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Advanced Carotid Surgery

Carotid stenting plays a crucial role in reducing stroke risk for patients with carotid artery stenosis. This minimally invasive treatment stands as a viable option alongside carotid endarterectomy (CEA) for specific patients. The treatment works best for those with high-grade asymptomatic (more than 70%) or symptomatic carotid artery stenosis.

Stenting proves more beneficial than endarterectomy for patients with severe heart disease, heart failure, severe lung disease, or specific anatomic features like contralateral carotid occlusion. The future looks promising as technological advances, including improved embolic protection devices and dual-layered stents, point toward better patient outcomes.

Why CARE Group Hospitals is Your Top Choice for Carotid Stenting Surgery in Hyderabad

CARE Hospitals has one of India's largest vascular teams with 20+ years of experience. The team has eight vascular surgeons and five interventional radiologists who work together under one roof. These specialists have gained unique experience through their training in India, Japan, the UK and the USA. The vascular group gets reliable support from multi-speciality, anaesthesia, and critical care teams that ensure excellent patient outcomes with every procedure.

Best Carotid Surgery Doctors in India

State-of-the-art Surgical Innovations at CARE Hospital

CARE Hospital leads the carotid stenting technology advancement. The hospital tested the feasibility of robot-assisted carotid stenting through the 'CARE' clinical trial. Seven robotic procedures were performed using an advanced robotic platform that improves cardiovascular treatment by enhancing physicians' precision and drastically reducing medical staff's X-ray exposure. The procedures achieved a higher clinical success rate.

Conditions for Carotid Stenting

CARE Hospital's carotid stenting treats carotid artery disease—a condition where the internal carotid arteries' lining narrows from cholesterol or triglyceride deposits. This narrowing process (atherosclerosis) limits blood flow to the brain and can cause strokes. The procedure helps patients with the most important carotid stenosis, particularly those who cannot undergo traditional endarterectomy due to medical issues like severe cardiac, pulmonary, or renal disease.

Types of Carotid Stenting

CARE Hospital provides various stent types based on patient needs:

  • Self-expanding stents - These stents expand on their own when released from delivery systems, made from cobalt alloy or nitinol
  • Closed-cell stents - These provide reliable plaque coverage with smaller free cell areas
  • Open-cell stents - They offer greater flexibility for complex bifurcations
  • Hybrid stents - These combine open cells at ends with closed cells in the middle for both flexibility and framework

The medical team selects each stent type based on the patient's specific condition, plaque composition and anatomical considerations.

Pre-surgery Preparation

Patients need to adjust their medications, especially when they have blood thinners, before the procedure. Your doctor orders several essential tests that include an ECG, blood tests, and carotid imaging. The medical team provides specific guidance about:

  • The time to stop eating and drinking
  • Which medications should you continue or pause
  • What items do you need at the hospital

Carotid Stenting Surgical Procedure

The surgery takes between 30 minutes to 2 hours. The medical team starts with local anaesthesia and sedation. They insert a catheter through a small incision in the groin area. The surgeon then:

  • Guides a catheter to the carotid artery
  • Sets a filter device to catch loose plaque
  • Expands a balloon to clear the blocked area
  • Places a stent to maintain the artery's openness

Post-surgery Recovery

Hospital stays usually last 24-48 hours. The medical team watches carefully for stroke signs or bleeding after surgery. Patients need several days to a week of limited physical activity.

Risks and Complications

Serious complications can include:

  • Stroke (most serious risk)
  • Bleeding at the catheter insertion site
  • Carotid artery dissection (tear)
  • Blood clots
  • Restenosis (narrowing again) occurs 

Benefits of Carotid Stenting Surgery

This procedure offers several advantages over traditional surgery:

  • Small incisions with minimal invasion
  • Brief hospital stays
  • Quick recovery within a week
  • Reduced discomfort
  • Better options for high-risk patients

Insurance Assistance for Carotid Stenting Surgery

Medicare provides coverage for patients with symptomatic stenosis who face high risks with carotid endarterectomy. Get full information from your insurance provider before the treatment.

