google_counter
Aortic Coarctation | Balloon Angioplasty and Stenting Treatment. Hospital Prices, Ranking, Reviews - Bookinghealth

Balloon Angioplasty and Stenting for Aortic Coarctation treatment abroad

➤Surgical treatment for coarctation of the aorta with balloon angioplasty and stenting ★ Direct prices from the best hospitals in the world $ We will help you save money on treatment ✔ Patient support 24/7

Treatment prices are regulated by national law of the corresponding countries, but can also include additional hospital coefficients. In order to receive the individual cost calculation, please send us the request and medical records.

Hospital Neuperlach Munich
Best choice

Hospital Neuperlach Munich

Overall rating 9.8 / 10

Department of Cardiology and Pulmonology

The Department of Cardiology and Pulmonology provides the full range of diagnostic and therapeutic services for patients with diseases of the cardiovascular system and lungs. In the field of cardiology, key attention is paid to the treatment of valvular heart disease, arrhythmias, heart failure, coronary artery disease, arterial hypertension and aortic diseases. The department's pulmonologists mostly deal with the treatment of pneumonia, bronchial asthma and chronic obstructive pulmonary disease. In addition, the department operates an Intensive Care Unit, within which patients can receive artificial ventilation, renal replacement therapy and procedures for maintenance of blood flow. The department's Chest Pain Unit is certified by the German Cardiac Society and provides medical care to patients with acute coronary syndrome. The department successfully uses in its clinical practice both proven classical treatments and innovative medical achievements, which are available only in leading European hospitals. The department's medical team provides treatment to more than 3,200 patients every year.

Stefan Sack
Prof. Dr. med.Stefan Sack
certificatecertificate
Price: 19970.21
St. Vincentius Hospital Karlsruhe
Best choice

Department of Cardiology and Angiology

The Department of Cardiology and Angiology offers the full range of medical services in the fields of its competence. The department's doctors specialize in the treatment of congenital and acquired heart defects. The key focus is on catheter-based heart interventions, which are characterized by a minimal trauma rate and allow patients to avoid an open operation. For this purpose, the department has three modern Cardiac Catheterization Laboratories. The department also houses an Intensive Care Unit and a Chest Pain Unit for patients with acute coronary syndrome. The medical facility has 82 beds. The department was awarded the prestigious quality certificate from the German Cardiac Society (DGK) for outstanding results in the treatment of mitral valve diseases and acute coronary syndrome. Another important area of work of the department's physicians is comprehensive heart examinations for the prevention of heart disease. For this purpose, specialized Check Up Programs have been developed here, which include an optimal set of diagnostic tests. The medical facility employs a highly professional team of doctors and nursing staff, which makes every effort to provide each patient with effective medical care in a pleasant and comfortable atmosphere.

Claudius Jacobshagen
Prof. Dr. med.Claudius Jacobshagen
certificatecertificatecertificatecertificate
Hospital directly 22491.69
BookingHealth Price: 19791.69
University Hospital Ulm
Specialized hospital

University Hospital Ulm

Overall rating 8.7 / 10

Department of Cardiology and Angiology

The Department of Cardiology and Angiology offers the full range of medical services in the areas of its specialization. The medical facility holds consultations and carries out the diagnostics and treatment of diseases of the heart and blood vessels. The department's team of cardiologists focuses on patients with valvular heart disease, heart rhythm disturbances, coronary artery disease, heart failure, and congenital heart disease. The department has a Chest Pain Unit certified by the German Cardiac Society (DGK) for the treatment of acute coronary syndrome. In the field of angiology, of key interest is the treatment of peripheral arterial occlusive disease, vascular stenosis of various locations, including carotid artery stenosis, and deep vein thrombosis. During the treatment of diseases of the heart and blood vessels, the department’s specialists use various drug therapy regimens and perform image-guided interventional procedures. The medical facility has been recognized with quality certificates for transcatheter aortic valve implantation (TAVI) and treatment of heart failure and mitral valve disease. Patients are treated by highly qualified physicians who strive to restore the patient's health using sparing treatment methods.

