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Treatment of Carotid Artery Stenosis

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 carotid artery disease (stenosis)
499.03
Transluminal angioplasty and stenting of carotid artery disease (stenosis)
8957.52
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
5368.25

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 carotid artery disease (stenosis)
2039.12
Transluminal angioplasty and stenting of carotid artery disease (stenosis)
17373.71
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
17170.13

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)
2567.38
Transluminal angioplasty and stenting of carotid artery disease (stenosis)
22242.93
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
22672.01

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 carotid artery disease (stenosis)
2184.23
Transluminal angioplasty and stenting of carotid artery disease (stenosis)
20153.88
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
20137.18

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)
1853.28
Transluminal angioplasty and stenting of carotid artery disease (stenosis)
15481.98
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
15352.53

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)
1836.58
Transluminal angioplasty and stenting of carotid artery disease (stenosis)
15569.68
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
15720.02

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 carotid artery disease (stenosis)
1884.6
Transluminal angioplasty and stenting of carotid artery disease (stenosis)
16355.81
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
16446.64

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)
1852.24
Transluminal angioplasty and stenting of carotid artery disease (stenosis)
15235.6
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
15699.14

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)
1675.8
Transluminal angioplasty and stenting of carotid artery disease (stenosis)
15172.96
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
13569.38

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 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)
2035.98
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
17205.63

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 carotid artery disease (stenosis)
2035.98
Transluminal angioplasty and stenting of carotid artery disease (stenosis)
17198.32
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
17090.79

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)
1951.42
Transluminal angioplasty and stenting of carotid artery disease (stenosis)
17440.53
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
17579.38

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)
1844.93
Transluminal angioplasty and stenting of carotid artery disease (stenosis)
15658.42
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
15815.02

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)
1844.93
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
15711.66

University Hospital Giessen UKGM

9.5/10
location_onGermany, Giessen

Department of Adult and Pediatric Cardiac Surgery, Vascular Surgery

The University Hospital Giessen UKGM positions itself as an ultramodern medical facility with outstanding quality of medical care. The hospital presents almost all areas of medicine, ranging from ophthalmology to traumatology and dentistry. The priorities of the hospital’s activities include surgery, neurosurgery, oncology
Diagnostic tests for carotid artery disease (stenosis)
1749.93
Transluminal angioplasty and stenting of carotid artery disease (stenosis)
14739.7
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
14825.31

University Hospital Saarland Homburg

9.8/10
location_onGermany, Homburg

Department of General and Abdominal Surgery, Hernia Surgery, Endocrine, Hepatopancreatobiliary, Colorectal, Bariatric, Vascular and Pediatric Surgery

The University Hospital Saarland Homburg 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 Saarland University. The hospital plays a leading role in
Diagnostic tests for carotid artery disease (stenosis)
1786.47
Transluminal angioplasty and stenting of carotid artery disease (stenosis)
15753.12 help13753.12
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
14566.4
| from Booking Health GmbH

Stenosis is a narrowing of a blood vessel. Carotid artery stenosis is considered one of the main causes of strokes and therefore requires treatment. You can get medical care for this disease abroad. Doctors in developed countries use not only surgical but also minimally invasive treatment procedures, which are performed from inside the blood vessels. Doctors restore patency of the carotid arteries to relieve symptoms and prevent a stroke. You can travel abroad to receive high-quality medical services. On the Booking Health website, you can find prices and choose a hospital.

Content

  1. Diagnostics
  2. Carotid endarterectomy
  3. Angioplasty and stenting
  4. Where to undergo treatment of carotid artery stenosis?

Diagnostics

 

Even hemodynamically significant vascular stenosis usually does not cause any symptoms. Patients undergo diagnostics after visiting a doctor for a recent stroke or a transient ischemic attack. It is manifested by slurred speech, weakness in the limbs, poor sight, or other neurological symptoms that usually disappear within a day.

The very first method for assessing the state of the carotid artery is duplex scanning of the carotid arteries. This is an ultrasound diagnostic method. The examination visualizes the vessels and measures blood flow velocity.

All patients who seek medical attention with neurologic symptoms have a brain CT scan to detect a possible stroke, if any.

