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Treatment of Abdominal Aortic Aneurysm in Germany

Due to the difficulties associated with the organization of treatment in Turkey, Switzerland, South Korea and India, we are not currently processing requests to these regions.

If you are interested in treatment in Germany, please leave a request and our specialists will contact you as soon as possible.

 

Cost for treatment

Diagnostic tests for abdominal aortic aneurysm
709.05
Treatment of abdominal aortic aneurysm with endovascular aortic prosthetics
22277.8
Endovascular bifurcational operation of the abdominal aortic aneurysm
21580.35

University Hospital Saarland Homburg

9.8/10
location_onGermany, Homburg

Department of General, Abdominal, Vascular and Pediatric Surgery

The University Hospital Saarland is the largest hospital in the city of Homburg and the most important medical facility in the region. The hospital, which currently has 30 specialized departments and 20 institutes, was founded in 1947 and operates on the basis of the Saarland University. The hospital plays a leading role in medi
Diagnostic tests for abdominal aortic aneurysm
2150.65
Treatment of abdominal aortic aneurysm with endovascular aortic prosthetics
30097.05 help25097.05
Endovascular bifurcational operation of the abdominal aortic aneurysm
30411.7 help25411.7

St. Franziskus-Hospital Muenster

10/10
location_onGermany, Muenster

Innovation Center for Endovascular Medicine

The St. Franziskus-Hospital Muenster positions itself as a modern medical facility, the primary task of which is to provide patients with top-class medical care at the international level. The hospital is the medical center of the St. Francis Foundation in Munich, whose medical facilities annually provide treatment to more than
Diagnostic tests for abdominal aortic aneurysm
2434.85
Abdominal aorta open prosthetics of abdominal aortic aneurysm
42462.25

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of Vascular Surgery

According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
Diagnostic tests for abdominal aortic aneurysm
2397.15
Treatment of abdominal aortic aneurysm with endovascular aortic prosthetics
38138.35
Endovascular bifurcational operation of the abdominal aortic aneurysm
38558.85

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of General, Abdominal and Vascular Surgery

According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
Diagnostic tests for abdominal aortic aneurysm
3265.7
Treatment of abdominal aortic aneurysm with endovascular aortic prosthetics
52019.2
Endovascular bifurcational operation of the abdominal aortic aneurysm
51508.8

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department of Abdominal and Colorectal Surgery, Hepatobiliary Surgery, Hernia Surgery, Bariatric Surgery, Endocrine Surgery, Thoracic and Vascular Surgery

According to the reputable Focus magazine, the University Hospital Carl Gustav Carus Dresden ranks among the top five German hospitals! The hospital is the benchmark for modern high-quality medicine. Positioning itself as a maximum care medical facility, the hospital represents all medical fields. There are 26 specialized depart
Diagnostic tests for abdominal aortic aneurysm
2906.1
Treatment of abdominal aortic aneurysm with endovascular aortic prosthetics
44785.15
Endovascular bifurcational operation of the abdominal aortic aneurysm
45382.55

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Vascular and Endovascular Surgery

According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
Diagnostic tests for abdominal aortic aneurysm
2268.1
Treatment of abdominal aortic aneurysm with endovascular aortic prosthetics
34546.7
Endovascular bifurcational operation of the abdominal aortic aneurysm
34243.65

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of General, Abdominal and Vascular Surgery

According to the prestigious Focus magazine, the University Hospital Jena regularly ranks among the top German medical facilities! The hospital has positioned itself as a multidisciplinary medical facility with a long history of more than 200 years. Since its foundation, the hospital has been constantly developing and modernizin
Diagnostic tests for abdominal aortic aneurysm
2005.65
Treatment of abdominal aortic aneurysm with endovascular aortic prosthetics
34013.1
Endovascular bifurcational operation of the abdominal aortic aneurysm
33785.45

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of General, Abdominal, Vascular and Endocrine Surgery

According to the prestigious Focus magazine, the University Hospital Halle (Saale) ranks among the top German medical facilities! The history of the hospital has more than 300 years, and during this time it managed to earn an excellent reputation not only in Germany, but throughout the world. The hospital positions itself as a s
Diagnostic tests for abdominal aortic aneurysm
2236.2
Treatment of abdominal aortic aneurysm with endovascular aortic prosthetics
34175.5
Endovascular bifurcational operation of the abdominal aortic aneurysm
34417.65

