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Treatment of Extracranial Carotid Artery Aneurysm 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 aneurysm
547
Open repair of carotid artery aneurysm
5601
Transluminal angioplasty and stenting of carotid artery aneurysm
13160

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 aneurysm
1909
Open repair of carotid artery aneurysm
15503

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 aneurysm
2130
Open repair of carotid artery aneurysm
16880
Transluminal angioplasty and stenting of carotid artery aneurysm
23958

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 aneurysm
2598
Open repair of carotid artery aneurysm
21975
Transluminal angioplasty and stenting of carotid artery aneurysm
31745

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 aneurysm
2285
Open repair of carotid artery aneurysm
19380
Transluminal angioplasty and stenting of carotid artery aneurysm
28122

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 aneurysm
1912
Open repair of carotid artery aneurysm
14829
Transluminal angioplasty and stenting of carotid artery aneurysm
21200

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 aneurysm
1722
Open repair of carotid artery aneurysm
13011
Transluminal angioplasty and stenting of carotid artery aneurysm
21462

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 aneurysm
1863
Open repair of carotid artery aneurysm
14962
Transluminal angioplasty and stenting of carotid artery aneurysm
21492

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 aneurysm
0
Open repair of carotid artery aneurysm
0
Transluminal angioplasty and stenting of carotid artery aneurysm
0

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 aneurysm
1821
Open repair of carotid artery aneurysm
14709
Transluminal angioplasty and stenting of carotid artery aneurysm
21441

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 aneurysm
2103
Open repair of carotid artery aneurysm
15537
Transluminal angioplasty and stenting of carotid artery aneurysm
22871

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 aneurysm
2015
Open repair of carotid artery aneurysm
16490

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 aneurysm
2035
Open repair of carotid artery aneurysm
16634
Transluminal angioplasty and stenting of carotid artery aneurysm
23869

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 aneurysm
2116
Open repair of carotid artery aneurysm
16386
Transluminal angioplasty and stenting of carotid artery aneurysm
24110

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 aneurysm
1898
Open repair of carotid artery aneurysm
15069
Transluminal angioplasty and stenting of carotid artery aneurysm
21785

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 aneurysm
1907
Open repair of carotid artery aneurysm
14929

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 aneurysm
1849
Open repair of carotid artery aneurysm
13909
Transluminal angioplasty and stenting of carotid artery aneurysm
20334
| 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 be accumulated. 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 the 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 accommodation for the 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 a normal artery.

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

As a rule, the disease proceeds without any symptoms. However, 50% of untreated patients experience complications, the main of which is a stroke. In 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 the ruptured blood vessels.

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

How can the 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 the stroke. Anticoagulants can dissolve the blood clots that have already accumulated in the aneurysmal sac. Nonetheless, conservative therapy does not solve the 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 after stopping their use, 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 only 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 advent 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 many of them, then during the endovascular procedure, one of the blood clots can enter the blood vessels of the brain, clog the artery and cause the stroke.

Another advantage of the surgical treatment of the aneurysm is a rapid resolution of symptoms. They may be associated with an increase in the size of the aneurysm, a compression of the surrounding tissues and cranial nerves. After the completion of the 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 an increase in 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 the 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 treated with the hybrid technique. The doctors combine open surgery and endovascular interventions. As a result, this operation is closer to the endovascular than the open one. It combines the isolation of the proximal common carotid artery with endovascular stenting. In this case, 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 to determine the cause of the development and a type of the 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 the stroke; 
  • a low risk of cranial nerve damages; 
  • in most patients, the aneurysm is cured once and for all; in the future, other 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




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