Arteriovenous Malformation AVM — Platinum Coils Embolization (coiling): treatment in the Best Hospitals in the World
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.
Department of Interventional Neuroradiology
The Department of Interventional Neuroradiology offers the full range of services in the areas of its specialization. The medical facility provides imaging diagnostics and low-traumatic image-guided interventional treatment of nervous system diseases. The department's specialists have rich experience and exceptional professional skills in the field of interventional procedures for acute and chronic vascular diseases, such as ischemic strokes, brain hemorrhages, cerebral artery stenosis, brain aneurysms, and vascular malformations. The department's neuroradiologists cooperate closely with neurologists and neurosurgeons so that each patient receives an optimal treatment regimen based on the expert opinions of the specialists. The department's medical team has state-of-the-art computed tomography (CT), magnetic resonance imaging (MRI), and MR angiography systems that are actively used for diagnosing patients and therapeutic procedures. Medical care is provided in compliance with current clinical protocols. The department also offers many outpatient medical services, which is an advantage for many patients.
Department of Adult and Pediatric Diagnostic, Interventional Neuroradiology
The Department of Adult and Pediatric Diagnostic, Interventional Neuroradiology offers the widest range of services for the diagnostics and treatment of diseases of the brain, spinal cord and peripheral nerves using the advanced imaging systems. The department is equipped with modern technical devices, including 64-slice CT scanner, 1,5 and 3,0 Tesla MRI, biplane angiography system with 3D imaging of the blood vessels and bone structures, system for myelography of the entire spine and ultrasound scanners. All these devices are used not only for the diagnostics, but also for interventional procedures to treat obstructions, stenoses and other pathological vascular lesions in the head, neck and spine. The most popular interventional therapeutic procedures include clipping and coiling of cerebral vascular aneurysms, as well as cerebral vascular malformations. The department's doctors cooperate closely with specialists in the field of neurosurgery, neurology and pediatric neurology. Such an approach guarantees the patient a comprehensive assessment of the state of the nervous system and a favourable treatment outcome.
Department of Interventional Radiology
The Department of Interventional Radiology offers the full range of imaging examinations, as well as innovative image-guided minimally invasive techniques for the treatment of tumors, vascular diseases and internal pathologies (for example, CT, MRI, PET-CT, SPECT). The department's doctors have deep knowledge and colossal experience in the field of interventional radiological methods of treatment, which represent an excellent alternative to open surgical interventions. Despite the high level of technical equipment and the presence of advanced computerized systems, the focus is always on the person with his individual needs. Compliance with current clinical protocols and high professionalism of the department's specialists contribute to the successful clinical practice, as well as the reputability of the department among the best medical facilities of this kind in Germany.
Department of Neuroradiology
The Department of Neuroradiology provides the full range of diagnostic and therapeutic services in the areas of its specialization. The team of the department's doctors deals with the diagnostics and treatment of brain and spinal cord pathologies. The department has at its disposal state-of-the-art medical equipment, including systems for CT, MRI and myelography, thanks to which specialists can comprehensively assess the state of the nervous system, detect pathological processes at the initial stages and provide effective treatment. Among the department's therapeutic options, a special focus is on the interventional treatment of acute stroke – thrombectomy. Another important focus of the specialists' work is the treatment of cerebral vascular malformations, stenosis of the arteries of the brain and spinal cord, and cerebral aneurysms. In addition, the department provides CT-guided interventional pain management to relieve chronic back pain. The department's neuroradiologists cooperate closely with doctors from the related medical specialties: neurologists, neurosurgeons, ophthalmologists, otolaryngologists and radiation therapists. The specialists strive to provide each patient with high quality medical care meeting his needs and wishes.
Department of Clinical and Interventional Neuroradiology
The Department of Clinical and Interventional Neuroradiology offers the full range of services in the relevant medical fields. It provides high-precision diagnosis and effective treatment of diseases of the central nervous system, that is, the brain and spinal cord, meninges and vessels that supply these organs.
Department of Adult and Pediatric Interventional Radiology, Neuroradiology
The Department of Adult and Pediatric Interventional Radiology, Neuroradiology specializes in modern imaging examinations and minimally traumatic image-guided interventional procedures. Of particular interest to the department's experienced medical team is individualized minimally invasive therapy for cancer and the treatment of pain syndromes and vascular pathologies. The medical facility has state-of-the-art equipment for X-ray scanning, angiography, ultrasound scanning, CT, MRI, and PET/MRI. The diagnostic devices are adapted for children, including newborns. During examinations and treatment, the department's specialists strictly meet radiation protection standards. As for treatment, special attention in clinical practice is paid to interventional procedures for vascular diseases and malignant tumors. These procedures are performed using catheter-based techniques under CT, MRI, or angiography guidance. Despite the low trauma rate of interventional manipulations, their effectiveness is comparable to full-fledged surgery. The medical facility cooperates closely with other departments at the hospital, thus providing comprehensive medical care at the highest level of university medicine. The department's successful clinical practice has been recognized by prestigious quality certificates, including the ClarZert certificate and certificates from the German Cancer Society (DKG) and the German Radiological Society (DRG).
