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Treatment of Internal Carotid Artery (ICA) 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 internal carotid artery aneurysm
533
Transluminal embolisation of internal carotid artery aneurysm
17389
Open repair of internal carotid artery aneurysm
11250

Beta Klinik Bonn

9.7/10
location_onGermany, Bonn

Department of Neurosurgery and Interventional Neuroradiology

Beta Klinik is a modern hospital which consists of 30 specialized departments. The hospital is equipped with the state-of-the-art equipment of the university level. The operating rooms, an intensive care unit and the rehabilitation center correspond to the highest standards. It also concerns highly qualified physicians of the ho
Diagnostic tests for internal carotid artery aneurysm
2081
Open repair of internal carotid artery aneurysm
32189

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Adult and Pediatric Neurosurgery

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 internal carotid artery aneurysm
2533
Transluminal embolisation of internal carotid artery aneurysm
33900
Open repair of internal carotid artery aneurysm
43205

University Hospital Freiburg

9.7/10
location_onGermany, Freibung

Department of Adult and Pediatric Neurosurgery

The University Hospital Freiburg is famous for its rich history and is one of the oldest and most prestigious medical facilities in Germany (one of the three best medical institutions in the country). The hospital was based on the Faculty of Medicine of the Albert Ludwig University of Freiburg, which celebrated its 550th anniver
Diagnostic tests for internal carotid artery aneurysm
2015
Transluminal embolisation of internal carotid artery aneurysm
25931
Open repair of internal carotid artery aneurysm
31883

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Adult and Pediatric Neurosurgery

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 internal carotid artery aneurysm
1863
Open repair of internal carotid artery aneurysm
28564

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Adult and Pediatric Neurosurgery

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 internal carotid artery aneurysm
1889
Transluminal embolisation of internal carotid artery aneurysm
22522
Open repair of internal carotid artery aneurysm
28599

University Hospital Bonn

9.2/10
location_onGermany, Bonn

Department of Neurosurgery

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 internal carotid artery aneurysm
2144
Open repair of internal carotid artery aneurysm
32181

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department of Adult and Pediatric Neurosurgery, Epilepsy Surgery, Spinal 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 internal carotid artery aneurysm
2408
Transluminal embolisation of internal carotid artery aneurysm
29747
Open repair of internal carotid artery aneurysm
37894

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Adult and Pediatric Neurosurgery, Spinal 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 internal carotid artery aneurysm
1913
Transluminal embolisation of internal carotid artery aneurysm
24000
Open repair of internal carotid artery aneurysm
30436

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of Adult and Pediatric Neurosurgery

According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care
Diagnostic tests for internal carotid artery aneurysm
2381
Open repair of internal carotid artery aneurysm
37813

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of Neurosurgery

The University Hospital Ulm started its activities 35 years ago and during this time it has become one of the most prestigious medical institutions in Europe. The hospital is famous for its numerous discoveries and the world-class achievements in medicine and pharmaceuticals. The medical facility has 29 specialized departments a
Diagnostic tests for internal carotid artery aneurysm
1923
Transluminal embolisation of internal carotid artery aneurysm
24170
Open repair of internal carotid artery aneurysm
29960

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Adult and Pediatric Neurosurgery

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 internal carotid artery aneurysm
0
Transluminal embolisation of internal carotid artery aneurysm
0
Open repair of internal carotid artery aneurysm
0

University Hospital Essen

9.6/10
location_onGermany, Essen

Department of Adult and Pediatric Neurosurgery

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 internal carotid artery aneurysm
1938
Open repair of internal carotid artery aneurysm
28594

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of Adult and Pediatric Neurosurgery

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 internal carotid artery aneurysm
2154
Transluminal embolisation of internal carotid artery aneurysm
23048
Open repair of internal carotid artery aneurysm
31953

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of Neurosurgery

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 internal carotid artery aneurysm
1895
Open repair of internal carotid artery aneurysm
28391

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

Department of Adult and Pediatric Neurosurgery

The University Hospital Marburg UKGM offers patients modern diagnostics and comprehensive therapy at the international level. As a maximum care hospital, the medical facility specializes in all fields of modern medicine ranging from ophthalmology to traumatology and dentistry. The main areas of specialization of the hospital are
Diagnostic tests for internal carotid artery aneurysm
1821
Open repair of internal carotid artery aneurysm
26166

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Adult and Pediatric Neurosurgery, Spinal 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 internal carotid artery aneurysm
2167
Transluminal embolisation of internal carotid artery aneurysm
25589
Open repair of internal carotid artery aneurysm
31812
| from Booking Health GmbH

An internal carotid artery aneurysm is a bulging in the area of ​​the corresponding blood vessel. This is a dangerous disease, since if the aneurysm ruptures, it can lead to a subarachnoid hemorrhage, and if blood clots form, there is a risk of an ischemic stroke. Large aneurysms cause symptoms by compressing brain tissue. Timely treatment can prevent complications and eliminate neurological symptoms. You can undergo treatment of internal carotid artery aneurysm in Germany. This country gives preference to minimally invasive endovascular treatment, which is successfully used even for complex aneurysms.

