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Arteriovenous Malformation AVM — Platinum Coils Embolization (coiling): treatment in the Best Hospitals in the World

University Hospital Saarland Homburg

9.8/10
location_onGermany, Homburg

Department of Diagnostic and Interventional Neuroradiology

The Department of Diagnostic and Interventional Neuroradiology offers the full range of services in this medical field. Of particular interest are interventional procedures for the treatment of acute and chronic vascular diseases, such as ischemic strokes, cerebral hemorrhages, cerebral artery stenosis or vascular malformations. To ensure comprehensive medical care, there is maintained close cooperation with the Departments of Neurology and Neurosurgery.

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HELIOS University Hospital Wuppertal

9.8/10
location_onGermany, Wuppertal

Department of Neuroradiology

The Department of Neuroradiology offers the full range of services in this medical focus. The department specializes in diagnostic imaging examinations of the nervous system and minimally invasive treatment of vascular diseases and brain, spinal cord tumors, including diseases of the meninges.

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Diagnostic and Interventional Radiology

The Department of Diagnostic and Interventional Radiology offers the full range of imaging diagnostics, as well as innovative imaging-guided minimally invasive techniques for the treatment of tumors, diseases of the vessels and internal organs (for example CT, MRI, PET-CT, SPECT). The doctors of the department have deep knowledge and tremendous experience in the application of interventional radiological treatments, which represent an excellent alternative to open surgical interventions. Despite the high level of technical equipment and the availability of advanced computerized systems, the focus remains on a person with his individual needs.

Vivantes Neukölln Hospital Berlin

10/10
location_onGermany, Berlin

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.

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of Adult and Pediatric Diagnostic, Interventional Radiology, Neuroradiology

The Department of Adult and Pediatric Diagnostic, Interventional Radiology, Neuroradiology offers the  full range of modern radiological studies and imaging-guided minimally invasive therapy for the treatment of various diseases. Of particular interest to the experienced medical team of the department is individual minimally invasive therapy of oncological diseases, treatment of pain syndromes and vascular pathology. The department works in close cooperation with all other departments of the hospital, thereby providing interdisciplinary, comprehensive medical care at the highest level of university medicine.

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of Diagnostic and Interventional Neuroradiology

The Department of Diagnostic and Interventional Neuroradiology offers the full range of diagnostic and therapeutic services for patients with diseases of the nervous system. Medical care covers emergency care, inpatient and outpatient treatment. The experts from the Departments of Neurology and Neurosurgery are often involved in the therapeutic process. The unique competencies of doctors and excellent technical equipment are the key to medical service of the highest European standard.

Charite University Hospital Berlin

9.2/10
location_onGermany, Berlin

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.

University Hospital Tuebingen

9.17255/10
location_onGermany, Tuebingen

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.

Academic Municipal Hospital Karlsruhe

9.8/10
location_onGermany, Karlsruhe

Department of Adult and Pediatric Diagnostic, Interventional Radiology, Neuroradiology

The Department of Adult and Pediatric Diagnostic, Interventional Radiology, Neuroradiology offers the full range of imaging diagnostics and minimally invasive imaging-guided treatment. The special focuses of clinical practice include diagnostic examinations and therapy in children (pediatric radiology), as well as the treatment of patients with neurological pathologies (neuroradiology). The admission of patients is provided both on an inpatient and outpatient basis. As one of the largest medical facilities of this kind in Germany, the department has the prestigious DIN ISO certification.

University Hospital RWTH Aachen

8.896/10
location_onGermany, Aachen

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.

Academic Hospital Cologne-Holweide

8.9/10
location_onGermany, Cologne

Department of Diagnostic and Interventional Radiology, Neuroradiology and Nuclear Medicine

The Department of Diagnostic and Interventional Radiology, Neuroradiology and Nuclear Medicine at the Academic Hospital Cologne-Holweide offers the entire spectrum of radiological and radioisotope diagnosis and therapy. There are represented the following focuses: diagnostic radiology, neuroradiology, nuclear medicine and isotope therapy. With the latest technologies, such as high-performance CT scanner SOMATOM Definition Flash, the Department offers a rapid, sparing and safe diagnosis.

University Hospital Jena

9.5/10
location_onGermany, Jena

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.

University Hospital Duesseldorf

9.45/10
location_onGermany, Duesseldorf

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.

Sana Hospital Duisburg

10/10
location_onGermany, Duisburg

Department of Radiology and Neuroradiology

The Department of Radiology and Neuroradiology is equipped with the state-of-the-art medical equipment, such as MRI, CT, standard and interventional X-ray. The activities of the department are directed both at separate areas of neuroradiology and pediatric radiology.

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

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.

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Adult adnd Pediatric Neuroradiology

The Department of Adult and Pediatric Neuroradiology offers the full range of radiological diagnostics and imaging-guided treatment diseases of the nervous system (brain, spinal cord and peripheral nerves). The department is equipped with state-of-the-art CT and MRI systems, which allow performing high-precision diagnostic and therapeutic procedures, including examinations of the nerve functions and metabolic processes in the brain.

Arteriovenous malformation (AVM) is an abnormal collection 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 poor in these elements.

Overview

Arteriovenous malformation (AVM) is a disorder in an artery that results in 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 or even be wholly derived 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.

Under normal conditions, 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 is directly supplied through the arteries to the veins, bypassing the capillaries, which forms a short closed cycle of blood flow, or shunt.

Typically, an AVM does not cause any dramatic symptoms. In many situations, the detection of arteriovenous malformation of the cerebral vessels is accidental, during the examination for other diseases or disorders. The symptoms of arteriovenous malformation (AVM) largely depend on the location of the pathological vascular growth. In rare cases, arteriovenous malformation causes epileptic seizures, neurological damage, or pain.

About 0.2% of the population is 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 common aneurysms occur in the aorta, a large artery that carries blood from the heart to the rest of the body; less common 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 with the bloodstream until they block 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 malformation threatens 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 other specific symptoms that usually depend on the location of the AVM and other factors.

Due to excess blood 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. The type of the affected area depends on its size and the extent of the lesion. Besides, the affected area is often inflamed and, in some cases, may develop into an ulcer. Extensive arteriovenous pathologies exert too much stress on the heart, disrupt the functioning of the blood supply system, and can 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 by a doctor. Depending on the results of the examination and the suspicions that have arisen, the doctor may prescribe following examinations:

  • Computed tomography (CT)
  • Magnetic resonance imaging (MRI)
  • MR-angiography
  • Cerebral arteriography (under X-ray control, the surgeon inserts a thin tube (catheter) into the femoral artery and gently advances 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 in the complex treatment of AVM is the surgical treatment of the formation. However, 23 – 60 % of AVMs are inoperable. This is due to the peculiarities of the location of AVM in functionally significant areas of the brain or with a 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, which 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 at risk for rupturing. Sometimes it is used to repair a ruptured aneurysm. There may be other reasons for doctors to 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. Preventing blood flow into an aneurysm helps to keep 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 deployed. 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 becomes 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):

  1. University Hospital Saarland Homburg, Germany
  2. HELIOS University Hospital Wuppertal, Germany
  3. University Hospital Rechts der Isar Munich, Germany
  4. Vivantes Neukölln Hospital Berlin, Germany
  5. 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 Booking Health 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 takes 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 in the world. 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 aimed at you safely and successfully undergoing platinum coils embolization (coiling).

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.




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