Renal Stenting
Steps Involved in IVF:
Procedure Description
Renal stenting is a minimally invasive procedure used to treat narrowing or blockages in the renal arteries, which supply blood to the kidneys. These blockages are often caused by atherosclerosis—a buildup of fatty deposits within the artery walls. Left untreated, this narrowing can reduce blood flow to the kidneys, leading to kidney dysfunction or even kidney failure. Renal stenting helps restore proper blood flow by placing a small, mesh-like device (stent) inside the renal artery, propping it open to maintain an adequate passage for blood flow.
The procedure generally begins with a diagnostic angiography, which visualizes the renal arteries using X-ray imaging and a contrast dye to pinpoint the location and severity of the blockage. Once identified, a thin, flexible tube called a catheter is inserted through an artery in the groin or arm and guided to the affected area in the renal artery. A balloon attached to the catheter is inflated at the blockage site to widen the artery. Following this, the stent, a permanent tubular scaffold, is placed in the artery to keep it open.
Renal stenting is often performed under local anesthesia, with sedation administered to ensure patient comfort. The procedure is highly effective, providing almost immediate improvement in blood flow to the kidneys. Although it is generally safe, it requires a skilled interventional radiologist or vascular surgeon to navigate the narrow arteries and carefully place the stent. Renal stenting has proven to be a lifesaving intervention for those at risk of severe kidney complications due to restricted blood flow.
Procedure Duration
The duration of the renal stenting procedure can vary but generally takes around 1-2 hours to complete. The initial phase involves preparation, where the patient undergoes preoperative tests, including blood work and imaging studies. Once in the procedure room, the interventional radiologist or surgeon will prepare the entry site, typically in the groin, by cleaning and numbing it with local anesthesia. The catheter insertion is usually a quick process, but navigating it to the renal arteries requires skill and precision, especially if the arteries are tortuous or narrow.
After the balloon catheter is positioned, the balloon is inflated to compress the plaque against the artery walls, temporarily widening the artery. The stent is then positioned and deployed. Once the stent is in place, the balloon is deflated and removed, leaving the stent to hold the artery open. Throughout this process, X-ray imaging is used to guide the catheter and ensure the stent is precisely placed.
Post-procedure recovery varies. Patients are generally observed for a few hours to monitor for any immediate complications, such as bleeding at the catheter entry site. Some patients may be discharged on the same day, while others might stay overnight for observation. Full recovery typically takes a few days, though most patients can resume light activities within a week.
Benefits
- Restores Kidney Function: By improving blood flow to the kidneys, renal stenting helps prevent kidney damage or failure, thus supporting overall kidney health.
- Minimally Invasive: Unlike open surgery, renal stenting is minimally invasive, requiring only a small incision in the groin or arm, leading to faster recovery times and less pain.
- Reduces Hypertension: Renal artery stenosis can contribute to high blood pressure; by opening the artery, renal stenting often helps reduce blood pressure.
- Immediate Results: The procedure provides almost instant improvement in blood flow, offering quick relief for patients with blocked renal arteries.
- Lower Risk of Major Complications: Renal stenting is generally safer than more invasive surgical options, especially for elderly patients or those with additional health concerns.
Potential Destinations
- Thailand
Known for its advanced healthcare facilities, Thailand is a top destination for medical tourists. Bangkok and other major cities are home to hospitals equipped with state-of-the-art technology and internationally trained specialists, offering quality renal stenting at competitive costs.
- Turkey
Turkey’s healthcare system has gained global recognition, particularly for cardiovascular and vascular procedures. Istanbul and Ankara boast high-quality hospitals with cutting-edge facilities, providing renal stenting to international patients with a high standard of care.
- India
India is a leading medical tourism destination, attracting patients from around the world with its cost-effective yet high-quality treatments. Renowned hospitals in cities like Mumbai, Delhi, and Chennai offer renal stenting performed by skilled surgeons and interventional radiologists.
- Mexico
Mexico offers the advantage of proximity for North American patients, with advanced hospitals in Mexico City and Tijuana providing renal stenting at a fraction of the cost of similar procedures in the U.S. Many facilities cater specifically to medical tourists, offering seamless international care.
- United Arab Emirates
The UAE, particularly Dubai and Abu Dhabi, has rapidly developed into a healthcare hub, with internationally accredited hospitals that offer renal stenting among other specialized procedures. The UAE is known for its luxurious healthcare facilities and high-quality medical services, making it an attractive option for medical tourists.
Risks & Considerations
- Bleeding or Hematoma at the Catheter Site:
The insertion of the catheter can sometimes cause bleeding or a hematoma (collection of blood) at the entry site, which may require medical attention.
- Infection:
Although rare, any invasive procedure carries a risk of infection. Patients are closely monitored post-procedure, and antibiotics are typically given to prevent infections.
- Allergic Reaction to Contrast Dye:
The dye used during angiography can cause an allergic reaction in some patients. Patients with known dye allergies should inform their doctor in advance for alternative measures.
- Re-stenosis (Re-narrowing of the Artery):
There is a possibility that the artery may narrow again over time, which could require additional procedures or medications.
- Kidney Damage:
In rare cases, renal stenting may cause damage to the kidneys, especially if the kidneys are already compromised. Patients should discuss this risk with their healthcare provider to weigh the benefits and risks.
How to Choose the Right Doctor and Hospital
When selecting a provider for renal stenting, consider the experience and qualifications of the interventional radiologist or vascular surgeon. Look for practitioners with specialized training in vascular procedures and a history of performing renal stenting. You may also inquire about the facility’s technology and procedural success rates. Many reputable hospitals offer comprehensive medical tourism services, including virtual consultations, assistance with travel arrangements, and language support.
Opting for a hospital with internationally recognized accreditation can provide an added level of assurance. Ensure the facility has a dedicated team familiar with the needs of international patients, as this can significantly enhance the overall experience and reduce the likelihood of complications.
To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote
Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com
Frequently Asked Questions
What actually happens during hyperstimulation of the ovaries?
The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.
What happens during egg retrieval?
When the follicles have developed enough to be harvested, the patient attends an appointment where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.
What happens to the eggs?
In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle. Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.
How are the embryos transferred back to the uterus?
The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.
Embryoscope©
Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.
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Punta Mita Hospital - Genesis Cell
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