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Treatment of Carotid Artery Stenosis

➤Carotid artery stenosis ✔ Information about hospitals and doctors ★ Rankings ✔ Reviews $ Prices ✉ Send request to the hospital

Best hospitals and doctors for carotid artery stenosis treatment abroad

The selection of doctors and clinics is carried out on the basis of annual qualification reports. The main selection criterion is the number of operations or procedures performed. It takes into account experience, reputation in the medical society, the availability of quality certificates and high specialization in a certain field.

Cost for treatment

Diagnostic tests for carotid artery disease (stenosis)
 from  1328
Transluminal angioplasty and stenting of carotid artery disease (stenosis)
 from  10160
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
 from  8542

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 carotid artery disease (stenosis)
1989
Transluminal angioplasty and stenting of carotid artery disease (stenosis)
15348
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
15153

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 carotid artery disease (stenosis)
2495
Transluminal angioplasty and stenting of carotid artery disease (stenosis)
20012
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
20423

Samsung Medical Center Seoul

9.8/10
location_onSouth Korea, Seoul

Department of Adult and Pediatric General Surgery

The Samsung Medical Center was founded in 1994 and soon won the reputation of a medical facility of presidential standards, which it still preserves today. The hospital has 40 departments, 10 specialized centers and a huge Cancer Center with 655 beds. The medical facility is equipped with advanced equipment (for example, a 32-ch
Diagnostic tests for carotid artery disease (stenosis)
1644
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
12004

Rambam Health Care Campus Haifa

9.8/10
location_onIsrael, Haifa

Department of Vascular Surgery

Rambam Health Care Campus is the largest and the most advanced hospital in Northern Israel. Founded in 1938, the medical center has a long history and a rich experience in providing comprehensive medical services in all medical specialties. Ramdam serves over 2 million residents of the country, as well as the Israel Defense Forc
Diagnostic tests for carotid artery disease (stenosis)
2123 help1883
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
16593 help14993

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department of Abdominal, Thoracic and Vascular Surgery

According to the prestigious Focus magazine, the University Hospital Carl Gustav Carus Dresden is among the top three hospitals in Germany! The hospital is the embodiment of the standards of modern high-quality medicine. Since the hospital positions itself as a maximum care medical facility, it represents all medical fields. The
Diagnostic tests for carotid artery disease (stenosis)
2128
Transluminal angioplasty and stenting of carotid artery disease (stenosis)
18011
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
17995

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 carotid artery disease (stenosis)
1641
Transluminal angioplasty and stenting of carotid artery disease (stenosis)
13240
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
11704

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Vascular Surgery

According to the Focus magazine, the University Hospital Erlangen ranks among the top German medical facilities! The hospital is one of the leading medical facilities in Bavaria and offers the highest level of medical care, which is characterized by the close intertwining of clinical activities with research and training of medi
Diagnostic tests for carotid artery disease (stenosis)
1841
Transluminal angioplasty and stenting of carotid artery disease (stenosis)
14373
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
14460

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 carotid artery disease (stenosis)
1795
Transluminal angioplasty and stenting of carotid artery disease (stenosis)
13620
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
13764

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 carotid artery disease (stenosis)
1810
Transluminal angioplasty and stenting of carotid artery disease (stenosis)
13300
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
13744

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Vascular and Endovascular Surgery

According to the 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 field
Diagnostic tests for carotid artery disease (stenosis)
0
Transluminal angioplasty and stenting of carotid artery disease (stenosis)
0
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
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 carotid artery disease (stenosis)
1986
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
15187

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 carotid artery disease (stenosis)
1905
Transluminal angioplasty and stenting of carotid artery disease (stenosis)
15412
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
15545

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Adult and Pediatric Vascular, Endovascular Surgery

According to the prestigious FOCUS magazine, the University Hospital Rechts der Isar Munich ranks among the Germany's top medical institutions! Founded in 1834, the hospital combines long traditions and the very latest achievements of modern medicine. The medical facility includes 33 specialized departments, 20 interdiscipli
Diagnostic tests for carotid artery disease (stenosis)
1986
Transluminal angioplasty and stenting of carotid artery disease (stenosis)
15180
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
15077

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 carotid artery disease (stenosis)
1811
Transluminal angioplasty and stenting of carotid artery disease (stenosis)
13536
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
13412

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 carotid artery disease (stenosis)
1803
Transluminal angioplasty and stenting of carotid artery disease (stenosis)
13705
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
13855

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 carotid artery disease (stenosis)
1803
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
13756

