High-Quality Carotid Endarterectomy Surgery Cost in India

The average cost of Carotid endarterectomy in India starts from $6500 to $9000. Factors that affect the price are:

  • Location of the hospital
  • Choice of hospital
  • Surgeon’s fee
  • Duration of stay in Hospital
  • Diagnostic test
Carotid Endarterectomy Surgery Cost in India

What is Carotid endarterectomy?

Carotid endarterectomy is surgery that removes plaque buildup from inside a carotid artery in your neck. This surgery is done to restore normal blood flow to the brain to prevent a stroke if you already have symptoms of reduced blood flow.

Carotid endarterectomy also may be performed preventively if a diagnostic test such as carotid ultrasound shows significant blockage that is likely to trigger a stroke. Carotid endarterectomy is not a cure. Your arteries can become blocked again if your underlying condition, such as high blood cholesterol, is not controlled and causes new plaque buildup.

Why it's done

Doctors may recommend carotid endarterectomy if you have a severe narrowing in your carotid artery. There are several other factors that will be considered other than the degree of blockage in the artery. You may or may not be experiencing symptoms. Your doctor will evaluate your condition and determine whether you’re a candidate for carotid endarterectomy.

If carotid endarterectomy isn’t the best option for you, you might have a procedure called carotid angioplasty and stenting instead of carotid endarterectomy. In this procedure, doctors thread a long hollow tube (catheter) with a small balloon attached through a blood vessel in your neck to the narrowed artery. The balloon is then inflated to widen the artery. A metal mesh tube (stent) is often inserted to decrease the chance of the artery narrowing again.

What causes carotid artery disease?

Carotid artery disease is typically caused by atherosclerosis, a disease in which plaque builds up in the arteries. A similar buildup occurs in the heart’s blood vessels when someone has coronary artery disease. Plaque contains clumps of:

  • cholesterol
  • fat
  • cellular waste
  • protein
  • calcium

Atherosclerosis can make your carotid arteries narrower and less flexible over time. This limits the amount of blood flow to your organs.

Carotid artery disease can also be the result of other diseases that cause arterial damage.

Symptoms of Carotid Endarterectomy?

In its early stages, carotid artery disease often doesn’t produce any signs or symptoms. The condition may go unnoticed until it’s serious enough to deprive your brain of blood, causing a stroke or TIA.

Signs and symptoms of a stroke or TIA include:

  • Sudden numbness or weakness in the face or limbs, often on only one side of the body
  • Sudden trouble speaking and understanding
  • Sudden trouble seeing in one or both eyes
  • Sudden dizziness or loss of balance
  • Sudden, severe headache with no known cause

What are the risks of a carotid endarterectomy?

Some possible complications of carotid endarterectomy include:

  • Stroke or TIA
  • Heart attack
  • Pooling of blood into tissue around the incision site causing swelling
  • Nerve problems with certain functions of the eyes, nose, tongue, or ears
  • Bleeding into the brain (intracerebral hemorrhage)
  • Seizures (uncommon)
  • Repeated blockage of the carotid artery. Or new blockage that develops in the artery on the other side of your neck.
  • Bleeding at the incision site in the neck
  • Infection
  • High blood pressure
  • Irregular heart beat
  • Blocked airway from swelling or from bleeding in the neck

If you are allergic to or sensitive to medicines, contrast dye, iodine, or latex, tell your healthcare provider. Also tell your healthcare provider if you have kidney failure or other kidney problems.

There may be other risks based on your condition. Discuss any concerns with your healthcare provider before the procedure.

Diagnosis and tests For Carotid Endarterectomy?

  • Physical examination
  • Carotid ultrasound
  • MRA
  • CTA
  • Cerebral angiography
  • CT Scan
  • Blood tests

How do I get ready for a carotid endarterectomy?

  • Physical examination done by your doctor.

  • You will be asked to sign a consent form that gives your permission to do the procedure.

  • You may have blood tests or other diagnostic tests.

  • Tell your doctor if you are sensitive to or are allergic to any medicines, iodine, latex, tape, contrast dye, or anesthesia.

  • Tell your doctor of all prescription and over-the-counter medicines and herbal supplements that you are taking.

  • Inform your doctor if you have a history of bleeding disorders. Also tell your doctor if you are taking any blood-thinning medicines (anticoagulants), aspirin, or other medicines that affect blood clotting. You may be told to stop some of these medicines before the procedure.

  • If you are pregnant or think you could be, tell your doctor.