Wolfgang Rottbauer
Prof. Dr. med.Wolfgang Rottbauer
certificatecertificatecertificatecertificatecertificate
Price: 22668.95
Charite University Hospital Berlin
Specialized hospital

Department of Cardiology and Angiology

According to the Focus magazine, the Department of Cardiology and Angiology ranks among the top German medical facilities specializing in the treatment of cardiovascular diseases! The department offers the full range of medical services for the diagnostics and treatment of cardiovascular diseases. The department conducts all diagnostic and therapeutic procedures within the Cardiac Catheterization Laboratory, functional diagnostics of the heart, diagnostics and treatment of cardiac arrhythmias. The department's angiologists carry out complex diagnostics using ultrasound examination and angiography, as well as the treatment of stenoses and vascular obstructions by means of balloon dilatation, stent implantation and lysis.

Karl Stangl
Prof. Dr. med.Karl Stangl
certificatecertificatecertificatecertificatecertificate
Price: 31154.58
University Hospital Heidelberg
Specialized hospital

Department of Cardiology, Angiology and Pulmonology

According to the Focus magazine, the Department of Cardiology, Angiology and Pulmonology is included in the ranking of the best German departments specializing in the treatment of cardiovascular diseases! The department offers the accurate diagnostics and effective treatment of diseases of the heart, blood vessels, lung and respiratory tract. The department has 132 beds. A large team of more than 500 employees takes care of the patients’ health. All of them have excellent qualifications and make every effort to provide first-class treatment to each patient.

Hugo Albert Katus
Prof. Dr. med.Hugo Albert Katus
certificatecertificatecertificatecertificate
University Hospital Frankfurt am Main
Specialized hospital

Department of Cardiology and Angiology

According to the prestigious Focus magazine, the Department of Cardiology and Angiology ranks among the top German medical facilities specializing in the treatment of heart diseases! The department offers the full range of modern diagnostic and conservative therapeutic techniques for patients with cardiovascular diseases. The department houses a General Cardiology Outpatient Clinic, high-tech Cardiac Catheterization Laboratory and Emergency Cardiac Care Unit. The medical facility is also certified as an Interdisciplinary Center for Heart Failure and a Center for Transcatheter Aortic Valve Implantation. All this creates excellent conditions for the provision of highly professional and effective medical care.

Andreas Zeiher
Prof. Dr. med.Andreas Zeiher
certificatecertificatecertificatecertificate
Price: 21344.12
University Hospital RWTH Aachen
Specialized hospital

Department of Cardiology, Pulmonology and Angiology

According to the Focus magazine, the Department of Cardiology, Pulmonology and Angiology ranks among the top German medical facilities specializing in the treatment of cardiovascular diseases! The department offers all the modern medical options for the diagnostics and treatment of diseases of the cardiovascular system and lungs. The department's doctors have extensive experience and expert knowledge for the provision of competent medical care to patients with coronary heart disease, heart failure, arrhythmias, heart valve defects, cardiomyopathies, as well as hypertension. All the advanced diagnostic methods are available in the department. Special attention is paid to interventional therapy of various cardiovascular pathologies.

Nikolaus Marx
Prof. Dr. med.Nikolaus Marx
certificatecertificatecertificatecertificatecertificate
Price: 23874.77
University Hospital Jena
Specialized hospital

University Hospital Jena

Overall rating 8.9 / 10

Department of Cardiology, Angiology, Pulmonology and Intensive Care

According to the Focus magazine, the Department of Cardiology, Angiology, Pulmonology and Intensive Care ranks among the top German medical facilities of this kind! The department offers the full range of diagnostic and therapeutic services in these fields. The main areas of specialization include interventional cardiac catheterization, including stent implantation, treatment of myocardial infarction, structural heart diseases, interventional therapy of heart valve (for example, TAVI and MitraClip techniques), electrophysiological examinations, ablation procedures, implantation of pacemakers and defibrillators, as well as diagnostic and interventional angiology, highly specialized treatment of lung diseases. The emergency cardiac care is provided in the department around the clock. The department operates in accordance with the very latest medical standards and has DIN EN ISO 9001 certification.