When planning the treatment of carotid artery stenosis, more accurate diagnostics than ultrasound may be required. Doctors do contrast-enhanced X-ray scans (angiography), MRI, or CT scans. Whenever possible, CT and MRI scans are preferred, as these methods are safer. The imaging of the blood vessels does not require intra-arterial administration of a contrast agent as it can be administered intravenously.

During the diagnostics, doctors assess the severity of the stenosis. Depending on how passable the carotid artery is, stenosis can be:

  • mild, with artery constriction not exceeding 30%;
  • moderate, with artery constriction of up to 70%;
  • severe, with artery constriction by 70% or more. 

Based on the severity of vascular stenosis, doctors plan treatment tactics. Surgery may be required for stenosis causing a narrowing of more than 70%. For the rest of the patients, conservative therapy and medical supervision are sufficient.

Carotid endarterectomy

 

An endarterectomy is one of the most common operations in vascular surgery. It has been performed since the middle of the 20th century. The main goal of the surgical procedure is stroke prevention.

The brain is supplied with blood from the carotid artery by 85%. Approximately one third of all strokes are associated with stenosis of this blood vessel.

The essence of an endarterectomy is that doctors remove the inner layer of the carotid artery along with atherosclerotic plaques and blood clots. This results in the increase of the lumen of the blood vessel and the restoration of blood flow to the brain.

Carotid endarterectomy can be: 

  • classical; 
  • eversion. 

The classical operation involves dissecting the carotid artery along. A doctor will then remove blood clots and plaques and suture the blood vessel using a patch.

Eversion carotid endarterectomy involves dissecting the carotid artery across. Doctors turn the blood vessel inside out, remove blood clots and plaques, then turn the artery inside out again and suture the ends together. This technique is technically more difficult, but it reduces the risk of complications.

Angioplasty and stenting

 

If you receive medical care in one of the developed countries, there will be an option for minimally invasive treatment in addition to surgery. Balloon angioplasty with carotid stenting is performed through a small incision in the leg. The procedure is carried out from the inside of the blood vessels. As a result, the operation becomes less traumatic, does not require any long-term rehabilitation, and does not leave any noticeable scars. The integrity of the carotid artery is not violated since it does not have to be dissected and sutured.

Angioplasty involves the dilation of blood vessels with a balloon that inflates from the inside. It is injected into the stenosis site, after which a saline solution with a contrast agent is injected inside. As a result, the lumen of the carotid artery increases.

Stenting is done to prevent repeated narrowing. A stent, a frame that holds the lumen of the artery open, is placed in the stenosis area.

In the past, endovascular treatment was rarely performed because it increased the risk of a stroke compared to an open endarterectomy. But today, minimally invasive interventions are becoming a real alternative to classical surgery. New methods for the prevention of cerebral embolism have appeared. Doctors are now using new types of stents and protective devices, such as Emboshield filters, to prevent blood clots from appearing in the blood vessels and entering the cerebral arteries. Complications can be prevented with the help of medications.

Where to undergo treatment of carotid artery stenosis?

 

It is better to undergo your surgery or an endovascular procedure on time to get rid of the symptoms of the disease and reduce the risk of a stroke. You can undergo your treatment in one of the developed countries to expect the best results with a minimal risk of complications. With the help of the Booking Health service, you can find the cost of treatment and choose a clinic for your treatment abroad.

There are a few reasons for you to undergo your treatment abroad: 

  • high-precision diagnostics using modern equipment, which helps to optimally plan the surgical procedure;
  • doctors perform new modifications of an endarterectomy, which are less traumatic and safer;
  • leading foreign hospitals have state-of-the-art equipment; 
  • Vascular Surgery Centers in developed countries employ specialists who enjoy a high reputation all over the world;
  • surgeons perform not only surgery but also minimally invasive endovascular procedures, after which it is not necessary to recover for a long time;
  • special stents and embolism protection devices are used, which make endovascular treatment as safe as possible (now the risk of complications is not higher than with an open endarterectomy).

You are welcome to visit the Booking Health website to compare the cost of treatment in different hospitals and choose the most suitable option. Please leave your request on the website and our specialists will help you to make the right choice. When making your treatment appointment at a clinic through the Booking Health service, the cost of treatment will be lower due to the absence of additional fees for foreign patients.

 

Authors: 

The article was edited by medical experts, board-certified doctors Dr. Nadezhda Ivanisova and Dr. Vadim Zhiliuk. 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:

Johns Hopkins Medicine

NHS

Web MD




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