery, and neurology department to diagnose illnesses and – during the period around the operation – to achieve the best possible results for our patients.

Diseases

  • Chronic circulatory disorders of the legs
  • Aneurysms
  • Dissections
  • Aortic syndrome
  • Constrictions/closures of the carotid arteries

Diagnostics and surgical methods

  • Varicose vein surgery
  • Port implantation
  • Uncomplicated angioplasty and stent implantation in case of vasoconstriction
  • Balloon angioplasty
  • Shelling out of the pulmonary arteries (thrombolectomy/embolectomy and patching)
  • Bypass
  • Intravenous therapy with substances to promote blood circulation
  • CT-controlled spinal cord blockage
  • Surgical thrombolectomy or embolectomy
  • Open replacement of diseased parts of the abdominal and pelvic arteries by tube or Y prosthesis, possibly including arterial implantation
  • Insertion of sheathed vascular prostheses (stent grafts)
  • Vagination plastics (eversion carotid endarterectomy)

Dr. Lars Kock, M.D.

Head Physician, Vascular and Endovascular Surgery

Dr. Lars Kock, M.D.

Vita

  • Dr. Lars Kock has been Head Physician of the Clinic of Vascular and Endovascular Surgery, Albertine Cardiovascular Center since 2012.  As an endovascular specialist (German Society of Vascular Surgery Society – DGG), he performs the entire spectrum of open and endovascular procedures.

    One focus of his work is endovascular therapy of complex aortic diseases using stent prostheses with windows and/or side sleeves.

  • born in Kiel, married, two children

  • Head Physician of the Clinic of Vascular and Endovascular Surgery, Albertinen Cardiovascular Center, Albertinen Hospital

  • Chief Senior Physician of Vascular, Thoracic, and Endovascular Surgery, Asklepios Klinik Altona, Hamburg

  • Senior Physician and Head of the Department of Vascular Surgery, Dietrich-Bonhoeffer-Klinikum, Neubrandenburg

  • Senior Physician in Surgery, KMG-Klinikum, Güstrow

  • Assistant Physician, Chirurgische Universitätsklinik Rostock

  • Specialist in Surgery

  • AiP/Assistant Physician at Behring Hospital, Berlin-Zehlendorf

  • License to practice medicine

  • Internship at Park-Klinik, Gynecology, Kiel

  • Doctoral dissertation: Testicular Germline Tumors of Childhood "Magna cum laude"

  • 3rd State medical examinations

  • 1996 - 1997

  • 2nd State medical examinations

  • 1st State medical examinations

  • Medical studies at Christian Albrecht University of Kiel

  • Gymnasium (high school) in Heikendorf, near Kiel

Focus

  • Special professional qualifications

    • 2006: Sub-specialization in vascular surgery
    • 2018: Endovascular Surgeon (DGG)
    • 2019: Endovascular Specialist (DGG)
  • Licenses to conduct advanced training

    • Vascular surgery (4 years)
    • Basic advanced training in surgery (common trunk) (2 years)
    • General surgery (4 years)
  • Teaching assignment/Positions/Functions/Memberships

    • Member: German Society of Vascular Surgery (DGG)
    • Member: Association of North German Vascular Medicine
  • Selected publications

    • Harms D, Kock L; Testicular juvenile granulosa cell and Sertoli cell tumours: a clinicopathological study of 29 cases frohm the Kiel Paediatric Tumour Registry. Virchows Arch. 1997 Apr;430(4):301-9
    • Bünger CM, Kröger J. Kock L, Henning A, Klar E, Schareck W. Axillary-axillary interatertial chest loop onduit as an alternative for chronic hemodialysis access. J Vasc Surg. 2005;42:290-295
    • Kock L, Aepinus C, Donat M, Pertschy A, Crusius S, Arvand M, Klar E, Podbielski A; Severe Pneumonia by Primary Toxoplasma gondii Infection in a Pancreas-Kidney Transplant Recipient – Keys to rapid Diagnosis. Presently in the reviewing process of Clinical Transplantation
    • Kock L, Bünger C, Kröger JC, Gundlach K, Piek J, Klar E und Schareck WD; Differentialdiagnose des Karotisglomustumors – eine diagnostische und therapeutische Herausforderung, Jahreskongress der deutschen Gesellschaft für Chirurgie, Berlin, Mai 2006
    • Kock L, Bünger CM, Mundt A, Klar E, Schareck W; Ist die Verlaufskontrolle nach konventioneller Operation des infrarenalen Bauchaortenaneurysmas sinnvoll? Postervortrag Jahreskongress der deutschen Gesellschaft für Chirurgie, München, April 2005
    • Kock L, Aepinus C., Steiner B, Pertschy A, Schareck WD, Arvand M, Hartung G, Podbielski A und Klar E; Generalisierte Toxoplasma gondii-Infektion mit primär pulmonaler Manifestation nach Pankreas/Nierentransplantation durch infizierte Spenderorgane Postervortrag Jahrestagung der deutschen interdisziplinären Vereinigung für Intensiv- und Notfallmedizin, Hamburg, 01  –04.12.2004
    • Kock L, Aepinus C., Steiner B, Pertschy A, Schareck WD, Arvand M, Hartung G, Podbielski A und Klar E; Generalisierte Toxoplasma gondii-Infektion mit primär pulmonaler Manifestation nach Pankreas/Nierentransplantation durch infizierte Spenderorgane. Postervortrag Jahrestagung der deutschen interdisziplinären Vereinigung für Intensiv- und Notfallmedizin, Kiel, 21.-23.10.2004
    • Kock L, Klautke G, Foitzik T, Fietkau R und Klar E; Die neoadjuvante Therapie des lokal fortgeschrittenen Magencarcinoms kann zur kurativen Resektion führen. Postervortrag Jahrestagung der Deutschen Gesellschaft Gesellschaft für Chirurgie, Berlin 27.-30.04.2004
    • Bünger CM, Korzen M, Kock L, Kröger J, Klar E, Schareck W. Ist die Mitbehandlung einer stenosierten A. carotis externa im Rahmen der TEA und Patchplastik der A. carotis interna gerechtfertigt? 123 Kongress der Deutschen Gesellschaft für Chirurgie, Berlin, Deutschland, 02.-.06.05.2006
    • Bünger CM, Kock L, Henning A, Kröger J, Klar E, Schareck W. Interarterieller Axillaris-Loop als alternativer Zugang für die Hämodialyse. Schuntsymposium Haan, Haan, Deutschland, Mai 2005