Paul Christian Schulze
Prof. Dr. med.Paul Christian Schulze
certificatecertificatecertificatecertificatecertificate
Price: 23632.56
University Hospital Duesseldorf
Specialized hospital

Department of Cardiology, Pulmonology and Angiology

According to the Focus magazine, the Department of Cardiology, Pulmonology and Angiology ranks among the top German departments specializing in cardiovascular diseases! It provides an accurate diagnostics and effective treatment of all diseases of the cardiovascular system, lungs, and respiratory tract. The highly qualified world-class specialists work with patients. Various functional and imaging examination techniques are available for the accurate diagnostics. Also, the department has state-of-the-art Cardiac Catheterization Laboratory.

Malte Kelm
Prof. Dr. med.Malte Kelm
certificatecertificatecertificatecertificatecertificate
Price: 23356.95

Department of Cardiology

The Department of Cardiology offers the full range of diagnostic and therapeutic services for patients with cardiovascular diseases. The department specializes in drug therapy and modern interventional cardiac catheter-based procedures. Patients with heart failure, myocardial infarction, heart valve pathologies, and arrhythmias are regularly admitted to the medical facility. The department's medical team has more than 300 employees, for whom it is important that each patient receives the most effective treatment in comfortable conditions. The department has 144 beds. Cardiologists admit about 7,500 inpatients annually. More than 20,000 patients receive medical care on an outpatient basis. The department is rightly proud of the numerous certificates of the German Cardiac Society (DGK) in treating acute coronary syndrome, heart failure, and atrial fibrillation, as well as transcatheter aortic valve implantation (TAVI) and the MitraClip procedure.

Steffen Massberg
Prof. Dr. med.Steffen Massberg
certificatecertificatecertificatecertificatecertificate
Price: 23953.07
University Hospital Würzburg
Specialized hospital

Department of Cardiology, Endocrinology, Nephrology and Pulmonology

The Department of Cardiology, Endocrinology, Nephrology and Pulmonology offers the full range of diagnostics and treatment of all diseases of the heart and blood vessels, pathologies of the endocrine organs, including diabetes mellitus, as well as diseases of the kidneys, lungs and respiratory tract. The department has in its arsenal an advanced medical infrastructure, which allows to provide the high-precision diagnostics and the most effective treatment of even the most complex clinical cases. At the center of all efforts of the department’s medical team is the patient, his health and a positive emotional mood for a favorable therapy outcome.

Stefan Frantz
Prof. Dr. med.Stefan Frantz
certificatecertificatecertificatecertificatecertificate
Price: 20903.55
University Hospital Erlangen
Specialized hospital

University Hospital Erlangen

Overall rating 9.1 / 10

Department of Cardiology and Angiology

According to the Focus magazine, the Department of Cardiology and Angiology ranks among the top German medical facilities specializing in the treatment of cardiovascular diseases! The department offers the full range of modern diagnostic and therapeutic services to patients suffering from heart disease, as well as lesions of the peripheral arteries and veins. The department's doctors have at their disposal excellent technical resources and many innovative techniques for the treatment of arrhythmias, heart failure and catheter-based treatment of coronary stenosis, heart valve defects, congenital heart defects in adults and other heart pathologies. The department's specialists can also boast of their exceptional experience in cardiac imaging tests. The department's unique offer is sports cardiology. The experts in this medical field carry out a set of tests to determine the maximum possible physical activity in patients with cardiovascular diseases. In addition, doctors specializing in sports cardiology carry out preventive examinations in healthy people. In this case, the purpose of the examination is to assess the risks of developing cardiovascular pathology with a particular physical activity.

Stephan Achenbach
Prof. Dr. med.Stephan Achenbach
certificatecertificatecertificatecertificatecertificate
Price: 22494.6
University Hospital Marburg UKGM
Specialized hospital

Department of Cardiology, Angiology and Internal Intensive Care

According to the prestigious Focus magazine, the Department of Cardiology, Angiology and Internal Intensive Care ranks among the top medical facilities in Germany specializing in the treatment of heart diseases! The department offers the full range of modern non-invasive and invasive studies, as well as all interventional procedures and supportive care. Clinical practice includes intensive care for emergency cardiac conditions, modern computer catheter procedures for arrhythmias, implantation of pacemakers, defibrillators and devices for resynchronizing cardiac therapy. The department’s specialists also have excellent qualifications in the treatment of coronary artery stenosis. Particular attention is paid to the catheter-assisted therapy for heart valve diseases.

