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  • New stuff to read and discuss
    • Researchers from the Mayo clinic confirm my concept of midline congestion syndrome
  • What patients say
    • What patients said – 2016-2021
  • Clinic / online appointments
    • You are very welcome here – impressions from my clinic
    • Telemedical Consultation
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  • Why the diagnosis of a psychosomatic illness is often a misdiagnosis
  • Vascular Compression Syndromes
    • Do you have questions?
    • Checklist vascular compression syndromes
    • Description of your symptoms
      • Beyond psychosomatics – your symptoms explained
    • Researchers from the Mayo Clinic confirm my concept of the Midline Congestion Syndrome
      • Anatomical explanation of all vascular compression syndromes
    • Explanation of gender-specific differences in the clinical symptoms of abdominal vascular compression syndromes: varicocele and penile/testicular pain – their main manifestation in men.
    • Varicocoele is predominantly caused by left renal vein compression
    • Musculoskeletal pecularities of female puberty
      • Menstrual pain – not a irrevocable fate but a reversible consequence of vascular compression syndromes
    • Lordosis /Swayback- Origin of many abdominal compression syndromes
      • Bending of a straight vein compels its narrowing
      • The lordogenetic midline congestion syndrome
        • Neurological consequences of the midline congestion syndrome
        • Successful treatment of a teenage girl who was unable to eat due to extreme postprandial pain and unable to walk due to spasticity in her left leg
        • Severe ataxia in a young woman with severe spinal congestion – complete resolution after decompression of the left renal vein
          • The tronc réno-rachidièn
      • All compression syndromes are one: the spectrum of lordogenetic compressions
        • Example for the effect of the lumbar lordosis on the compression of abdominal veins
    • Nutcracker-Syndrome is a misnomer! Lordogenetic left renal vein compression is a more appropriate name!
      • The so called Nutcracker Phenomenon
    • May-Thurner-constellation (May-Thurner-syndrome, Cockett’s syndrome)
    • Midline (congestion) syndrome
      • Urethral venous congestion – an important mechanism of urinary retention in patients with vascular compression syndromes
    • Pelvic congestion syndrome
    • Celiac Trunk Compression / Dunbar syndrome / MALS / Arcuate ligament syndrome
      • The Celiac ganglion (artery) compression syndrome
    • Wilkie-Syndrome / Superior-mesenteric-artery-syndrome
      • The problem of angle measurement in Wilkie syndrome
    • Compression of the vena cava inferior
      • The influence of the spine on compression of the inferior vena cava
    • Evlauation of vascular compressions with the PixelFlux-method
    • Connective tissue disorders predispose to multiple compressions
      • Ehlers Danlos-syndrome the flashing redlight of vascular compressions
    • Postural tachycardia syndrome (POTS) – the hemodynamic consequence of vascular compression syndromes and loose connective tissue
    • Restless legs-a little known symptom of abdominal vascular compression syndromes
    • Pudendal neuralgia in vascular compression syndromes
    • A new sonographic sign of severe orthostatic venous pooling
    • Migraine and Multiple Sclerosis
    • Hemodynamic effect on cerebral perfusion in patients with multiple localised vascular compression.
  • Treatment of vascular compression syndromes
    • Fatal errors in the treatment of vascular compression syndromes
    • Risks of stents in venous compression syndromes
      • A stent may be a mistake
      • The curtain effect of venous stents
      • One stent – reducing 1 compression – creating 3 new compressions
    • Surgical treatment of abdominal compression syndromes: The significance of hypermobility‐related disorders
    • Nutcracker and May-Thurner syndrome: Decompression by extra venous tube grafting and significance of hypermobility related disorders
    • Our surgical treatment of vascular compressions
  • Chronic regional pain syndrome (CRPS) caused by venous compression and mechanical irritation of the coeliac plexus
  • Vascular compression syndromes and other disease mechanisms I recently detected
  • Kaleidoscope of instructive cases
  • Venous congestion of the spinal cord may be a potential contributor to the development of paraplegia in patients with spinal muscular atrophy type III (Kugelberg-Welander disease)
  • Ultrasound Diagnostics
    • A breakthrough in functional sonographic diagnostic – 4D-colour Doppler sonographic flow volume measurements
    • 4D-volume flow measurements of jugular and mesenteric veins
    • Inauguration of the global volumetric brain perfusion measurement-a gateway for understanding of neurological symptoms
    • Ultrasound focused entirely on all of your symptoms
    • Ultrasound vs. X-ray
    • Vascular Malformations
  • Profile
  • Functional colour Doppler ultrasound – how I do it
    • Functional criteria for evaluation and treatment of POTS, neurological and pelvic symptoms in venous compression syndromes
      • POTS – different from what you might think: an example
  • Perfusion Measurement – PixelFlux-method
    • A breakthrough in functional sonographic diagnostic – 4D-colour Doppler sonographic flow volume measurements
    • Do you have questions?
    • Inflammation Diagnostics
    • Abdominal Pain
    • Chronic diseases
    • Three-Dimensional Fetal Perfusion Measurement
  • Research
    • Publications
      • Nutcracker and May-Thurner syndrome: Decompression by extra venous tube grafting and significance of hypermobility related disorders
      • Papers authored by Th. Scholbach
      • Publications
        • Inauguration of measurements of the tissue pulsatility index in renal transplants
        • From nutcracker phenomenon to midline congestion syndrome and its treatment with aspirin
        • First sonographic tissue perfusion measurement in renal transplants
        • First sonographic bowel wall perfusion measurement in Crohn disease
        • First sonographic renal tissue perfuison measurement
        • First sonographic measurement of renal perfusion loss in diabetes mellitus
        • PixelFlux measurements of renal tissue perfusion
    • Why I prefer not to publish in journals but in the Internet
    • Vessel stretching in nephroptosis – an important driver of complaints
  • Expertise
    • Philosophy
    • Lectures and teaching around the globe
    • EFSUMB Award 2015 “Umbilical vein vasomotion – detection and measurements by means 3D – PixelFlux measurements in fetuses of the 17th to 20th gestional week”
  • Bornavirus Infection
    • Borna virus infection in children and their parents
    • Bornavirusliteratur zum nichtkommerziellen Gebrauch
  • Scientific cooperation
    • Project “International scholarship for quantitative functional color Doppler ultrasound training”
    • Telemedical lung auscultation form
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  • Impressum
Talks submitted to the DGA 2026
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I submitted 6 talks to the German Angiological and Vascular Surgery Societies Congress 15.-17. October 2026 in Leipzig

 

Towards a paradigm shift in diagnosing venous compression syndromes

 

Unraveling the conundrum of female pelvic pain by tissue perfusion measurement of pelvic organs

 

Budd-Chiari syndrome – is diaphragmatic compression of hepatic veins and vena cava  inferior the underlying precipitating cause?

 

4D-PIXELFLUX Volume flow measurements of cerebral perfusion as a tool to quantify  cerebral venous congestion

 

Understanding simultaneously occurring vascular compression syndromes may be a gate  to gender-equal vascular medicine

 

The so-called Nutcracker Syndrome- local and remote symptoms properly diagnosed and  treated not by diameter or pressure evaluation but sonographic tissue perfusion  measurement

 

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  • Long lasting symptoms - can PixelFlux help me?
  • Telemedical counseling
  • "Nutcracker" syndrome
  • Median arcuate ligament syndrome
  • Pelvic congestion
  • May-Thurner-syndrome
  • Superior-mesenteric-artery-syndrome
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