Carotid Stenting
Steps Involved in IVF:
Procedure Description
Carotid stenting is a minimally invasive procedure aimed at treating carotid artery disease, which occurs when fatty deposits, or plaques, build up in the carotid arteries, the main blood vessels supplying blood to the brain. This condition, called carotid artery stenosis, increases the risk of stroke, as it restricts blood flow and may lead to the formation of blood clots. Carotid stenting helps open up these narrowed arteries, restoring adequate blood flow and significantly lowering the risk of stroke in high-risk individuals.
In this procedure, a stent—a small, mesh-like tube—is placed within the carotid artery to widen it. Typically, the procedure begins with a catheter being inserted through an artery in the groin, which is then carefully navigated up to the carotid artery. Using imaging techniques, the stent is positioned accurately, expanding inside the artery to support its walls and maintain proper blood flow. Stenting can be performed as an alternative to carotid endarterectomy, a more invasive surgery, making it a popular choice for patients who may not be suited to traditional surgery due to other health risks.
Carotid stenting is usually performed under local anesthesia, allowing the patient to remain conscious. This aspect is beneficial in assessing neurological function during the procedure, helping ensure that blood flow is being properly restored to the brain. The entire process is usually monitored with real-time imaging to guide the precise placement of the stent, making carotid stenting both effective and efficient in treating carotid artery disease.
Procedure Duration
The carotid stenting procedure generally lasts between 1 to 2 hours, though individual cases may vary slightly depending on factors such as the patient’s anatomy and the extent of the artery narrowing. The procedure is divided into several stages, starting with the preparatory phase, where the patient undergoes initial diagnostics and is positioned in the operating room. A local anesthetic is applied to the insertion area, usually the groin, to minimize discomfort.
Once the procedure begins, the catheter is gently threaded from the femoral artery up to the carotid artery. During this stage, real-time X-ray imaging, or fluoroscopy, is used to ensure accurate placement. In some cases, a filter or a protection device is used to catch any debris that may dislodge during the process to prevent it from traveling to the brain, further minimizing the risk of stroke.
After the stent is positioned and deployed, a post-procedure assessment is performed to confirm the blood flow has been adequately restored. Patients are typically monitored in a recovery area for a few hours to ensure there are no complications and may stay overnight in the hospital, although some may be discharged the same day if recovery is smooth. Full recovery generally takes several days, with patients advised to avoid strenuous activities and follow specific aftercare instructions provided by their healthcare provider.
Benefits
- Minimally Invasive: Carotid stenting is less invasive than open surgery, leading to reduced discomfort and shorter recovery time.
- Stroke Prevention: Effectively reduces the risk of stroke in individuals with significant carotid artery blockage.
- Faster Recovery: Patients typically experience a faster return to daily activities compared to traditional surgical procedures.
- Local Anesthesia: Minimizes risks associated with general anesthesia, making it suitable for high-risk patients.
- Real-Time Monitoring: The use of imaging techniques during the procedure allows for precise placement and minimizes complications.
Potential Destinations
1. Thailand
Thailand is a prominent medical tourism destination known for its advanced healthcare facilities, specialized in minimally invasive procedures like carotid stenting. With highly qualified specialists and affordable rates, it remains a favored choice for international patients.
2. Turkey
Turkey has rapidly emerged as a medical tourism hub, particularly for cardiovascular care. Its hospitals offer cutting-edge technology and English-speaking staff, making it a convenient and comfortable destination for carotid stenting.
3. India
India combines skilled healthcare professionals with state-of-the-art facilities, attracting patients worldwide. Indian hospitals are known for their expertise in complex procedures, including carotid stenting, at competitive costs.
4. Germany
Germany’s healthcare system is known for its precision and high standards. Patients seeking carotid stenting can benefit from Germany’s advanced medical infrastructure, experienced specialists, and rigorous safety protocols.
5. Mexico
Mexico offers proximity and affordable healthcare for North American patients. With accredited hospitals and experienced interventional radiologists, Mexico has become a reliable destination for carotid stenting and other advanced medical procedures.
Risks & Considerations
Blood Clot Formation: There is a risk of blood clots forming on the stent, which can cause a stroke if not managed with medication.
Solution: Antiplatelet therapy is commonly prescribed to prevent clots post-procedure.
Bleeding or Hematoma: The insertion site may experience bleeding, which could lead to complications if not controlled.
Solution: Post-procedure monitoring and proper wound care help minimize this risk.
Artery Dissection: In rare cases, the catheter may cause a tear in the artery lining, potentially leading to further complications.
Solution: Skilled intervention and careful navigation of instruments reduce the likelihood of this occurring.
Infection: Although rare, infections can occur at the catheter insertion site or within the artery.
Solution: Strict sterile conditions during the procedure and post-care can prevent infection.
Allergic Reactions to Contrast Dye: Some patients may have an adverse reaction to the contrast dye used in imaging.
Solution: Pre-screening for allergies and using alternative agents when necessary can address this issue.
How to Choose the Right Doctor and Hospital
Selecting the right doctor and hospital is crucial when considering carotid stenting. Start by researching medical institutions with accreditations from internationally recognized organizations and a track record in cardiovascular procedures. It’s important to look for hospitals with advanced imaging and catheterization labs, as this equipment plays a key role in successful outcomes. Additionally, facilities with an established medical tourism program often provide comprehensive support for international patients, ensuring smooth travel and care arrangements.
When choosing a doctor, seek out a specialist in interventional radiology or vascular surgery with extensive experience in carotid stenting. Reviewing the physician’s credentials, patient reviews, and previous case outcomes can provide insight into their expertise. International patients may also want to arrange for a preliminary consultation to discuss the procedure details and ask any specific questions about their case.
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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