About the disease

Carotid artery stenosis is a narrowing of neck artery which carries blood to brain. In most cases carotid artery stenosis develops as a result of atherosclerosis. Atherosclerosis is an extremely complex degenerative disease. Scientists do not know the cause of atherosclerosis, however, they are aware of many components that contribute to growth of atherosclerotic lesions. It is mostly believed that atherosclerosis develops because of injury of arterial wall. Factors that contribute to arterial wall injury include mechanical traumas, hypertension, and low elasticity of the wall. Also nicotine and other harmful chemicals can provoke development of atherosclerosis. Typically carotid stenosis develops few years later after coronary artery was damaged. Carotid artery stenosis can also occur because of plaques, which are fatty deposits that accumulate in artery. Patients who have artery stenosis must always beware of stroke risk, because this is most common death cause in the world. Stroke happens when there is not sufficient supply of blood and oxygen to brain cells. Stenosis of carotid, which blocks supply of blood to the brain by 50-60%, can contribute to emergence of stroke. According to News.Medical, which is a medical magazine, approximately 25% of all strokes are caused by this disease. 

As it was mentioned above, carotid stenosis in most cases is caused by atherosclerosis, which is accumulating of plaques in artery. Basically, such fat deposits appear because of unhealthy lifestyle and excessive body weight. Stenosis can also be caused by tobacco consumption when clots form in artery because of nicotine and its harmful effects on body. If a person has troubles sleeping at night, if he suddenly wakes up and experiences shortness of breath, it can be a sign of sleep apnea, which is another cause of artery stenosis. It happens because during sleep apnea a person usually sits and pushes his head up very suddenly, that's why there could be a microscopic damage to carotid artery, which can later grow into clots. Some surgeries on neck or face can also contribute to development of stenosis. If a person never exercises, his muscles become stiff. It happens especially if he works at office where he sits the whole day without moving his neck. Such constant stiffness of neck can contribute to appearance of plaques which would decrease amount of blood transferred to the brain. A person who has sedentary lifestyle is usually advised to move his neck in both sides and rotate his head as often as possible. Neck massage and swimming can also be a good solution.

Factors that increase risk of carotid artery stenosis include:

  • Family history
  • Age. Risk of developing carotid artery stenosis increases with age, particularly after 75 years of age
  • Tobacco consumption
  • High blood pressure
  • Diabetes
  • Excessive weight
  • Sedentary lifestyle

Symptoms

Transient ischemic attack (called "mini-stroke") is the most common symptom of carotid stenosis. Transient ischemic attacks occur when "clot" blocks for a short time an artery which is supplying blood to brain. Other symptoms can occur suddenly and last for several minutes or even hours. Those are:

  • Sudden loss of vision, which can occur in one or both eyes
  • Weakness or numbness in face, leg or hand
  • Slurred speech
  • Difficulty comprehending what others are saying or questioning
  • Torpor
  • Severe headache
  • Loss of balance and coordination
  • Dizziness
  • Confusion
  • Difficulty and pain during swallowing

Transient attack is medical emergency, as it is impossible to predict whether it is ischemic stroke or carotid artery stenosis.

Diagnosis

  • Diagnostic tests mainly include Doppler ultrasound of neck vessels to investigate if vessels are narrowed.  Angiography of carotid arteries injects catheter into arm or leg to assess carotid artery. This method determines degree of narrowing or blockage of carotid artery to determine risk of stroke and assess need for further treatment. Magnetic angiography (MRA) is also an effective imaging technique, which uses magnetic radio waves to provide an image of carotid arteries. This method may also provide important information about degree of stenosis.
  • Computed tomography (CT scan of the brain) may be performed if there is suspicion of stroke or transient attack. This test may identify areas, where there was damage in the brain.
  • Computed tomography angiography is method, which uses advanced CT technology to produce 3D images of carotid artery with high resolution.

Treatment

  • Transluminal angioplasty and stenting are used if there is high risk of stroke. Angioplasty and stenting is performed without general anesthesia and in this case sedation is used. During this procedure balloon catheter is inserted into a blood vessel. Once in carotid artery, balloon is inflated for several seconds to open and expand artery. During stenting instead of balloon doctors use a stent (small mesh tube) corresponding with the size of the artery. Stent stays in artery permanently to prevent narrowing in future. Studies have shown that carotid stenting is more safe and effective than carotid angioplasty.
  • Thromboendarterectomy is a traditional carotid artery stenosis surgery. This procedure is recommended for patients with stenosis level of 50 percent or more. Carotid endarterectomy can be generally performed under anesthesia with intravenous sedation. During surgery, a doctor makes an incision in neck to remove clots if they are there and to restore blood flow to brain.



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