Bernhard Schieffer
Prof. Dr. med.Bernhard Schieffer
certificatecertificate
Price: 19663.28
University Hospital Rechts der Isar Munich
Specialized hospital

Department of Cardiology, Angiology and Pulmonology

The Department of Cardiology, Angiology and Pulmonology offers the full range of modern diagnostics and treatment of cardiovascular diseases, pathological lesions of the arteries, veins and lymphatic vessels, as well as various respiratory diseases. It is worth noting that the department's cardiologists carry out not only drug therapy for heart diseases, but also many interventional procedures, including TAVI, MitraClip, left atrial appendage closure in case of atrial fibrillation, balloon valvuloplasty and many others. The interventional therapeutic procedures for diseases of the heart, arteries, veins and lymphatic vessels are performed in specially equipped catheterization laboratories. Of particular interest in the field of pulmonology are bronchoscopy, endoscopic lung volume reduction and lung cancer treatment in collaboration with thoracic surgeons, oncologists, radiation therapists and other physicians. The department's specialists give preference to an individual approach to each patient. They use only modern and reliable treatment methods that guarantee an optimal result.

Karl-Ludwig Laugwitz
Prof. Dr. med.Karl-Ludwig Laugwitz
certificatecertificatecertificatecertificatecertificate
Price: 23490.58
University Hospital Bonn
Specialized hospital

University Hospital Bonn

Overall rating 9.2 / 10

Department of Cardiology, Angiology and Pulmonology

The Department of Cardiology, Angiology and Pulmonology offers the full range of diagnostics and treatment of all diseases of the cardiovascular system, lungs and bronchi, as well as veins and arteries, both on an outpatient and inpatient basis. The department specializes in the treatment of coronary heart disease, heart valve diseases, heart arrhythmias, congenital and acquired heart defects, as well as of inflammatory cardiovascular diseases.

Georg Nickenig
Prof. Dr. med.Georg Nickenig
certificatecertificatecertificatecertificatecertificate
Price: 23469.7
University Hospital Halle (Saale)
Specialized hospital

Department of Cardiology, Angiology and Internal Intensive Care

The Department of Cardiology, Angiology and Internal Intensive Care offers the full range of diagnostic examinations and innovative treatment methods in the field of interventional cardiology, cardiological electrophysiology, angiology and internal intensive care. The treatment is provided in close cooperation with the Department of Cardiothoracic Surgery, whereas particularly complex clinical cases are discussed at weekly interdisciplinary consultations, after which an individual treatment regimen is developed. An experienced and motivated team of doctors, nurses and technical staff of the department makes every effort to provide the best possible medical care.

Daniel Sedding
Prof. Dr. med.Daniel Sedding
certificatecertificatecertificatecertificate
Price: 21093.56

Aortic coarctation is a narrowing of this blood vessel, most often occurring immediately behind the left subclavian artery. This is a congenital heart disease, which is among the critical ones. Without treatment, this condition can lead to the death of a child in the first months of life. Non-critical forms of the defect may cause complications in the future. These may be coronary heart disease, heart failure, aneurysms, aortic dissection, or strokes, and these pathologies develop after the age of 20-30 years.

The heart defect must be repaired promptly to avoid complications. Doctors at foreign hospitals use not only surgical interventions but also minimally invasive procedures such as balloon angioplasty and stenting. On the Booking Health website, you can see the current cost of treatment abroad and choose a medical care program at one of the world's best hospitals.

Content

  1. Diagnostics
  2. What are angioplasty and stenting?
  3. Who may be a candidate for endovascular treatment?
  4. Endovascular treatment in adult patients
  5. Endovascular treatment in children
  6. Palliative stenting in newborn babies
  7. Where to undergo endovascular treatment for aortic coarctation?

