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International Patient CareCarotid Angioplasty and Stenting Procedure at Medicover Hospitals
Carotid Angioplasty and Stenting at Medicover Hospitals is performed using advanced endoscopic techniques by our skilled neurologists with DM and DNB qualifications. This minimally invasive procedure helps improve blood flow to the brain, often resulting in shorter hospital stays and quicker recovery times.
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What is Carotid Angioplasty and Stenting?
Carotid Angioplasty and Stenting is a medical procedure to treat narrowed carotid arteries. These arteries are located in the neck and supply blood to the brain. The procedure involves widening the artery using a small balloon (angioplasty procedure) and placing a metal mesh tube (stent) to keep it open. This helps improve blood flow and prevent strokes.
This surgery is needed when plaque builds up in the carotid arteries, a condition known as carotid artery stenosis. If left untreated, it can lead to a stroke. Modern surgical approaches include minimally invasive techniques. These reduce recovery time and lower the risk of complications. Carotid Angioplasty and Stenting is a key option for patients at high risk for traditional surgery.
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Complete Guide To Carotid Angioplasty And Stenting
Everything you need to know about the procedure, preparation, and recovery
Carotid Angioplasty and Stenting procedure Indications
Doctors recommend carotid angioplasty and stenting when there is a significant narrowing of the carotid arteries. This procedure is often advised to prevent strokes or reduce symptoms related to reduced blood flow to the brain.
Severe Carotid Artery Stenosis
Patients may experience transient ischemic attacks (TIAs) or minor strokes. Imaging tests like Doppler ultrasound or CT angiography reveal significant narrowing of the carotid artery. When medication and lifestyle changes do not improve the condition, this procedure is considered.
Recurrent Transient Ischemic Attacks
Patients report brief episodes of weakness, vision problems, or speech difficulties. These symptoms indicate temporary disruptions in blood flow. If TIAs recur despite medical management, angioplasty and stenting may be recommended.
Previous Stroke with Carotid Stenosis
Individuals who have suffered a stroke may have residual symptoms like weakness or speech issues. Imaging shows narrowed carotid arteries. When further stroke risk is high, and non-surgical treatments fail, this procedure is advised.
Asymptomatic Carotid Stenosis
Some patients have no symptoms but are found to have significant stenosis during routine check-ups. Ultrasound or MRI shows substantial narrowing. If the risk of stroke is high, doctors may suggest angioplasty and stenting.
Failed Carotid Endarterectomy
Patients who previously underwent carotid endarterectomy may experience recurrent symptoms. Imaging reveals restenosis at the surgical site. When symptoms persist and risk increases, angioplasty and stenting are considered.
How to Prepare for Carotid Angioplasty and Stenting?
Proper preparation is crucial for a successful carotid PCI and stenting procedure. It helps minimise risks and ensures a smooth recovery.
- Medication Review: Inform your doctor about all medications. Stop NSAIDs, anticoagulants, and herbal supplements as advised.
- Fasting Guidelines: Do not eat or drink for at least 6-8 hours before the procedure due to anaesthesia requirements.
- Medical Tests: Complete any required blood tests or imaging studies as scheduled by your healthcare provider.
- Clothing: Wear loose, comfortable clothing on the day of the procedure for ease of movement.
- Transportation: Arrange for someone to drive you home post-procedure, as you may feel drowsy from anaesthesia.
- Medication List: Bring a list of your current medications, including dosages, to the hospital.
- Allergy Information: Inform your medical team about any known llergies, especially to contrast dyes or medications.
- Smoking and Alcohol: Avoid smoking and alcohol for a few days before the procedure to promote better healing.
Carotid Angioplasty and Stenting procedure (Step-by-Step)
Overview: Carotid angioplasty and stenting is performed by interventional neurologists. The procedure typically lasts 1-2 hours. It is usually done under local anaesthesia.
- Preparation: The patient lies on the procedure table. Local anaesthesia is administered to numb the groin area.
- Access: A small incision (1-2 cm) is made in the groin. A catheter is inserted into the femoral artery using a guidewire.
- Navigation: The catheter is carefully guided to the carotid artery using fluoroscopy. Contrast dye is injected for clear imaging.
- Balloon Angioplasty: A balloon-tipped catheter is positioned at the blockage site. The balloon is inflated to widen the artery.
- Stent Placement: A stent is placed at the site to keep the artery open. The balloon is deflated and removed, leaving the stent in place.
