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Major selection criteria for patients diagnosed with: Carotid artery stenosis

Carotid artery stenosis: Compare Costs for a treatment abroad

This page shows the best clinics for the treatment of "Carotid artery stenosis". Our rating of healthcare facilities is formed according to the official data on the quality of rendered services. You can contact us for help in choosing the clinic suitable for your medical case. Our service managers will contact the representatives of the chosen medical institution, reserve both hospital place and make a doctor's appointment for you. Also, we will accompany you at all stages of your treatment - from assistance in obtaining a visa to transfer from the clinic to the airport.

Age: 15 years or older
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University Hospital Cologne

9.8/10 from 82 Votes

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.

Treatment of bilateral carotid artery stenosis by thromboendarterectomy
10037
location_onCountry: Germany
location_searchingCity: Cologne

University Hospital Rechts der Isar of the Munich Technical University

10/10 from 70 Votes

The Rechts der Isar Hospital is the University Hospital of the Technical University of Munich. There is intensive cooperation between the research facilities of the TU and the hospital in numbers of areas.

Treatment of bilateral carotid artery stenosis by thromboendarterectomy
12132
location_onCountry: Germany
location_searchingCity: Munich

Academic Hospital Neuperlach Munich

9.8/10 from 11 Votes

The Neuperlach Clinic is a modern medical facility with a high level of service. The clinic has high-tech modern equipment, making it one of the best hospitals not only in Germany but also in Europe. There are comfortable single and double rooms with shower and toilet, TV, telephone and radio.

Treatment of bilateral carotid artery stenosis by thromboendarterectomy
9479
location_onCountry: Germany
location_searchingCity: Munich

St. Vincentius Clinic Karlsruhe

9.8/10 from 23 Votes

The St. Vincentius Clinic is the largest multidisciplinary medical institution and academiс hospital of the Albert Ludwig University of Freiburg. Treatment and diagnosis of patients is conducted by doctors with a scientific degree. They are introducing the latest progressive techniques.

Treatment of bilateral carotid artery stenosis by thromboendarterectomy
9475
location_onCountry: Germany
location_searchingCity: Karlsruhe

Academic Hospital Schwabing Munich

8.5/10 from 7 Votes

The Schwabing Clinic is a modern medical facility with a high level of service. The clinic has high-tech modern equipment, making it one of the best hospitals not only in Germany but also in Europe. There are comfortable single and double rooms with shower and toilet, TV, telephone and radio.

Treatment of bilateral carotid artery stenosis by thromboendarterectomy
10203
location_onCountry: Germany
location_searchingCity: Munich

University Hospital Frankfurt am Main

9.5/10 from 97 Votes

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.

Treatment of bilateral carotid artery stenosis by thromboendarterectomy
11942
location_onCountry: Germany
location_searchingCity: Frankfurt am Main

ATOS Fleetinsel Clinic Hamburg

10/10 from 23 Votes

The Fleetinsel Clinic Hamburg is one of the leading German clinics specializing in orthopedics and orthopedic surgery. Located on the historical Fleetinsel in Hamburg, the clinic is renowned for many years of experience and expertise. Spinal, joint and foot surgeries are the main orthopedic focuses for the clinic.

Treatment of bilateral carotid artery stenosis by thromboendarterectomy
17711
location_onCountry: Germany
location_searchingCity: Hamburg

Vivantes Neukölln Hospital Berlin

10/10 from 23 Votes

The Vivantes Neukölln Hospital is the maximum care hospital and one of the largest healthcare facilities in Berlin.   There are more than 20 specialized departments and centers, including pediatric departments. In total, the hospital has 1,200 beds.

Treatment of bilateral carotid artery stenosis by thromboendarterectomy
10680
location_onCountry: Germany
location_searchingCity: Berlin

Hannover Medical School

9.8/10 from 43 Votes

The Hannover Medical School (MHH) is one of the most efficient medical universities in Germany, treating more than 63,000 inpatients and 460,000 outpatients annually.

Treatment of bilateral carotid artery stenosis by thromboendarterectomy
10784
location_onCountry: Germany
location_searchingCity: Hannover
certificate

Marienhaus Hospital St. Elisabeth Neuwied

9.8/10 from 23 Votes

The Marienhaus Klinikum St. Elisabeth Neuwied has 13 Departments and is one of the largest hospitals in the north of Rhineland-Palatinate. With 429 beds, the Marienhaus Klinikum St.

Treatment of bilateral carotid artery stenosis by thromboendarterectomy
10149
location_onCountry: Germany
location_searchingCity: Neuwied

Rambam Health Care Campus Haifa

9.8/10 from 23 Votes

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.

Treatment of bilateral carotid artery stenosis by thromboendarterectomy
0.00
location_onCountry: Israel
location_searchingCity: Haifa

Hospital Waldbrol Oberberg

9.7/10 from 23 Votes

The Waldbröl District Hospital has the state-of-the-art medical equipment and is the certified Cancer Center. The key goal of the Hospital is to provide patients with a competent individual medical care and nursing.

Treatment of bilateral carotid artery stenosis by thromboendarterectomy
9197
location_onCountry: Germany
location_searchingCity: Waldbrоl

Vivantes Humboldt Hospital Berlin

9.7/10 from 23 Votes

An academic clinic of the university medical complex Charité, the Vivantes Humboldt Hospital is one of the largest specialized medical institutions in Berlin.

Treatment of bilateral carotid artery stenosis by thromboendarterectomy
10672
location_onCountry: Germany
location_searchingCity: Berlin

Vivantes Am Urban Hospital Berlin

9.7/10 from 23 Votes

The Vivantes Am Urban Hospital is an academic clinic at the Charité University Hospital. Many departments of the hospital are recognized for their outstanding medical and patient care services.

Treatment of bilateral carotid artery stenosis by thromboendarterectomy
10884
location_onCountry: Germany
location_searchingCity: Berlin

Vivantes Auguste-Viktoria Hospital Berlin

9.7/10 from 23 Votes

The Vivantes Auguste-Victoria Hospital, has special expertise and received international recognition in the field of Urology, especially in the treatment of prostate cancer and also Oncology, Neurology, Cardiology and other directions.

Treatment of bilateral carotid artery stenosis by thromboendarterectomy
10766
location_onCountry: Germany
location_searchingCity: Berlin

University Hospital Halle (Saale)

9.6/10 from 78 Votes

The University Hospital of Halle (Saale), abbreviated as UHH, combines modern medical institutions in a university rich in traditions.

Treatment of bilateral carotid artery stenosis by thromboendarterectomy
10636
location_onCountry: Germany
location_searchingCity: Halle
certificate

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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