Diagnostics

 

Aortic coarctation is one of the most common heart defects. It is usually severe, so it is diagnosed shortly after birth. A few days after the child's birth, the ductus arteriosus closes, and this leads to acute hemodynamic decompensation. There are signs of circulatory failure that dominate the symptoms of heart failure. Oxygen starvation causes the dysfunction of all organs, such as the kidneys, intestines, and lungs.

Non-critical aortic coarctation may be detected later in the first years of life or even during adolescence. The condition may be manifested by the following symptoms:

  • rapid fatigue;
  • weight loss;
  • underdevelopment of the lower half of the body;
  • elevated blood pressure; 
  • tachycardia (fast heart rate). 

Gradually, the disease enters a phase of compensation. Arterial hypertension becomes the main symptom, but heart failure develops after a few decades.

Clinical and instrumental methods are used for heart disease diagnostics. Blood pressure measurement in the legs and arms helps to suspect aortic coarctation. The difference exceeds 20 mmHg.

Medical imaging techniques help to confirm the diagnosis. Up to 1 year, the main diagnostic method is echocardiography (heart ultrasound). Patients older than one year should also have a chest X-ray. In the case of aortic arch hypoplasia and also if doctors suspect an abnormal discharge of the brachiocephalic blood vessels, computed tomography will be performed.

What are angioplasty and stenting?

 

In the 20th century, aortic coarctation could only be treated with surgical techniques. But in 1982, a new technique was developed, namely balloon angioplasty. This procedure opened the prospect of minimally invasive treatment without extensive surgical trauma. This procedure proved to be very effective. The desired results are achieved in 78% of cases, and in the world's best hospitals specializing in endovascular treatment of heart and aortic diseases, the proportion of successful procedures exceeds 90%.

The essence of the procedure is that doctors make a short incision in the leg through which they insert a balloon through the blood vessels into the aorta. It is then inflated from the inside by injecting saline with a contrast agent. The procedure is performed under X-ray guidance. The inflating balloon increases the lumen of the blood vessel, normalizing hemodynamics.

Over time, it became clear that balloon angioplasty provided short-term outcomes. Repeated aortic coarctation (repeated constriction) was often a case, the frequency of which reached 83% in the long term. Therefore, the procedure began to be supplemented with stenting. A stent placement in the constriction area prevents repeated coarctation in most patients.

Stenting for aortic coarctation was first used in 1993. This event was followed by the development of many variants of stenting, as a result of which many stent models appeared. This procedure is becoming more and more efficient. The average long-term success rate is 77%, and at the world's best hospitals it reaches 90%.

Who may be a candidate for endovascular treatment?

 

All patients with aortic coarctation, without exception, need treatment. This heart disease inevitably leads to complications and premature death. The condition is treated immediately after its detection, since some changes that have been caused by hemodynamic disturbances during the period of the absence of treatment are irreversible.

The main directions of treatment are as follows: 

  • surgical operations include removal of the narrowed section of the aorta and end-to-end anastomosis and replacement of the narrowed section of the aorta with a prosthesis, while bypass surgery (formation of new blood vessels for blood movement around the narrowed site) or isthmoplasty (aortic isthmus dilation with a patch) are less common options;
  • endovascular interventions include balloon angioplasty and stent placement in the constriction area; repeated surgery may be done to dilate the stent if the child's aorta has grown as they get older.

Surgery provides the best results in children under 6 years of age, so it is used as a first-line treatment method. In adolescents and adults, endovascular interventions are considered the main treatment option, as they are less traumatic and the results are the same as with surgery.

In addition, endovascular procedures can be used in the following cases:

  • repeated aortic coarctation (repeated artery narrowing) after surgery, the probability of which is about 10%;
  • as a palliative intervention in newborns to prepare for surgery to reduce mortality and the risk of complications.

Endovascular treatment in adult patients

 

Aortic coarctation is a severe congenital malformation. The average life expectancy of patients is 35 years.

