Angioplasty & Stenting of Carotid Artery

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Procedure Description

Angioplasty and stenting of the carotid artery is a minimally invasive medical procedure aimed at treating carotid artery disease—a condition where the carotid arteries, the main blood vessels that supply oxygenated blood to the brain, become narrowed or blocked. The narrowing, often caused by a buildup of plaque (atherosclerosis), can restrict blood flow and increase the risk of stroke. This procedure is designed to open up these blocked or narrowed arteries, thereby improving blood flow to the brain and reducing the likelihood of a stroke.

The process typically begins with a carotid angiogram, which allows the surgeon to visualize the blockage. A small puncture is made, usually in the groin area, to access the femoral artery, through which a catheter is threaded toward the carotid artery under the guidance of X-ray imaging. A tiny balloon is then inflated at the site of the blockage, widening the artery. Once the artery is expanded, a small metal mesh tube called a stent is inserted to hold the artery open and prevent future narrowing.

The stent acts as a scaffold that stabilizes the artery wall. The angioplasty and stenting process is considered highly effective, particularly for patients at high risk of stroke or those who cannot undergo open surgery, like carotid endarterectomy. The procedure requires a high level of precision and expertise, as working near the brain necessitates careful handling to avoid complications.

Procedure Duration

The angioplasty and stenting procedure generally takes between one to two hours to complete, depending on the complexity of the blockage and the patient's anatomy. The duration encompasses the entire process from preparation to completion, which includes the catheterization, angioplasty (balloon inflation), and stenting phases. Patients are usually awake but under local anesthesia and may also be given sedation to ensure comfort throughout the procedure.

Following the procedure, patients are typically monitored in a recovery area to ensure there are no immediate complications, such as bleeding or a sudden reduction in blood flow. In most cases, patients can return home the next day, but those with more complicated conditions might require a longer hospital stay. The recovery period is relatively short compared to open surgery, with most patients able to resume normal activities within a week.

Despite the minimally invasive nature of angioplasty and stenting, post-procedure care is crucial. Patients must adhere to prescribed medications to prevent clotting and attend follow-up appointments to monitor stent performance and overall vascular health. Additionally, lifestyle changes such as adopting a heart-healthy diet, regular exercise, and avoiding smoking are essential in maintaining the benefits of the procedure.

Benefits

  • Minimally Invasive Alternative: Compared to open surgery, angioplasty with stenting is a less invasive approach, offering a shorter hospital stay and quicker recovery.
  • Reduced Risk of Stroke: The procedure is effective in reducing the risk of stroke by improving blood flow to the brain, particularly in patients with significant artery blockages.
  • Local Anesthesia: The use of local anesthesia reduces the risks associated with general anesthesia, making the procedure suitable for high-risk patients.
  • Improved Quality of Life: The treatment alleviates symptoms such as dizziness, blurred vision, and other neurological impairments caused by restricted blood flow.
  • Durable Results: The stent helps maintain artery patency, offering long-term relief from carotid artery narrowing and promoting sustained vascular health.

Potential Destinations

1. Turkey


Renowned for its advanced medical technologies and skilled vascular surgeons, Turkey is a popular destination for angioplasty and stenting procedures. Modern hospitals, competitive costs, and the country's experience in medical tourism make it an ideal choice for international patients.

2. India


India is known for offering high-quality cardiovascular care with some of the best surgeons in the field. With state-of-the-art facilities, affordable pricing, and expertise in treating carotid artery disease, India has become a preferred destination for angioplasty and stenting.

3. Thailand


Thailand’s medical infrastructure boasts internationally accredited hospitals and highly trained specialists. The country's reputation for quality cardiovascular treatments, combined with its vibrant tourism industry, makes it an attractive option for those seeking medical care abroad.

4. Germany


With its reputation for precision in medical procedures and cutting-edge technology, Germany provides some of the best facilities for angioplasty and stenting. The country’s healthcare system is well-established, offering a strong emphasis on patient safety and post-procedure care.

5. Mexico


For patients from the United States seeking proximity and affordability, Mexico is a top destination. The country’s high standard of medical care, experienced specialists, and quick access to treatment make it a convenient choice for many undergoing angioplasty and stenting of the carotid artery.

Risks & Considerations

  • Stroke Risk: Although the procedure aims to reduce the risk of stroke, there is a small chance of dislodging plaque or forming a blood clot during angioplasty, which can lead to a stroke.
  • Bleeding or Hematoma: The catheter insertion site, typically in the groin, may experience bleeding or bruising, requiring careful monitoring post-procedure.
  • Re-narrowing of the Artery (Restenosis): In some cases, the treated artery may narrow again over time, which may necessitate additional treatment or medication.
  • Allergic Reactions to Contrast Dye: The use of contrast dye for imaging during the procedure can cause allergic reactions in some patients, particularly those with kidney issues or sensitivities.
  • Infection: As with any invasive procedure, there is a risk of infection at the puncture site, requiring vigilant wound care and potential antibiotic use.

How to Choose the Right Doctor and Hospital

When choosing a specialist for angioplasty and stenting of the carotid artery, consider the surgeon’s experience and credentials. Look for a vascular or interventional cardiologist with a strong track record in performing these procedures, ideally within a hospital that has a dedicated vascular unit or center of excellence for cardiovascular care. Checking for international accreditation of the hospital can ensure adherence to quality standards and patient safety protocols.

Additionally, consider the hospital’s experience in handling international patients, availability of comprehensive care (including preoperative evaluation and postoperative monitoring), and access to advanced medical equipment. Transparent communication about costs, procedure details, and postoperative care should also be part of your decision-making process.

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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