Atherosclerosis is one of the most common diseases in Ukraine among the adult population. Cholesterol plaques are deposited in the vessels, disrupting their patency, leading to hypoxia of vital organs. So, for example, the clogging of the carotid and vertebral arteries with cholesterol deposits contributes to impaired blood circulation in the brain and can lead to the development of strokes in the future. The operation of angioplasty and stenting of the carotid arteries is the most advanced and effective method of treating the narrowing of the carotid vessels. The essence of the intervention is to restore the patency of the arterial bed using a stent - a special wireframe. The operation is minimally invasive, it is performed without incisions, only with the help of small punctures.
It is impossible to name one single reason leading to an atherosclerotic restructuring of the vascular wall and cholesterol deposits. Usually, this is a multifactorial pathology that occurs against the background of an improper lifestyle, bad habits, arterial hypertension, diabetes mellitus, and a hereditary predisposition.
Clinical signs of atherosclerosis of the carotid arteries do not appear immediately, as a rule, vascular lesions are asymptomatic. Stroke is often the first symptom of this disease. The following manifestations can indicate chronic cerebral ischemia:
If you find similar symptoms in yourself, it is worth being examined by a neurologist.
The operation of angioplasty and stenting of the carotid arteries is indicated for:
These indicators are approximate, the final decision on the expediency of surgery is made by the doctor based on the general clinical picture.
The process of preparing for stenting of the carotid arteries consists in consulting with a neurologist and related specialists, as well as undergoing several laboratory and instrumental examinations. It will be necessary to do a general and biochemical analysis of blood, urine, coagulogram, ECG, chest x-ray. To clarify the diagnosis, the specialist can also refer the patient for an ultrasound of the carotid arteries and transcranial Doppler, MRI, or CT of the brain and neck vessels. It is necessary to warn the doctor about all medications you are taking on an ongoing basis and any allergic reactions to anything. On the eve of the intervention, the patient has prescribed a course of drugs that prevent blood clots.
Angioplasty and stenting of the carotid arteries are contraindicated in patients with the following conditions:
The operation of angioplasty and stenting of the carotid arteries is performed under local anesthesia. A puncture is made in the area of the femoral or upper limb artery, into which a manipulator catheter with a balloon at the end is inserted. A contrast agent is injected into the vessel, with the help of which surgeons control the advancement of the catheter to the narrowed area. Having brought to the site of stenosis, the catheter with a balloon is inflated and the lumen of the artery expands. The restored vascular lumen is fixed with a stent - a mesh metal structure. After that, the catheter is removed, a pressure bandage is placed at the puncture site. The entire process of the operation is monitored using X-ray machines. The duration of the procedure usually does not exceed 90 minutes.
The length of hospital stay after stenting on the carotid artery is determined by a specialist, depending on the individual characteristics of each clinical case. Usually, patients are discharged 2 days after the intervention. The doctor prescribes a set of drugs that will need to be taken. Heavy physical activity and baths and saunas are not recommended for several weeks. After discharge, you need to correct your lifestyle, normalize your diet, and give up bad habits.
In the Dobrobut network of medical clinics in Kyiv, the best specialists in Ukraine will perform carotid artery stenting at the best price. The final cost of the operation is influenced by the complexity of measures taken before and after the intervention. You can find out the approximate cost of stenting on the website dobrobut.com.
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The endovascular surgical intervention is performed in an operating room under local anesthesia and intravenous anesthesia (if needed). Surgical team: surgeon, surgical nurse. The puncture of radial, brachial or common femoral artery is performed, an introducer is implanted into the punctured artery, the cannulation of the target artery is performed using an endovascular conductor and a guiding catheter. Embolic protection system (Mo.Ma or Spyder FX) is used depending on the anatomy and the type of injury. Predilatation of the arterial sclerotic disease and stenting of the target artery is performed according to “monorail” system. Post-dilatation of the stent (if indicated). Angiography with the recording of intervention results in various projections is performed. Surgical equipment is removed when the intervention is completed. The hemostasis of the vascular access is performed. Aseptic dressing.
Indications for the procedure: data of the clinical picture, ultrasound examination, CT angiography.
Service duration: 40 to 90 minutes.
Special aspects of service provision
The procedure has no age restrictions.
Contraindications for the procedure: allergic reactions to contrast agents, active infectious process.
Appointment for the surgical intervention is carried out only after a check-up by a specialist cardiac surgeon of Dobrobut clinic chain.
Surgical methods are often the best decision for the treatment of injuries and congenital locomotor pathologies. It is impossible to avoid a surgical intervention in case of certain orthopedic diseases.