Department Adult and Pediatric Diagnostic, Interventional Radiology, Neuroradiology
The Department Adult and Pediatric Diagnostic, Interventional Radiology, Neuroradiology offers the full range of services in the areas of its specialization. The department has state-of-the-art equipment, thanks to which doctors successfully carry out imaging diagnostics allowing them to determine the diagnosis as accurately as possible and develop the most effective treatment regimen. The department performs X-ray studies, ultrasound scanning, computed tomography (CT), magnetic resonance imaging (MRI), angiography, mammography and a combined method of computed tomography with positron emission tomography (PET-CT). Cardiac CT and MRI are also carried out in cooperation with the Department of Cardiology. The department is one of the few medical facilities of this kind in Germany specializing in the imaging diagnostics in children. The range of the department's services is complemented by minimally invasive image-guided therapeutic procedures. In the field of interventional radiology, the focus is on the treatment of pain syndromes, vascular diseases, benign and malignant tumors, as well as metastases. The department's radiologists strictly adhere to the radiation protection standards, so all diagnostic and therapeutic procedures are absolutely safe for patients.
Department of Interventional Neuroradiology
The Department of Interventional Neuroradiology offers the full range of medical services at the highest level of university medicine. The patients of the medical facility can undergo imaging diagnostics and image-guided interventional treatment of diseases of the nervous system. The focus of the department's specialists is on patients with strokes, cerebral vascular stenosis, vascular malformations of the brain and spinal cord, and cerebral aneurysms. Medical care includes counseling, emergency care, inpatient and outpatient care. The department's diagnostic options include computed tomography, magnetic resonance imaging, and digital subtraction angiography. Imaging equipment can also be used for therapeutic manipulations on the brain and spinal cord. Experts from the Departments of Neurology and Neurosurgery are often engaged in the therapeutic process, especially at the stage of treatment planning. The unique competencies of doctors and the excellent equipment of the medical facility are the keys to medical service of the highest European standard.
Department of Adult and Pediatric Neuroradiology
The Department of Adult and Pediatric Neuroradiology offers the full range of diagnostic and therapeutic procedures for the detection and treatment of diseases of the nervous system in children and adults. Of particular interest are stroke therapy, endovascular treatment of cerebrovascular diseases, such as aneurysms and arteriovenous malformations, imaging examinations in children. The department cooperates closely with experts in the field of neurology, neuropediatrics and neurosurgery, which creates optimal conditions for the provision of comprehensive treatment of the highest level.
Department of Adult and Pediatric Diagnostic, Interventional Neuroradiology
The Department of Adult and Pediatric Diagnostic, Interventional Neuroradiology offers the full range of imaging diagnostics and minimally invasive treatment of diseases of the skull and brain, spine and spinal cord in patients of all age groups. All studies are carried out using the state-of-art computed tomography, magnetic resonance imaging, angiography, sonography, and digital X-ray. For the provision of the optimal medical care, there is maintained close cooperation with the specialists from related fields.
Department of Adult and Pediatric Interventional Radiology, Neuroradiology
The Department of Adult and Pediatric Interventional Radiology, Neuroradiology provides the full range of imaging diagnostics and image-guided minimally invasive treatment. The medical facility admits patients of all age groups, including children and adolescents. In the field of interventional radiology, special attention is paid to the treatment of vascular diseases and cancers, and pain management for chronic pain. An integral part of the department's clinical practice is the interventional treatment of neurological disorders, including stroke, carotid stenosis, and cerebral aneurysms. Medical care is provided both on an inpatient and outpatient basis. The department is one of the largest medical facilities of this kind in Germany and has been awarded a prestigious certificate from the German Society for Interventional Radiology and Minimally Invasive Therapy (DeGIR).
Department of Diagnostic and Interventional Neuroradiology
The Department of Diagnostic and Interventional Neuroradiology offers all the options of imaging diagnostics, as well as imaging-guided treatment of the nervous system (brain and spinal cord). The department is equipped with the state-of-the-art systems for computed tomography, magnetic resonance imaging, digital subtraction angiography. With the help of these techniques, the doctors can clearly image the structure of the brain and spinal cord, assess the cerebral blood flow and nerve cell function. The patient care is provided in collaboration with specialists from the related fields, such as neurologists, neurosurgeons, vascular surgeons, otolaryngologists, etc.
