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Extracranial Carotid Artery Aneurysm Treatment in Germany - Best Hospitals, Doctors, Prices - Booking Health

Treatment of Extracranial Carotid Artery Aneurysm in Germany

Extracranial carotid artery aneurysm Treatment in Germany | Information about hospitals and doctors | Rankings | Clinics | Prices | Send request to the hospital

Best hospitals and doctors for extracranial carotid artery aneurysm treatment in Germany

Leading hospitals

Cost for treatment

Diagnostic tests for carotid artery aneurysm
2531
Open repair of carotid artery aneurysm
14214.57
Transluminal angioplasty and stenting of carotid artery aneurysm
14748.12
General therapeutic rehabilitation
0.00
St. Franziskus-Hospital Muenster
Germany, Muenster

St. Franziskus-Hospital Muenster

Overall rating10 / 10
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
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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
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Charite University Hospital Berlin
Germany, Berlin

Charite University Hospital Berlin

Overall rating9 / 10
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
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University Hospital Carl Gustav Carus Dresden
Germany, Dresden

University Hospital Carl Gustav Carus Dresden

Overall rating9.1 / 10
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
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University Hospital Frankfurt am Main
Germany, Frankfurt am Main

University Hospital Frankfurt am Main

Overall rating10 / 10
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
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University Hospital Halle (Saale)
Germany, Halle

University Hospital Halle (Saale)

Overall rating9.6 / 10
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
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University Hospital Heidelberg
Germany, Heidelberg

University Hospital Heidelberg

Overall rating9.8 / 10
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
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University Hospital Würzburg
Germany, Würzburg

University Hospital Würzburg

Overall rating9.2 / 10
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
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University Hospital Jena
Germany, Jena

University Hospital Jena

Overall rating8.9 / 10
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
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University Hospital Erlangen
Germany, Erlangen

University Hospital Erlangen

Overall rating9.1 / 10
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
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University Hospital Bonn
Germany, Bonn

University Hospital Bonn

Overall rating9.2 / 10
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
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University Hospital Rechts der Isar Munich
Germany, Munich

University Hospital Rechts der Isar Munich

Overall rating9.8 / 10
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
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University Hospital Duesseldorf
Germany, Duesseldorf

University Hospital Duesseldorf

Overall rating9.5 / 10
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
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University Hospital Muenster
Germany, Muenster

University Hospital Muenster

Overall rating9.8 / 10
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
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University Hospital Essen
Germany, Essen

University Hospital Essen

Overall rating9.6 / 10
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
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University Hospital Giessen UKGM
Germany, Giessen

University Hospital Giessen UKGM

Overall rating9.5 / 10
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
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| from Booking Health GmbH

An aneurysm is a localized dilation of the blood vessel wall. This disease causes the formation of a "sac" in which blood clots can accumulate. Even if the aneurysm causes no symptoms, it still needs to be treated to avoid life-threatening complications. Doctors in Germany treat the disease not only with surgery, but also with minimally invasive endovascular techniques.

Content

  1. Why is an aneurysm dangerous?
  2. How can an aneurysm be treated in Germany?
  3. Where to undergo treatment?

Depending on the type of the aneurysm, the disease is treated with an open surgical or endovascular technique.

You can undergo your treatment in one of the following hospitals: University Hospital of Ludwig Maximilian University of Munich, Charite University Hospital Berlin, or University Hospital Frankfurt am Main.

You do not have to organize your trip yourself because the Booking Health company will take care of this. The company's specialists will select a clinic and a doctor, make an appointment without a long wait, help you to get a visa, arrange flights and the accommodation for your recovery period after surgery, provide interpreting services, and help with any questions that may arise.

Why is an aneurysm dangerous?

 

An extracranial carotid artery aneurysm is rare: it accounts for less than 1% of all peripheral arterial aneurysms. This disease refers to an increased diameter of the blood vessel by more than 150% of the size of a normal artery.

Atherosclerosis is believed to be the main cause of aneurysm development. Aneurysms are less commonly caused by injuries and infections, as well as rarely occurring as complications after a carotid endarterectomy. Some congenital disorders, such as fibromuscular dysplasia, increase the chance of developing aneurysms.

As a rule, the disease proceeds without any symptoms. However, 50% of untreated patients experience complications, the main one being a stroke. At the site of ​​the aneurysm, blood clots are formed, which then enter the blood vessels of the brain and clog them. The part of the brain deprived of blood supply dies if the patient does not receive emergency medical care (blood clot dissolution or removal) within a few hours. Other less common complications include adjacent cranial nerve compression (the main cause of symptoms) and bleeding due to ruptured blood vessels.

