Abstract: A heat exchanger has been developed with a helical insert (9) permanently mounted in a housing (2). Between the windings in the insert (9) there is formed a helical channel (20) for one heat exchange medium. The insert (9) is designed with a channel (10) for the second heat exchange medium. The heat exchanger is designed with a central tube (13) which is axially movable and rotatable. The central tube (13) is designed with scraper elements for removal of deposits in the channel (20). In one embodiment the scraper element is formed by a helical insert (15) of the same design as the insert (9). The insert (15) is designed with a channel (16) for the second heat exchange medium. In a further embodiment the central tube (13) is designed with one or more scraper arms (23) which may be liquid-cooled. Deposits are often formed on the heat transfer surfaces.