Content

  1. Surgical treatment
  2. Endovascular treatment
  3. Minimally invasive treatment of complex aneurysms

To treat the disease, doctors in Germany perform open surgery and minimally invasive endovascular procedures. Hybrid interventions can sometimes be used: a combination of open and endovascular techniques.

You can undergo your treatment in one of the following hospitals: Beta Klinik Bonn, Charite University Hospital Berlin, or University Hospital Freiburg.

You are kindly welcome to contact the Booking Health specialists and they will fully arrange your trip. They will select a clinic and an attending physician, make an appointment for your treatment on the most suitable dates, help you to apply for a visa and get to the clinic, take care of your postoperative recovery in comfortable conditions, provide interpreting services and translate your medical records. You can contact Booking Health for any question regarding treatment in Germany.

Surgical treatment

 

In Germany, open surgical treatment for the ICA aneurysms is used less and less frequently, as doctors resort to endovascular interventions, if possible. However, in some cases, surgery is indispensable. The surgical treatment is often used for multiple, large and complicated aneurysms. An "open repair" of the blood vessel provides patients with reliable long-term results.

Microsurgical treatment options include:

  • a ligation of the internal carotid artery;
  • an imposition of an extra-intracranial anastomosis (the formation of an additional blood flow bypass between the intracranial and extracranial parts of the artery);
  • aneurysm clipping (clamping its neck with a clip to eliminate it from the bloodstream);
  • a trapping procedure is a type of clipping, in which the clips are applied not on the aneurysm, but at a distance from it, so that blood no longer enters this part of the blood vessel.

A direct aneurysm clipping with the resection of the aneurysmal sac can be used for a gigantic size of the neoplasm, which has a large volume, compresses the adjacent tissues and causes severe neurological symptoms.

Sometimes the problematic site of ​​the blood vessel can simply be closed without affecting a cerebral blood flow. This is possible in the case of an adequate collateral (bypass) circulation. To check whether the remaining arteries are able to deliver enough blood to the brain, doctors perform preoperative diagnostics using CT, MRI, or PET scans, and during surgery, a balloon occlusion test (atrial occlusion of the internal carotid artery with a balloon) can be performed. If the collateral blood flow is insufficient, it is necessary to form anastomoses, which are additional blood vessels that connect two healthy sections of the carotid artery.

Endovascular treatment

 

To make the intervention less traumatic and safer, to reduce a period of hospitalization and rehabilitation, doctors in Germany perform endovascular procedures. They allow the specialists to eliminate the aneurysm from the bloodstream by performing the intervention from inside the blood vessels.

The main treatment options are as follows:

  • a transluminal embolisation (closure of the aneurysm lumen) with coils, with or without balloon assistance;
  • an intravascular stent implantation;
  • a flow-diverting stent placement at the level of the aneurysm neck, in some cases in combination with a microcoil embolization.

Surgical and endovascular techniques can be combined. These operations are called hybrid surgeries and they are performed in specialized German centers in patients with a poor collateral blood flow. The doctors perform the aneurysm embolization in combination with the formation of the extra-intracranial anastomosis.

Minimally invasive treatment of complex aneurysms

 

The specialists in Germany successfully use endovascular techniques even for complex internal carotid artery aneurysms, which account for up to 5% of cases. They are the most dangerous: if left untreated, the risk of death within 2 years reaches 60%.

The treatment of complex aneurysms involves the use of stents. These are "tubes" that are placed at the level of the neck of the aneurysm. Stents carry blood bypassing the aneurysmal sac, thus eliminating the aneurysm out of the bloodstream.

Stents require the use of antiplatelet agents (drugs that prevent blood clotting), and drugs of this group are contraindicated in patients with bleeding from the aneurysm. In such cases, a balloon-assisted coil embolization is used in Germany. The essence of this operation is to place a microcatheter into the aneurysm cavity with the simultaneous placement of the balloon at the level of the neck. It becomes inflated when the microcoils are inserted into the aneurysmal sac. Inflating the balloon prevents the displacement of the coils and blood clots from entering the lumen of the carrier blood vessel. In the case of insufficient collateral blood flow, doctors periodically deflate the balloon to fill the cerebral blood vessels with blood and avoid any damage due to oxygen starvation of the nerve cells.

If you have been diagnosed with the internal carotid artery aneurysm, you can undergo your treatment in one of the German hospitals. You can visit the Booking Health website to see the prices for treatment. When making an appointment for your treatment through our service, the cost of medical services is reduced due to the lack of additional coefficients for foreign patients. The specialists of the Booking Health company will select the best clinics in Germany for you and arrange 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:

Medical News Today

Mayo Clinic

The Lancet




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