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TCAR - Transcarotid Artery Revascularization (Carotid stenosis)

Minimally Invasive Surgery with Carotid Endarterectomy:

The operation of carotid endarterectomy is used to treat carotid artery disease. When fatty, waxy deposits form in one of the carotid arteries, this illness develops. Each side of your neck has carotid arteries, which are blood vessels (carotid arteries). Plaque accumulation (atherosclerosis) can obstruct blood flow to the brain. Removing the plaque that is restricting your carotid artery can increase blood flow and lower your risk of stroke.

A local or general anaesthesia is used during carotid endarterectomy. Your surgeon will create an incision across the front of your neck, open your carotid artery, and remove the plaques that have clogged it. The artery is then repaired with stitches or a vein patch or artificial material (patch graft) by your surgeon.

A method known as eversion carotid endarterectomy is sometimes used by surgeons. This procedure entails severing the carotid artery and turning it inside out, followed by plaque removal. The artery is then reattached by your surgeon.

Disease Overview

A narrowing of the major arteries on each side of the neck is known as carotid artery stenosis. Blood flows through these arteries to the head, face, and brain. This constriction is frequently caused by plaque buildup in the arteries, a disease known as atherosclerosis. Fatty deposits (plaques) block the blood vessels that provide blood to your brain and skull, causing stroke (carotid arteries). The obstruction raises your chances of having a stroke, which occurs when the blood flow to the brain is cut off or severely diminished.

Carotid artery disease takes time to develop. A stroke or transient ischemic attack may be the first symptom that you have the illness (TIA).A transient interruption of blood flow to the brain is known as a TIA.

Disease Sign and System

Carotid artery stenosis sometimes has no symptoms or indicators in its early stages. The disease may go undiscovered until it becomes severe enough to deprive your brain of blood, resulting in a stroke or transient ischemic attack (TIA).

The following are signs and symptoms of a stroke or TIA:

  1. Sudden numbness or paralysis in the face or limbs, usually on just one side of the body 
  2. Sudden difficulty speaking and comprehending 
  3. Sudden difficulty seeing in one or both eyes
  4. A strong headache that appears out of nowhere.


Disease Causes

Factors that increase your risk of carotid artery disease include:

- High blood pressure: Excessive strain on artery walls might weaken them and expose them to injury.

- The usage of tobacco: Nicotine might irritate your arteries' inner lining. Smoking also raises your blood pressure and heart rate.

- Diabetic complications: Diabetes impairs your capacity to properly metabolise lipids, increasing your risk of high blood pressure and atherosclerosis.

- Excessive fat in the blood: The building of plaques is aided by high levels of low-density lipoprotein cholesterol and triglycerides, a blood fat.

- A family history: If a family member has atherosclerosis or coronary artery disease, you're more likely to have carotid artery disease.

- Your age: With ageing, arteries become less flexible and more vulnerable to damage.

- Obesity: Excess weight raises your risk of hypertension, atherosclerosis, and diabetes.

- Obstructive sleep apnea: Stopping breathing for long periods of time at night may raise your chance of a stroke.

- A lack of physical activity: It leads to artery-damaging disorders such as high blood pressure, diabetes, and obesity.

Diagnosis

A comprehensive medical history and physical examination are likely to be the first steps taken by your doctor. A swooshing sound (bruit) across the carotid artery in your neck, which is indicative of a restricted artery, is usually heard during the test. The strength, memory, and speaking abilities of your body and mind may be tested by your doctor.

Following that, your doctor may suggest:

- An ultrasound examination of the carotid arteries to determine blood flow and pressure.

- A CT scan or an MRI scan to check for signs of a stroke or other abnormalities.

- A CT or MR angiography scan of the carotid arteries, which offers additional pictures of blood flow. A contrast dye is injected into a blood artery, and pictures of your neck and brain are collected using a CT scan or an MRI.