- Closure: The catheter is withdrawn. The incision is closed with sutures or a closure device. Pressure is applied to prevent bleeding.
- Recovery: The patient is monitored in a recovery area. Vital signs are checked, and the patient is advised to rest.
Who Performs Carotid Angioplasty and Stenting procedure?
An interventional neurologist performs this procedure. They specialise in minimally invasive techniques to treat vascular conditions affecting the brain and neck. Their expertise ensures precise navigation and placement of the stent to restore proper blood flow.
Recovery After Carotid Angioplasty and Stenting procedure
Recovery from carotid angioplasty and stenting involves careful monitoring and gradual return to daily activities. It is essential to follow your doctor's advice to ensure a smooth recovery process.
Day 1-3:
- Rest is crucial. Avoid strenuous activities.
- Monitor the insertion site for any signs of bleeding or infection.
- Stick to a light diet. Opt for easily digestible foods like curd, dal-rice, and soups.
Day 4-7:
- You may start light activities but avoid heavy lifting.
- Continue with a heart-healthy diet. Include moong dal and khichdi.
- Stay hydrated and avoid caffeinated beverages.
Week 2:
- Gradually increase activity levels as per your doctor's advice.
- Most people can return to work or school, depending on their recovery and type of work.
- Continue with a balanced diet rich in fruits and vegetables.
Phase 3 (Week 3-4):
- Resume normal activities, but still avoid any heavy lifting or intense exercise.
- Regular follow-up appointments are crucial to monitor recovery.
- Maintain a healthy lifestyle to support vascular health.
When to Seek Urgent Help:
- Sudden severe headache or dizziness.
- Weakness or numbness in the face, arm, or leg, especially on one side.
- Difficulty speaking or understanding speech.
- Chest pain or shortness of breath.
Please contact the hospital for current details as insurance panels may change.
Benefits of Carotid Angioplasty and Stenting procedure
This procedure helps restore proper blood flow in the carotid arteries, reducing the risk of stroke.
- Minimally Invasive: It involves a small incision, leading to quicker recovery compared to open surgery.
- Reduced Stroke Risk: By opening narrowed arteries, it significantly lowers the chance of future strokes.
- Shorter Hospital Stay: Patients often experience a shorter hospital stay, allowing for a faster return to daily activities.
- Improved Blood Flow: Enhances blood circulation to the brain, potentially improving cognitive function.
Risks and Complications of Carotid Angioplasty and Stenting procedure
While generally safe, like any medical procedure, it carries certain risks and potential complications.
Common Risks
- Bruising or bleeding at the catheter insertion site.
- Temporary nerve damage, which may cause numbness or weakness.
Rare Risks
- Stroke during or shortly after the procedure.
- Allergic reactions to the contrast dye used during the procedure.
- Restenosis, or re-narrowing of the artery over time.
- Blood clots forming on the stent.
Cost of Carotid Angioplasty and Stenting procedure
The cost of Carotid Angioplasty and Stenting at Medicover Hospitals ranges from ₹1,00,000 to ₹3,00,000. The price varies depending on the ward category chosen, such as general, twin sharing, private, and more. We offer transparent pricing, and support for insurance and TPA, including CGHS, ESI, and major TPAs. Cashless facilities are available to ease the payment process. Please contact the hospital for the latest insurance panel details as these may change periodically.
Frequently Asked Questions
1. How much does Carotid Angioplasty and Stenting cost?
The cost ranges from ₹1,00,000 to ₹3,00,000 across Medicover Hospitals, depending on the facility and room type chosen.
2. Is Carotid Angioplasty and Stenting covered by insurance?
Yes, it is often covered by CGHS, ESI, and major TPAs with cashless options. Please contact the hospital for current panel details.
3. Can I drive after Carotid Angioplasty and Stenting?
Driving is usually not recommended for at least one week post-procedure. Consult your doctor for specific advice based on your recovery.
4. Will I need blood thinners after the procedure?
Yes, patients are typically prescribed blood thinners to prevent clotting. Follow your doctor's instructions on medication and dosage.
5. Can I eat spicy food after the procedure?
Initially, stick to a bland diet like dal-rice or khichdi. Gradually reintroduce spices as advised by your doctor.
6. Will I feel dizzy after Carotid Stenting?
Some patients may experience dizziness post-procedure. Report any persistent dizziness to your healthcare provider promptly.
7. Are there any speech changes after the procedure?
Speech changes are uncommon but possible if nerves are affected. Consult your doctor if you notice any speech difficulties.
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