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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  478
Transluminal angioplasty and stenting of carotid artery disease (stenosis)
 from  8317
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
 from  5142

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)
16448
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
16253

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of General, Abdominal and Vascular Surgery

Being the medical school for both Humboldt University and Free University of Berlin and having a long experience, the Charite Hospital has gained wide recognition. It is regarded as one of the most research-intensive medical facilities in Germany and the largest university medical center in Europe. With more than 100 c
Diagnostic tests for carotid artery disease (stenosis)
2495
Transluminal angioplasty and stenting of carotid artery disease (stenosis)
21112
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
21523

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)
783
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
8291

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)
1694 help1454
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
16113 help14513

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
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
19095

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of General, Abdominal and Vascular Surgery

The University Hospital Jena is a multidisciplinary medical faicility with a long history, 26 specialized departments and 25 research institutes. There are annually treated about 420,000 outpatients and 52,000 inpatients. The medical staff of the hospital is comprised of about 4,800 health workers. The hospital has high qua
Diagnostic tests for carotid artery disease (stenosis)
1641
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
12804

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Vascular Surgery

University Hospital Erlangen is one of the leading university hospitals in Bavaria and offers advanced medicine, characterized by a tight integration of patient care with university research and teaching. It pursues a very innovative concept. The research results in Erlangen set new standards in the prevention, diagnosis and tre
Diagnostic tests for carotid artery disease (stenosis)
1814
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
14752

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of General, Visceral, Vascular and Endocrine Surgery

The University Hospital of Halle (Saale), abbreviated as UHH, combines modern medical institutions in a university rich in traditions. As the largest provider of health care services in the southern part of Saxony-Anhalt, the University Hospital has a wide range of specialized departments and institutions and ensures top-class m
Diagnostic tests for carotid artery disease (stenosis)
1795
Transluminal angioplasty and stenting of carotid artery disease (stenosis)
14720
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
14864

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)
14400
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
14844

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 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)
16512
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
16645

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Adult and Pediatric Vascular, Endovascular Surgery

Founded in 1834, the University Hospital Rechts der Isar Munich combines long traditions and the very latest achievements of modern medicine, thanks to which it belongs to Germany's leading hospitals. The medical facility includes 33 specialized departments, 20 interdisciplinary centers, in which patients are provided with f
Diagnostic tests for carotid artery disease (stenosis)
1986
Transluminal angioplasty and stenting of carotid artery disease (stenosis)
16280
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
16177

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of Vascular and Endovascular Surgery

The University Hospital Muenster is one of the most respected multi-field medical centers in Germany. It consists of more than 30 departments and numerous research institutes and centers. Every year over 58,000 inpatients are treated here and nearly 475,000 patients receive medical care on the outpatient basis. Highly profession
Diagnostic tests for carotid artery disease (stenosis)
1803
Transluminal angioplasty and stenting of carotid artery disease (stenosis)
14805
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
14955

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Vascular and Endovascular Surgery

The University Hospital Frankfurt is part of the Johann Wolfgang Goethe University Frankfurt am Main. The hospital was founded in 1914 and today it is a famous German medical institution with rich traditions. The hospital treats about 49,000 inpatients and 220,000 outpatients every year. The main objective of 32 specia
Diagnostic tests for carotid artery disease (stenosis)
1811
Transluminal angioplasty and stenting of carotid artery disease (stenosis)
14636
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
14512

University Hospital Cologne

9.5/10
location_onGermany, Cologne

Department of Vascular Surgery

The University Hospital Cologne is included in the Focus magazine rating of top German hospitals 2017 and offers patients first-class medical care meeting the latest medical advancements. Both doctors and researchers of the hospital are constantly searching for new techniques in the field of diagnosis and treatmen
Diagnostic tests for carotid artery disease (stenosis)
1821
Transluminal angioplasty and stenting of carotid artery disease (stenosis)
14402
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
14813

University Hospital Giessen UKGM

9.5/10
location_onGermany, Giessen

Department of Cardiac Surgery, Pediatric Cardiac Surgery and Vascular Surgery

The University Hospital Giessen and Marburg (UKGM) offers medical care, modern diagnosis and comprehensive treatment at the modern international level. As a maximum care hospital, the UKGM covers the entire spectrum of modern medicine ranging from ophthalmology up to trauma surgery and dentistry. The hospital mainly focuses on s
Diagnostic tests for carotid artery disease (stenosis)
1712
Transluminal angioplasty and stenting of carotid artery disease (stenosis)
13925
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
14007

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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