Second Opinion for Carotid Stenting Surgery

A second medical opinion proves valuable if you experience:

  • Complex surgical scenarios
  • Questions about treatment choices
  • Additional health conditions that increase surgical risks

Conclusion

Carotid stenting is a great way to get treatment for patients with carotid artery stenosis. This minimally invasive procedure serves as a viable alternative to traditional endarterectomy, especially when you have severe heart conditions, lung disease or specific anatomical features. Your individual health profile determines the best treatment choice. 

CARE Hospitals Group's team of vascular surgeons and interventional radiologists delivers outstanding results. Their involvement in advanced clinical trials, including robotic carotid stenting, demonstrates their steadfast dedication to patient care. The team's high clinical success rate during these trials reflects their expertise.

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Best Carotid Surgery Hospitals in India

Frequently Asked Questions

Carotid stenting opens blocked carotid arteries with minimal invasion. The procedure places a small mesh tube (stent) into the narrowed section of your carotid artery that improves blood flow to your brain. Your surgeon makes a small cut in your groin to insert a catheter, guides it to your neck, and positions the stent to keep the artery open. The stent acts like a framework that maintains your artery in a healthier position.

Medical teams typically recommend this procedure for:

  • Symptomatic patients with stenosis of 70% or more
  • Asymptomatic patients with blockage of 60% or greater
  • Patients who've had a carotid endarterectomy with recurrent stenosis
  • Cases where surgeons find it hard to access the blockage through surgery

The best candidates include patients with:

  • Severe heart disease, unstable angina, or heart failure
  • Previous neck radiation or surgery that makes open examination difficult
  • Contralateral carotid occlusion
  • Severe lung disease
  • Damage to the contralateral vocal cords

Carotid stenting has proven both safe and effective. Both stenting and endarterectomy reduce stroke risk substantially in the decade after treatment.

The procedure usually takes 30 minutes to complete. Some cases might need up to two hours based on vessel complexity and anatomy. The surgery rarely takes longer unless unexpected challenges arise.

Common complications include:

  • Bleeding where the catheter enters
  • Artery damage
  • Blood clots
  • Stroke risk (very rare)

Carotid stenting doesn't fall under major surgery. Doctors classify it as a nonsurgical, minimally invasive procedure. The procedure needs just a small incision, and patients typically leave the hospital within 24-48 hours. Recovery takes about a week, which is nowhere near the time needed for traditional carotid surgery.

Patients stay in the hospital for 24-48 hours at the time of the procedure for monitoring. The recovery process continues at home and takes about 1-2 weeks. Normal activities can resume after a day or two, but patients should avoid strenuous activities for 5-7 days until the incision site heals fully.

Stroke risk after carotid stenting remains very low. Stents continue to expand after placement and generate tissue growth that creates balance, which helps maintain proper blood flow.

Doctors perform carotid stenting under local anaesthesia with minimal sedation. This method helps them monitor neurological responses throughout the procedure. 

These guidelines will help ensure proper healing:

  • No lifting objects over 20 pounds for one week
  • Avoid baths, swimming pools or soaking the puncture site for seven days
  • Take the stairs slowly
  • Build up to normal activity levels by the end of the week.

Carotid stents remain permanently in your artery. Re-narrowing occurs in a small number of cases, usually within 6-9 months after the procedure.
 

Mini-strokes or TIAs often serve as the first warning sign. Patients might experience fatigue, bulging neck veins, numbness, chest pain, dizziness, poor balance, ringing ears, and blurred vision.

Vision problems, confusion, memory issues, weakness on one side of your body, and difficulty thinking and speaking are common warning signs. Doctors can detect an unusual sound called a "bruit" when they listen to your carotid arteries.

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