The main goal of treatment for this disease is the prevention of a stroke. At the time of surgery, approximately 20% of patients already have blood clots in their aneurysmal sac.

How can an aneurysm be treated in Germany?

 

The treatment of extracranial carotid artery aneurysm in Germany can be carried out with the use of the following three methods:

  • conservative therapy; 
  • endovascular treatment (a transluminal angioplasty); 
  • surgical treatment (an open "repair"). 

Conservative therapy

 

Conservative therapy involves the use of anticoagulants and antiplatelet drugs. These medications do not lead to the disappearance of the aneurysm, but reduce the risk of blood clots, which prevents a stroke. Anticoagulants can dissolve the blood clots that have already accumulated in the aneurysmal sac. Nonetheless, conservative therapy does not solve the actual problem. This type of treatment only reduces the risk of thrombosis, but does not completely eliminate it. In addition, medications have to be taken constantly, but if patients stop taking them, blood clots will develop again.

Some aneurysms can be caused by fungal infections. Such patients receive antimycotic therapy. This is not the only treatment, but it complements the surgical intervention to eliminate the aneurysm.

Surgical treatment

 

An open surgical intervention is considered the "gold standard" for treating extracranial carotid artery aneurysms. The doctors remove the damaged part of the blood vessel and reconstruct the artery. It is possible to form a shunt: a new blood flow path, which is created from an artificial prosthesis or the patient's own vein.

Despite the options available of minimally invasive endovascular procedures for the treatment of extracranial carotid artery aneurysms, open surgery remains the most common option. It is the first-choice technique for true aneurysms (formed due to atherosclerosis), especially in the presence of blood clots. If there are several blood clots present, then during an endovascular procedure, one of them could enter the blood vessels of the brain, clog the artery, and cause a stroke.

Another advantage of surgical treatment of an aneurysm, is the rapid resolution of symptoms. They can be associated with an increase in the size of the aneurysm or a compression of the surrounding tissues and cranial nerves. After the completion of an endovascular treatment, the symptoms are also relieved, due to the gradual remodeling of the aneurysmal sac, but this happens slowly.

Endovascular treatment

 

An endovascular procedure is performed through an incision on the leg, from inside the blood vessels. The doctors use a contrast agent and X-ray guidance to visualize their actions. They insert a stent into the extracranial carotid artery, which delimits the aneurysm, thereby creating a "bridge" between two healthy sections of the carotid artery. In recent years, there has been a trend towards the increase of the number of endovascular interventions compared to open surgery. However, so far, minimally invasive procedures have not completely replaced conventional surgery. They account for only a third of surgical interventions for extracranial carotid artery aneurysms. The patients with the following conditions are considered the most suitable candidates for endovascular treatment:

  • a pseudoaneurysm of traumatic origin; 
  • a spontaneous carotid artery dissection;
  • an aneurysm after a carotid endarterectomy. 

However, indications for endovascular treatment are gradually expanding. Increasingly, the procedure is performed for true aneurysms. The use of carotid shunts and brain protection devices during the endovascular procedure can prevent blood clots from entering the cerebral arteries.

Hybrid interventions

 

Approximately 5% of patients in Germany have extracranial carotid artery aneurysms which are treated with the hybrid technique. The doctors combine open surgery and endovascular interventions. As a result, this operation is closer to the endovascular method than the open one. It combines the isolation of the proximal common carotid artery with endovascular stenting. In these cases, the aneurysm resection is not performed and the artery is not opened. The main therapeutic effect is achieved precisely, through stenting.

Where to undergo treatment?

 

You can undergo your treatment of extracranial carotid artery aneurysm in Germany. There are a few reasons for you to go to this country:

  • high-precision diagnostics, which allows doctors to determine the cause of the development and the type of aneurysm, as well as to choose the best treatment option;
  • the ability to cure the aneurysm with the use of a minimally invasive endovascular procedure instead of open surgery;
  • the use of brain protection systems to prevent a stroke; 
  • a low risk of cranial nerve damage; 
  • in most patients, the aneurysm is cured once and for all; future operations and endovascular procedures will not be required;
  • a full rehabilitation after surgery, quality care, and symptomatic treatment.

On the Booking Health website you can see the cost of treatment in different Vascular Surgery Centers, compare prices, and make an appointment for your treatment. We will help you to choose the most suitable hospitals and organize your trip to one of the clinics in Germany.

 

Authors: 

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

Centers for Disease Control and Prevention

MedicineNet

Sience Direct