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Treatment of Carotid Artery Stenosis 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 carotid artery disease (stenosis)
478
Transluminal angioplasty and stenting of carotid artery disease (stenosis)
8580
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
5142

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 carotid artery disease (stenosis)
1805
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
15078

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)
15848
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
15653

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)
20512
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
20923

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)
2128
Transluminal angioplasty and stenting of carotid artery disease (stenosis)
18511
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
18495

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)
14036
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
13912

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)
13740
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
12204

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)
14120
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
14264

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)
1841
Transluminal angioplasty and stenting of carotid artery disease (stenosis)
14873
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
14960

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)
13800
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
14244

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)
1986
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
15687

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)
1986
Transluminal angioplasty and stenting of carotid artery disease (stenosis)
15680
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
15577

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)
15912
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
16045

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)
14205
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
14355

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
14256

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)
1712
Transluminal angioplasty and stenting of carotid artery disease (stenosis)
13325
Treatment of bilateral carotid artery stenosis by thromboendarterectomy
13407
| from Booking Health GmbH

Carotid stenosis is a narrowing of a blood vessel that is one of the causes of stroke. Stenosis develops due to atherosclerosis. Gradually, the walls of the blood vessels are covered with dense plaques from the inside that block blood flow. They are formed due to high blood pressure, high blood cholesterol levels, obesity, smoking, and low physical activity. The disease is constantly progressing and without treatment can lead to stroke. To prevent the development of this complication, doctors remove plaques and blood clots from the carotid artery or dilate the lumen of the blood vessel with a stent.

Content

  1. What is carotid artery stenosis?
  2. Surgical treatment
  3. Minimally invasive treatment

The treatment of carotid stenosis involves the use of open surgery and endovascular procedures. The open surgical intervention can be classic or eversion. In the case of classic endarterectomy, the vessel is cut lengthwise, cleaned of plaques, and sutured using a patch. When performing the eversion operation, the surgeon cuts the vessel crosswise, turns it inside out, cleans, and returns it to its site. Instead of open surgery in Germany, you can undergo a minimally invasive procedure: angioplasty or stenting.

You can undergo treatment at the University Hospital of the Ludwig Maximilian University of Munich, the Charite University Hospital Berlin, and the University Hospital in Frankfurt am Main.

Please leave your request on the Booking Health website, and we will select the most suitable clinic and doctor for you, help you collect medical documents and obtain a visa, arrange your flight, and provide the services of an interpreter and a personal medical coordinator.

What is carotid artery stenosis?

 

Carotid artery stenosis is a narrowing of this artery. It is the result of the formation of atherosclerotic plaques. Depending on the degree of the blood vessel narrowing, stenosis can be:

  • mild – up to 29%; 
  • moderate – 30-69%;
  • severe – 70% or more of the total lumen of the blood vessel is blocked by plaque. 

The brain is fed mainly from two arterial pools: 85% of the blood it receives comes from the carotid arteries, and another 15% from the vertebral arteries. Therefore, carotid artery stenosis increases the risk of developing stroke. To prevent it, doctors use drug therapy or perform surgery.

With mild to moderate stenosis, the patient receives only conservative therapy. Its effectiveness is comparable to surgery, so surgical tactics are usually not resorted to. Nonetheless, in cases of severe stenosis, as well as in patients who have suffered a stroke, surgical operation or endovascular procedure is performed to dilate the lumen of the artery.

Surgical treatment

 

The standard treatment for carotid stenosis is surgery to remove the inner layer of the blood vessel along with blood clots and atherosclerotic plaques. This intervention is called thromboendarterectomy.

The first successful operation was performed in 1953. It was performed by De Bakey on a patient with carotid artery thrombosis. Since 1954, this operation has been performed for carotid artery stenosis and has become the most commonly used treatment for this disease. The main goal of the intervention is to prevent stroke.

In 1985, they began to use eversion carotid endarterectomy instead of the classic one. The essence of the operation was to cut off the internal carotid artery at the site of its discharge from the common carotid artery. The doctor then turns the vessel inside out, like a stocking, removes the atherosclerotic plaque from the internal carotid artery, and connects the blood vessel to the same site.

Most surgical interventions are performed on patients who have already had a stroke. With this operation, doctors manage to prevent approximately 70% of cases of recurrent cerebrovascular accidents.

Today, endarterectomy has become one of the most frequent vascular interventions in the world. This is a safe surgical intervention. The risk of complications in the world is 5-7%, and in specialized centers, it is up to 2%. The most dangerous complications are strokes and transient ischemic attacks due to the formation of blood clots.

There are two options for the operation. These are as follows: 

  • A classic endarterectomy involves cutting the artery lengthwise, followed by repair of the defect with a patch;
  • A carotid endarterectomy is the dissection of the blood vessel crosswise, turning inside out, and then connecting to the same site. 

Eversion carotid endarterectomy is technically more complex and must be performed by experienced professionals. However, when performed correctly, this technique is safer.

Minimally invasive treatment

 

Transluminal angioplasty is a minimally invasive treatment option for carotid artery stenosis. The operation is performed through the blood vessels, without large incisions. In recent years, this type of treatment has become increasingly common. Previously, its disadvantage was considered a high risk of embolism and cerebrovascular accidents. However, the development of new technologies, the emergence of protective devices for the prevention of cerebral embolism, and the use of new antithrombotic drugs have increased the safety and improved outcomes of endovascular interventions.

Doctors perform the procedure through an incision in the leg or arm. They insert a balloon into the narrowed site and then inject a saline solution with a contrast agent into it. The balloon inflates and expands the artery. To avoid recurrent stenosis, the stent is placed on this site. The stent is a frame that keeps the blood vessel open.

In more than 90% of cases, carotid angioplasty with stenting is successful. In specialized centers, the procedure is successful in 97% of patients.

The most common complication is a decrease in blood pressure and a slowing of the heart rate in the postoperative period due to carotid sinus hypersensitivity. This is a reflexogenic zone within the carotid artery that controls blood circulation. The side effect is temporary. It is eliminated with medicines.

Angioplasty and stenting are performed not only as part of the primary treatment of patients. This procedure is also performed for those who have previously had an open thromboendarterectomy. A few years after this operation, recurrent stenosis may develop, requiring additional intervention. After the stent is placed in the artery of the previously operated patient, carotid sinus syndrome usually does not develop, which is associated with its denervation during the first operation.

Here is why it is worth undergoing this procedure in Germany:

  • the risk of stroke is not higher than after open surgery; 
  • the use of special filters, such as Emboshield, to prevent embolic complications;
  • the use of thin and flexible instruments that do not injure the walls of the blood vessels;
  • the use of drug-eluting stents to avoid the formation of blood clots;
  • some clinics have begun to use biological stents, which over time are replaced by the patient's own tissues.

To undergo diagnostics, treatment of carotid artery stenosis in Germany, and rehabilitation, you are welcome to use the Booking Health service. On the website, you can find out the cost of medical services. You can compare how much is the price for treatment in different clinics in Germany in order to book a medical care program at favorable prices. The specialists of the Booking Health company will help you choose the most suitable clinic and organize your trip.

 

Authors: 

The article was edited by medical experts, board certified doctors Dr. Nadezhda Ivanisova and Dr. Farrukh Ahmed. 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:

Verywell Health

Medscape

Healthline




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