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Vascular Surgery

According to the Focus magazine, University Hospital Erlangen ranks among the best medical facilities in Germany! The hospital is one of the leading healthcare facilities in Bavaria and offers top-class medical care distinguished by the close intertwining of clinical activities with research and training of medical students. The
Diagnostic tests for abdominal aortic aneurysm
2237.65
Treatment of abdominal aortic aneurysm with endovascular aortic prosthetics
36280.9
Endovascular bifurcational operation of the abdominal aortic aneurysm
36727.5

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Adult and Pediatric Cardiothoracic Surgery

According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
Diagnostic tests for abdominal aortic aneurysm
2243.45
Treatment of abdominal aortic aneurysm with endovascular aortic prosthetics
34002.95
Endovascular bifurcational operation of the abdominal aortic aneurysm
34304.55

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Vascular and Endovascular Surgery

According to Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all fields of
Diagnostic tests for abdominal aortic aneurysm
0
Treatment of abdominal aortic aneurysm with endovascular aortic prosthetics
0
Endovascular bifurcational operation of the abdominal aortic aneurysm
0

University Hospital Bonn

9.2/10
location_onGermany, Bonn

Department of General, Abdominal, Thoracic and Vascular Surgery

According to the authoritative Focus magazine, the University Hospital Bonn ranks among the top ten medical facilities in Germany! The hospital was opened on January 1, 2001, although in fact it inherits the medical facility, which operated at the Faculty of Medicine of the University of Bonn. The hospital in Germany combin
Diagnostic tests for abdominal aortic aneurysm
2575.5
Abdominal aorta open prosthetics of abdominal aortic aneurysm
45012.8

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Adult and Pediatric Vascular, Endovascular Surgery

The University Hospital Rechts der Isar Munich was founded in 1834. It combines long traditions with the very latest advances in modern medicine. The medical facility includes 33 specialized departments and 20 interdisciplinary centers, where patients can receive top-class medical care in all medical fields. The hospital annuall
Diagnostic tests for abdominal aortic aneurysm
2389.9
Treatment of abdominal aortic aneurysm with endovascular aortic prosthetics
38555.95
Endovascular bifurcational operation of the abdominal aortic aneurysm
38595.1

University Hospital Duesseldorf

9.5/10
location_onGermany, Duesseldorf

Department of Vascular and Endovascular Surgery

According to the authoritative Focus magazine, the University Hospital Duesseldorf ranks among the top Germany hospitals! The hospital is an excellent example of a combination of high-quality health care, research and teaching activities. With more than 50,000 inpatients and about 300,000 outpatients every year, the hospital is
Diagnostic tests for abdominal aortic aneurysm
2543.6
Treatment of abdominal aortic aneurysm with endovascular aortic prosthetics
38970.65
Endovascular bifurcational operation of the abdominal aortic aneurysm
38812.6

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of Vascular and Endovascular Surgery

According to the Focus magazine, the University Hospital Muenster ranks among the top German hospitals! The hospital belongs to the most prestigious medical institutions in Germany. The hospital is distinguished by a high professionalism of its doctors, state-of-the-art technological equipment and the availability of the most ad
Diagnostic tests for abdominal aortic aneurysm
2249.25
Treatment of abdominal aortic aneurysm with endovascular aortic prosthetics
33946.4
Endovascular bifurcational operation of the abdominal aortic aneurysm
33898.55

University Hospital Essen

9.6/10
location_onGermany, Essen

Department of Adult and Pediatric Vascular, Endovascular Surgery

According to the authoritative Focus magazine the University Hospital Essen ranks among the top German hospitals! With 27 specialized departments and 24 institutes, the hospital in Germany is a maximum care medical facility. The hospital has 1,300 beds for inpatient treatment. A highly qualified medical team of more than 6,000 e
Diagnostic tests for abdominal aortic aneurysm
2242
Abdominal aorta open prosthetics of abdominal aortic aneurysm
39502.8
| from Booking Health GmbH

An abdominal aortic aneurysm is a local enlargement of this vessel by 50% or more, as well as up to 3cm or more. The risk of developing the disease increases with age, since atherosclerosis and arterial hypertension are its main causes. Approximately 5% of men and 1,7% of women over 65 have the abdominal aortic aneurysm. If left untreated, it can rupture, and this complication is highly likely to be fatal. To avoid complications, it is worth treating the condition in a timely manner, even if you do not have any symptoms. In Germany, you can cure your aneurysm once and for all. In most cases, doctors perform minimally invasive endovascular procedures instead of traumatic open surgeries.

Content

  1. Diagnostics
  2. Principles of treatment
  3. How is endovascular treatment performed?
  4. How is open surgical repair performed?

To treat aortic aneurysm, most patients undergo an endovascular repair with a stent graft (a tube placed inside the aorta). The specialists rarely resort to open surgery.