Disease Treatment

The goal in treating carotid artery disease is to prevent stroke. Specific treatments depend on the extent of blockage in your carotid arteries. If blockage is mild to moderate, your doctor may recommend:

- Lifestyle changes to slow the progression of atherosclerosis. Recommendations may include quitting smoking, losing weight, eating healthy foods, reducing salt and exercising regularly.

- Medication to control blood pressure or lower cholesterol. Your doctor may also recommend taking a daily aspirin or other blood-thinning medication to prevent blood clots.

Your doctor may consider removing the blockage from the artery if the obstruction is significant or if you've already had a TIA or stroke. Among the possibilities are:

Carotid endarterectomy: The most frequent therapy for severe carotid artery disease is carotid endarterectomy. The surgeon accesses the damaged carotid artery and removes the plaques after creating an incision around the front of your neck. Stitches or a graft are used to mend the artery.

Carotid angioplasty and stenting: if the blockage is too difficult to access with a carotid endarterectomy, or if you have other health problems that make surgery too dangerous. You'll be given local anaesthetic, and a small balloon will be put through a catheter to the clog's location. A thin wire mesh coil (stent) is introduced to protect the artery from narrowing again after the balloon is inflated to enlarge it.

Country wise cost comparison for TCAR - Transcarotid Artery Revascularization:

Country Cost
India $8280

Treatment and Cost

11

Total Days
In Country
  • 3 Day in Hospital
  • 2 No. Travelers
  • 8 Days Outside Hospital

Treatment cost starts from

$8273

13 Hospitals


Types of TCAR - Transcarotid Artery Revascularization in Fortis Memorial Research Institute and its associated cost

Treatment OptionApproximate Cost Range (USD)
Stroke Treatment (Overall) 5,000.00 - 12,500.00
Carotid Endarterectomy 2,580.00 - 3,100.00
Mechanical Thrombectomy 4,050.00 - 5,600.00
Intravenous Thrombolysis 2,030.00 - 3,040.00
Angioplasty and Stenting 1,520.00 - 2,520.00
Rehabilitation (Per Session) 57.00 - 224.00
Medications and Supportive Care 1,121.00 - 2,238.00
  • Address: Sector - 44, Opp. HUDA City Center,Gurgaon, Haryana - 122002, India
  • Facilities related to Fortis Memorial Research Institute: Private Rooms, Translator, Nursery / Nanny Services, Airport Pick up, Personal Assistance / Concierge, Free Wifi, Local Tourism Options, International Cuisine, Phone in Room, Private Driver / Limousine Services, Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities, Rehabilitation, Cafe, TV in room, Car Hire, Health Insurance Coordination,
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50

DOCTORS IN 35 SPECIALITIES

20+

FACILITIES & AMENITIES


Types of TCAR - Transcarotid Artery Revascularization in BLK-Max Super Speciality Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)
Stroke Treatment (Overall) 4,080.00 - 5,560.00
Carotid Endarterectomy 2,535.00 - 3,035.00
Mechanical Thrombectomy 4,055.00 - 5,579.00
Intravenous Thrombolysis 2,025.00 - 3,035.00
Angioplasty and Stenting 1,525.00 - 2,545.00
Rehabilitation (Per Session) 51.00 - 205.00
Medications and Supportive Care 1,020.00 - 2,022.00
  • Address: Pusa Road, New Delhi-110005
  • Facilities related to BLK-Max Super Speciality Hospital: Private Rooms, Translator, Nursery / Nanny Services, Personal Assistance / Concierge, Free Wifi, International Cuisine, Phone in Room, Private Driver / Limousine Services, Post operative follow-up, Mobility Accessible Rooms, Rehabilitation, Cafe, TV in room, Car Hire, Health Insurance Coordination
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17