Department of Interventional Radiology, Neuroradiology and Nuclear Medicine
The Department of Interventional Radiology, Neuroradiology and Nuclear Medicine provides the full range of services in the areas of its specialization. The department's team of physicians performs many image-guided diagnostic procedures and radioisotope examinations using state-of-the-art equipment. Effective minimally traumatic image-guided interventional procedures are also available here for the treatment of stroke, tumors, vascular stenosis, vascular obstructions, abscesses, etc. The department has advanced medical equipment, including a high-performance SOMATOM Definition Flash CT scanner, several 1.5 Tesla magnetic resonance imaging devices, and a dual-plane angiography machine. The medical facility has a picture archiving and communication system (PACS), which ensures fast processing and transmission of diagnostic results to different departments at the hospital. Doctors cooperate closely with specialists from other departments. Most diagnostic examinations and therapeutic procedures are performed on an outpatient basis. The doctors at the medical facility pay attention to comprehensive patient counseling, striving to provide complete information about the upcoming diagnostic procedures or treatment.
Department of Adult and Pediatric Diagnostic, Interventional Radiology, Neuroradiology
The Department of Adult and Pediatric Diagnostic, Interventional Radiology, Neuroradiology offers the full range of services in these medical fields. Here patients can undergo all modern imaging diagnostic studies and therapeutic procedures, the quality of which corresponds to high international standards. The department also specializes in conducting radiological studies in children and adolescents. The cutting-edge technical equipment and the rich clinical experience of doctors contribute to the successful work of the department.
Department of Adult and Pediatric Diagnostic Radiology, Interventional Radiology and Neuroradiology
The Department of Adult and Pediatric Diagnostic Radiology, Interventional Radiology and Neuroradiology offers the full range of modern radiological examinations and minimally invasive imaging-guided treatment of various diseases. Most often, radiologists have to deal with the diagnostics and therapy of tumors, inflammatory processes, injuries, pathologies of the heart and vascular diseases. The combination of advanced medical technologies and high professionalism of the doctors working in the department are the key to the successful treatment results.
Department of Adult and Pediatric Diagnostic, Interventional Neuroradiology
The Department of Adult and Pediatric Diagnostic, Interventional Neuroradiology offers the full range of radiological studies and modern minimally invasive catheter procedures for the treatment of vascular diseases of the brain, head and neck, spine. The highly qualified team of doctors of the department specializes in the treatment of strokes, aneurysms, vascular malformations and atherosclerosis. In addition, the department is equipped with high-tech systems the special diagnostics of the central and peripheral nervous system. The department operates a national Expert Center for Radiological Diagnostics of Brain Tumors in Children.
Arteriovenous malformation (AVM) is an abnormal conglomerate of blood vessels in the brain or spinal cord. While blood vessels normally carry blood rich in oxygen and nutrients throughout the body, the vessels of arteriovenous malformations contain blood that is poor in these elements.
Overview
Arteriovenous malformation (AVM) is a disorder of the vessels that is characterized by one or more direct connections between arteries and veins. As arteries deliver oxygenated blood to healthy organs and tissues, they also deliver blood to malformations. For example, the arterial blood supply to a brain arteriovenous malformation is mainly derived from the internal carotid artery and vertebral basilar artery system.
However, when the brain arteriovenous malformation is adjacent to cerebral convexities or intracranial dural structures, the carotid and vertebral basilar arteries that supply the brain arteriovenous malformation may also originate from the arteries supplying the meninges (layers of protective brain membranes). Transdural blood supply to brain arteriovenous malformation may be from the external carotid artery or the meningeal branches of the internal carotid artery and the vertebral basilar artery systems.
Normally, blood enters tissues and cells through arteries, which branch into small capillaries. The blood then returns to the heart through the veins. In the case of arteriovenous malformation of the vessels, blood in the brain or spinal cord passes directly from the arteries to the veins, bypassing the capillaries, which forms a short closed cycle of blood flow, or shunt.
Most often, an AVM does not cause any severe symptoms. In many situations, the detection of arteriovenous malformation of the cerebral vessels is accidental, during the examination for other diseases. The symptoms of arteriovenous malformation (AVM) depend largely on the location of the pathological vascular formation. In rare cases, arteriovenous malformation causes epileptic seizures, neurological deficit, or pain.
About 0.2% of the population are carriers of arteriovenous malformations. As in an aneurysm, arteriovenous malformation can rupture and lead to cerebral hemorrhage (50% of all clinical manifestations). The course of the disease is less aggressive than with aneurysms. Epilepsy occupies second place in terms of manifestations of this disease.
Aneurysms (weakening of the artery wall) can occur in any artery. The most often aneurysms occur in the aorta – a large artery that carries blood from the heart to the rest of the body. Less common aneurysms are detected in the carotid artery.