You can undergo your treatment in one of the following hospitals: University Hospital of Ludwig Maximilian University of Munich, Charite University Hospital Berlin, or University Hospital Saarland Homburg.

Please contact the Booking Health company and we will fully arrange your trip. We will select a clinic and a doctor for you, recommend the best treatment method for you, help you to apply for a visa and get to the clinic, translate documents and medical records into German, provide interpreting services and advise on any issue.

Diagnostics

 

Ultrasound scanning is the main diagnostic method. It is used for an aortic aneurysm screening, which is identifying the disease in asymptomatic populations, as well as for monitoring patients who do not yet require any treatment at the moment. An ultrasound examination is quite accurate. This has the only drawback – an error in determining the size of the aneurysm up to 2mm. The accuracy decreases as aortic diameter increases.

Computed tomography is highly accurate and is used to plan the operation. The specialized centers in Germany carry out this examination in the angiography mode: with an intravenous contrast enhancement. A CT scan is performed with a 3D reconstruction, which eliminates the overestimation of the diameter in the case of vascular tortuosity. The accurate measurement and assessment of the aortic structure is especially important when planning an endovascular repair with a stent graft.

An MRI scan is used less often. In terms of an information content, the procedure is comparable to the CT scan, but does emit radiation and does not require the injection of an iodine-containing contrast media. It is suitable for people with an allergy to contrast agents and kidney failure. However, MRI scanning is worse than CT one in showing the calcified plaques in the aortic lumen.

Principles of treatment

 

According to European recommendations, surgical treatment can be performed in the following cases:

  • in an aneurysm with a diameter of more than 5,5cm in men and more than 5cm in women;
  • in the aneurysm growth of 1cm per year or more, regardless of its diameter.

The treatment options by the type of a surgical approach can be:

  • an endovascular aneurysm repair (EVAR);
  • an open surgical repair (OSR).

Endovascular operations are considered to be preferable, as they are less traumatic and provide comparable therapeutic results.

The trials involving hundreds of thousands of patients have shown that:

  • the mortality of patients within 30 days after the endovascular treatment is slightly more than 1%, which is three times lower than after open surgery;
  • after the endovascular treatment, rehabilitation is faster, there is less blood loss, and the duration of a hospitalization period is shorter;
  • a ten-year survival of patients using the two methods is the same.

However, open surgical repair also has its advantages. The main one is the lower risk of the aneurysm rupture and a less chance of revision surgery. Some patients who had the endovascular intervention will require the replacement of an abdominal aortic prosthesis in the future.

At the same time, the European guidelines specify the endovascular technique as the only treatment standard, if it is technically accessible. This suggests that this minimally invasive procedure has more advantages than disadvantages. The open prosthesis of the abdominal aorta can be performed in special cases: only in patients with a low surgical risk and a high life expectancy, as well as in complex aneurysms.

How is endovascular treatment performed?

 

The endovascular repair for the abdominal aortic aneurysm involves the insertion of a graft into the lumen of a blood vessel to remove the aneurysmal sac from the bloodstream.

The graft is delivered through the femoral arteries. Endovascular prosthetics is performed under X-ray guidance. The type and size of the prosthesis are selected individually depending on the location of the aneurysm. Infrarenal aneurysms are more common. In one out of three patients, they spread to the iliac arteries. To eliminate such aneurysms, endovascular bifurcation prosthetics with modular systems is used. The stent grafts consist of three modules: a bifurcated main body, which is placed in the aorta, and two leg modules, which are placed in the iliac arteries.

How is open surgical repair performed?

 

An open approach is used significantly less often for the treatment of abdominal aortic aneurysm in Germany. This can be transabdominal (through the abdomen) or retroperitoneal (through an incision in the lower back). The transabdominal approach is more commonly used. The retroperitoneal one is used only in patients with extensive scarring and adhesions as a result of a previous surgical procedure or a radiation.

When performing the operation, doctors clamp the aorta and place a graft (prosthesis). Straight tubular grafts are preferable to bifurcated grafts due to a less blood loss and a reduced operation time period.

To undergo your abdominal aortic aneurysm treatment in one of the German hospitals, you are welcome to use the services of the Booking Health company. On our website you can see the cost and make an appointment for your treatment at a favorable price. We will help you to find the best clinics in Germany and arrange your trip.

 

Authors: 

The article was edited by medical experts, board certified doctors Dr. Vadim Zhiliuk and Dr. Sergey Pashchenko. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!

 

Sources:

Centers for Disease Control and Prevention

MedicineNet

Sience Direct




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