DOCTORS IN 33 SPECIALITIES

20+

FACILITIES & AMENITIES


Types of TCAR - Transcarotid Artery Revascularization in Max Super Speciality Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)
Stroke Treatment (Overall) 4,055.00 - 5,603.00
Carotid Endarterectomy 2,527.00 - 3,049.00
Mechanical Thrombectomy 4,063.00 - 5,603.00
Intravenous Thrombolysis 2,026.00 - 3,060.00
Angioplasty and Stenting 1,519.00 - 2,539.00
Rehabilitation (Per Session) 51.00 - 203.00
Medications and Supportive Care 1,016.00 - 2,021.00
  • Address: Max Super Speciality Hospital No. 1, 2, Press Enclave Road, Mandir Marg, Saket Institutional Area, Saket, New Delhi, Delhi, 110017, India
  • Facilities related to Max Super Speciality Hospital:
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53

DOCTORS IN 34 SPECIALITIES

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FACILITIES & AMENITIES


Types of TCAR - Transcarotid Artery Revascularization in Fortis Escorts Heart Institute and its associated cost

Treatment OptionApproximate Cost Range (USD)
Stroke Treatment (Overall) 5,000.00 - 12,000.00
  • Address: Okhla Road,New Delhi - 110 025 (INDIA)
  • Facilities related to Fortis Escorts Heart Institute: Private Rooms, Translator, Nursery / Nanny Services, Personal Assistance / Concierge, Free Wifi, International Cuisine, Phone in Room, Private Driver / Limousine Services, Post operative follow-up, Mobility Accessible Rooms, Rehabilitation, Cafe, TV in room, Car Hire, Health Insurance Coordination
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19

DOCTORS IN 33 SPECIALITIES

20+

FACILITIES & AMENITIES


Types of TCAR - Transcarotid Artery Revascularization in PSRI Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)
Stroke Treatment (Overall) 4,750.00 - 11,670.00
  • Address: Press Enclave Marg, J Pocket, Phase II, Sheikh Sarai, New Delhi, Delhi 110017
  • Facilities related to PSRI Hospital: Private Rooms, Translator, Nursery / Nanny Services, Personal Assistance / Concierge, Free Wifi, International Cuisine, Phone in Room, Private Driver / Limousine Services, Post operative follow-up, Mobility Accessible Rooms, Rehabilitation, Cafe, TV in room, Car Hire, Health Insurance Coordination
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8

DOCTORS IN 33 SPECIALITIES

20+

FACILITIES & AMENITIES


Types of TCAR - Transcarotid Artery Revascularization in Fortis Flt. Lt. Rajan Dhall Hospital, Vasant Kunj, Delhi and its associated cost

Treatment OptionApproximate Cost Range (USD)
Stroke Treatment (Overall) 5,000.00 - 12,000.00
  • Address: Fortis Flt. Lt. Rajan Dhall Hospital, Aruna Asaf Ali Marg, Pocket 1, Sector B, Vasant Kunj, New Delhi, Delhi 110070
  • Facilities related to Fortis Flt. Lt. Rajan Dhall Hospital, Vasant Kunj, Delhi: Private Rooms, Translator, Nursery / Nanny Services, Personal Assistance / Concierge, Free Wifi, International Cuisine, Phone in Room, Private Driver / Limousine Services, Post operative follow-up, Mobility Accessible Rooms, Rehabilitation, Cafe, TV in room, Car Hire, Health Insurance Coordination
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46

DOCTORS IN 34 SPECIALITIES

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Types of TCAR - Transcarotid Artery Revascularization in MAX Super Speciality hospital, Patpadganj Delhi and its associated cost

Treatment OptionApproximate Cost Range (USD)
Stroke Treatment (Overall) 4,080.00 - 5,560.00
Carotid Endarterectomy 2,535.00 - 3,038.00
Mechanical Thrombectomy 4,060.00 - 5,579.00
Intravenous Thrombolysis 2,029.00 - 3,030.00
Angioplasty and Stenting 1,526.00 - 2,545.00
Rehabilitation (Per Session) 50.00 - 200.00
Medications and Supportive Care 1,017.00 - 2,022.00
  • Address: 108A, Indraprasth Extension, Patpadganj, New Delhi- 110092, India
  • Facilities related to MAX Super Speciality hospital, Patpadganj Delhi: Private Rooms, Translator, Nursery / Nanny Services, Personal Assistance / Concierge, Free Wifi, International Cuisine, Phone in Room, Private Driver / Limousine Services, Post operative follow-up, Mobility Accessible Rooms, Rehabilitation, Cafe, TV in room, Car Hire, Health Insurance Coordination
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52