However, the severity of the defect in different patients varies greatly. It depends on how much the aorta is narrowed and where the narrowing occurred. More often than not, the defect is severe and requires immediate intervention in the first months or years of life. Less commonly, the defect proceeds easily and is detected only in adulthood due to chronic uncontrolled arterial hypertension.

Endovascular treatment can be performed at any age. But as the main treatment option, it is used mainly in adult patients. Their aorta is completely formed and will no longer increase in size, which allows doctors to choose the size of the stent and not perform additional procedures in the future.

Below are the benefits of endovascular treatment: 

  • a low risk of complications;
  • a short hospital stay;
  • a high level of treatment tolerability;
  • no need for rehabilitation.

Endovascular treatment in children

 

Balloon angioplasty and stenting can be used in children. This may be a treatment stage for a critically ill newborn or a final treatment. If endovascular treatment is final, the stent will need to be repeatedly dilated with a balloon in the future as the child grows and the aortic lumen enlarges.

The treatment method is effective and safe, which was confirmed by numerous studies. In 2015, a systematic review of 45 studies was published that pooled data from more than 1,000 patients over 6 years of age. As a result, it turned out that:

  • following stenting, the diameter of the aortic isthmus increases significantly;
  • symptoms disappear; 
  • blood pressure lowers;
  • mortality is 0.4%; 
  • stent migration occurs in 2.4% of cases;
  • the risk of damage to the aortic wall is 0.9%;
  • aneurysms develop in 1.5% of cases;
  • stent fractures occur in 1.5% of patients;
  • the risk of aortic rupture is 0.5%. 

Even according to this data, the risk of complications is negligible. It is much lower than during the operation. However, it should be taken into account that the review included patients treated with the endovascular method since the 1990s. Since then, the technique of balloon angioplasty and stenting has improved, and new types of stents have appeared that are more reliable and safe. Patients who will be treated in modern conditions are therefore much less likely to experience complications than those who were treated 20-30 years ago.

At the world's best hospitals, technical success in stenting is achieved in 100% of cases. In 85% of cases, patients completely refuse to take antihypertensive drugs after surgery, and in 92% of cases, good treatment results are maintained for many years.

Palliative stenting in newborn babies

 

The aorta is very narrow in newborns. It is therefore impossible to implant a stent that can provide long-term results because the aorta will quickly increase in size several times in the very near future.

But in some cases, this procedure can be carried out as a palliative one to stabilize a child's condition who, at the moment, cannot undergo surgery. Critical aortic isthmus narrowing is life-threatening, and hemodynamics in such situations depends solely on the degree of closure of the ductus arteriosus. As long as it remains open, the child is more or less stable, but after it closes, the condition deteriorates sharply.

The ductus can be kept open with prostaglandin E1 preparations whenever possible. But if such a treatment does not work, emergency surgery will be performed. This can be immediately aimed at the surgical repair of the defect. If the child's condition is very bad and they cannot endure the operation, angioplasty and stenting will be performed, and the second stage will involve a surgical procedure.

Where to undergo endovascular treatment for aortic coarctation?

 

You can undergo your treatment abroad. In developed countries, balloon angioplasty and stenting are effective and safe procedures that can be performed at any age. There are a few reasons for you to undergo treatment abroad in one of the countries offering advanced medicine:

  • doctors at specialized centers have vast experience in endovascular treatment of heart and blood vessel diseases;
  • the use of state-of-the-art equipment that ensures the technical success of the procedure in almost 100% of cases;
  • the use of the latest types of stents;
  • good long-term outcomes;
  • balloon angioplasty and stenting can be performed at any age, including newborns;
  • stent dilation (expansion) procedures are performed in children who have previously undergone endovascular treatment but the results have worsened due to age-related aortic enlargement;
  • minimally invasive treatment of heart and blood vessel diseases is carried out with a minimal risk of complications.

You are welcome to use the Booking Health website to find the current cost of treatment at different hospitals and select the best medical care program. The specialists from the Booking Health company will help you to choose a hospital specializing in endovascular treatment of heart defects and take care of the organization of treatment abroad. When making your treatment appointment 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:

ECR - European Cardiology Review

JAHA - Journal of the American Heart Association

MedlinePlus