Most popliteal and femoral artery aneurysms do not cause symptoms. However, blood clots can form inside the aneurysm. A loose blood clot is called an embolus. An embolus can travel along the bloodstream until he blocks an artery in the leg or foot. As a result, patients may experience an episode of sudden severe pain, numbness, coldness, and possibly paleness in the foot.
Arteriovenous congenital malformations are often connected with severe complications, such as stroke and neurological disorders. Arteriovenous malformation of cerebral vessels can be accompanied by headaches and epileptic seizures, as well as by other specific symptoms that usually depend on the location of the AVM.
Due to excessive blood accumulation in the area of AVM, patients may experience an increase in skin temperature, swelling, and redness. Sometimes patients experience a pulsating sensation within the affected area. Besides, the affected area is often inflamed and in some cases may become ulcerated. Extensive arteriovenous pathologies disrupt the blood supply and can even lead to the development of heart failure. In general, arteriovenous malformations manifest themselves with a variety of symptoms.
Diagnostics
Diagnosis of AVM usually begins with a thorough physical examination. Depending on the results of the examination and the suspicions that have arisen, the doctor may prescribe following instrumental examinations:
- Computed tomography (CT).
- Magnetic resonance imaging (MRI).
- MR-angiography.
- Cerebral arteriography. During the procedure, the surgeon inserts a thin tube (catheter) into the femoral artery and moves it under X-ray control until it reaches the carotid artery. After that, a contrast agent is injected into the vessel and a series of X-rays are taken.
Treatment
The leading method of the complex treatment of AVM is the surgical treatment. However, 23-60 % of AVMs are inoperable. This is due to the location of AVM in functionally significant areas of the brain or due to the large volume of malformations. Therefore, surgical treatments of the AVM often lead to fatal outcomes. In this regard, embolization treatments of AVM are widely used, as they cut off the feeding arteries of the AVM.
Doctors widely use coiling to treat arteriovenous malformations. Coiling is most commonly used in treatments of a cerebral aneurysm with the high risk of rupturing. Sometimes it is used to repair a ruptured aneurysm. There may be other clinical conditions in which doctors recommend a coiling procedure.
Embolization procedure is used as the first stage of treatments before microsurgical removal of large AVMs located in functionally important parts of the brain, or before radiosurgery. In 40% of cases, the embolization procedure allows achieving the destruction of the malformation and can be used as an independent treatment method.
Doctors also use endovascular embolization (endovascular coiling) to block blood flow into an aneurysm (the weakened area in the wall of an artery). If an aneurysm ruptures, it can cause life-threatening conditions. Limiting blood flow inside an aneurysm helps to prevent it from rupturing.
For endovascular coiling procedure, doctors use a catheter inserted into a groin artery. The catheter is inserted into the affected artery (with X-ray monitoring) where the coil is placed. The coils are made of soft platinum metal and are shaped like a spring. These coils are very small and thin.
Where can I undergo platinum coils embolization (coiling) abroad?
Health tourism is becoming more and more popular these days, as medicine abroad often ensures a much better quality of platinum coils embolization (coiling).
The following hospitals show the best success rates in platinum coils embolization (coiling):
- University Hospital Saarland Homburg, Germany
- HELIOS University Hospital Wuppertal, Germany
- University Hospital Rechts der Isar Munich, Germany
- Vivantes Neukölln Hospital Berlin, Germany
- University Hospital Ulm, Germany
You can find more information about the hospitals on the Booking Health website.
The cost of treatment abroad
The prices in hospitals listed on the Booking Health website are relatively low. With Booking Health, you can undergo platinum coils embolization (coiling) at an affordable price.
The cost of treatment varies, as the price depends on the hospital, the specifics of the disease, and the complexity of its treatment.
The cost of treatment with platinum coils embolization (coiling) in Germany is 17,215-34,111 EUR.
You might want to consider the cost of possible additional procedures and follow-up care. Therefore, the ultimate cost of treatment may differ from the initial price.
To make sure that the overall cost of treatment is suitable for you, contact us by leaving the request on the Booking Health website.
How can I undergo platinum coils embolization (coiling) abroad?
It is not easy to self-organize any treatment abroad. It requires certain knowledge and expertise. Thus, it is safer, easier, and less stressful to use the services of a medical tourism agency.
As the largest and most transparent medical tourism agency in the world, Booking Health has up-to-date information about platinum coils embolization (coiling) in the best hospitals. We will help you select the right clinic taking into account your wishes for treatment.
We want to help you and take on all the troubles. You can be free of unnecessary stress, while Booking Health takes care of all organizational issues regarding the treatment. Our services are aimed at undergoing platinum coils embolization (coiling) safely and successfully.
Medical tourism can be easy! All you need to do is to leave a request on the Booking Health website, and our manager will contact you shortly.