DOCTORS IN 33 SPECIALITIES

20+

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Types of TCAR - Transcarotid Artery Revascularization in Medanta-The Medicity, Gurgaon and its associated cost

Treatment OptionApproximate Cost Range (USD)
No Treatment option added
  • Address: CH Baktawar Singh Road, Sector 38, Gurugram, Haryana 122001
  • Facilities related to Medanta-The Medicity, Gurgaon: TV in room Private rooms, Free Wifi, Phone in Room, Mobility accessible rooms, Family accommodation, Laundry, Welcome Safe in the room, Nursery / Nanny services. Dry cleaning, Personal assistance / Concierge Religious facilities, Fitness Spa and wellness Café, Business Centre, Shop, Dedicated smoking areas, Beauty Salon, Special offer for group stays, Parking available, Health insurance coordination, Medical travel insurance, Foreign currency exchange, ATM, Credit Card, Debit Card, Net banking, Diet on Request, Restaurant, International Cuisine, Treatment Related Medical records transfer, Online doctor consultation, Rehabilitation, Pharmacy, Document legalization, Post operative follow-up, Language Interpreter, Translation services, Transportation, Airport pickup, Local tourism options, Local transportation booking, Visa / Travel office, Car Hire, Private driver / Limousine services, Air ambulance
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52

DOCTORS IN 33 SPECIALITIES

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Types of TCAR - Transcarotid Artery Revascularization in Indraprastha Apollo Hospitals, New Delhi and its associated cost

Treatment OptionApproximate Cost Range (USD)
Stroke Treatment (Overall) 4,585.00 - 6,230.00
Carotid Endarterectomy 2,856.00 - 3,392.00
Mechanical Thrombectomy 4,578.00 - 6,245.00
Intravenous Thrombolysis 2,258.00 - 3,337.00
Angioplasty and Stenting 1,664.00 - 2,852.00
Rehabilitation (Per Session) 55.00 - 230.00
Medications and Supportive Care 1,100.00 - 2,252.00
  • Address: Mathura Rd, Jasola Vihar, New Delhi, Delhi 110076
  • Facilities related to Indraprastha Apollo Hospitals, New Delhi: Private Rooms, Translator, Nursery / Nanny Services, Personal Assistance / Concierge, Free Wifi, International Cuisine, Phone in Room, Private Driver / Limousine Services, Post operative follow-up, Mobility Accessible Rooms, Rehabilitation, Cafe, TV in room, Car Hire, Health Insurance Coordination
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37

DOCTORS IN 33 SPECIALITIES

20+

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Types of TCAR - Transcarotid Artery Revascularization in Accord Super specialty Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)
Stroke Treatment (Overall) 4,565.00 - 6,235.00
  • Address: Budena Village, Sector 86, Faridabad, Haryana 121002, India
  • Facilities related to Accord Super specialty Hospital: TV in room, Private rooms, Free Wifi, Phone in Room, Mobility accessible rooms, Family accommodation, Laundry, Welcome Safe in the room, Nursery / Nanny services, Dry cleaning, Personal assistance / Concierge Religious facilities, Fitness Spa and wellness Café, Business centre, services Shop, Dedicated smoking areas, Beauty Salon, Special offer for group stays, Parking available, Diet on Request, Restaurant, International Cuisine, Medical records transfer, Online doctor consultation, Rehabilitation, Pharmacy, Document legalisation, Post operative followup, Translation services, Airport pickup, Local tourism options, Local transportation, booking Visa / Travel office, Car Hire, Private driver / Limousine services, Shopping trip organization
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3

DOCTORS IN 16 SPECIALITIES

20+

FACILITIES & AMENITIES

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