  • Your will be asked do not eat or drink for 6-8 hours before surgery.

  • Your doctor may request a blood test before the procedure to find out how long it takes your blood to clot.

  • You may get medicine (sedative) before the procedure to help you relax.

  • You will be asked to stop smoking if you do

  • Make sure you do not wear any jewellery or make-up on the day of surgery.

What happens during a carotid endarterectomy?

Carotid endarterectomy requires a stay in hospital. Procedures may vary based on your condition and your Surgeon practices.

Generally, carotid endarterectomy (CEA) follows this process:

  • You will remove your clothing and put on a hospital gown.

  • It takes about 1.5 to 2 hours to operate

  • You will be asked to empty your bladder before the procedure.

  • An IV (intravenous) line will be started in your arm or hand. Another catheter will be put in your wrist to monitor your blood pressure and to take blood samples. One or more extra catheters may be put in into your neck, opposite the surgery site, to monitor your heart. Other sites for the catheter include the under the collarbone area and the groin.

  • If there is too much hair at the surgical site, the healthcare team may shave it off.

  • You will be placed on the operating table, lying on your back. Your head will be raised slightly and turned away from the side to be operated on.

  • A catheter will be put in into your bladder to drain urine.

  • The anesthesiologist will check your heart rate, blood pressure, breathing, and blood oxygen level during the surgery.

  • The surgery is performed under local or general anaesthesia and you will feel no pain

  • Under local anesthesia, you will get oxygen through a tube that fits in your nose.

  • You will be given a dose of antibiotics through your IV to help prevent infection.

  • The healthcare team will clean the skin over the surgery site with an antiseptic solution.

  • Your Surgeon will make a cut (incision) down the side of the neck over the diseased artery. Once the artery is exposed, the doctor will make a cut into the artery.

  • The doctor may use a device called a shunt to divert blood flow around the surgery area. This will keep blood flowing to the brain. A shunt is a small tube that is put into the carotid artery to send blood flow around the area being operated on.

  • With the blood flow diverted, the healthcare provider will remove the plaque from the artery.

  • The doctor will then remove the shunt and carefully close the artery. The incision in the neck will be stitched together.
    A small tube (drain) may be placed in your neck. This will drain any blood into a small palm-size suction bulb. It is generally removed the morning after the procedure.

  • You may get blood pressure medicine through your IV during and after the procedure to keep your blood pressure within a certain range.

  • If you had general anesthesia, the doctor will wake you up in the operating room to be sure you can respond to questions.

  • A sterile bandage or dressing will be put on the surgery site.

What happens after a carotid endarterectomy?

In the hospital

  • After the procedure you will be taken to the recovery room. Once your blood pressure, pulse, and breathing are stable then you may be taken to the intensive care unit (ICU) or your hospital room.

  • At the appropriate time, you will be helped out of bed to walk around as you can handle it.

  • If a drainage tube was placed in the incision during the procedure, your doctor most likely remove it the next morning.

  • You will be offered solid foods as you can handle them.

  • Take a pain killer as recommended by your doctor. Aspirin or certain other pain medicines may increase the chance of bleeding. Be sure to take only recommended medicines.

  • Your doctor may schedule you for follow-up duplex ultrasound procedures to monitor the carotid arteries in your neck.

  • Generally, you can go home within 1 to 2 days after a carotid endarterectomy.

At home

Once you are home, it is important to keep the incision area clean and dry. Your doctor will give you specific bathing instructions. If stitches are used, they will be removed during a follow-up office visit.

You may go back to your normal diet unless your doctor tells you otherwise. It is generally advised to follow a diet that is low in fat and cholesterol.

You should eat vegetables, fruits, low-fat or non-fat dairy products, and lean meats. Avoid foods that are processed or packaged.

Tell your doctor to report any of the following:

  • Fever or chills
  • Redness, swelling, or bleeding or other drainage from the incision site
  • Increased pain around the incision site

Frequently Asked Questions About Carotid Endarterectomy?

Q: How will Carotid Endarterectomy benefit my health?

A: Carotid Endarterectomy unblocks the plaque accumulated in your carotid artery which will prevent your risk of having a Stroke or TIA in the future.

Q: What are carotid arteries?

A: They are the main blood vessels to the neck and head.

Q: How can carotid artery disease occur?

A: Carotid artery disease occurs when there is a build up of plaque in the vessels causing blockage or narrowing of the arteries and resulting in a Stroke or TIA.

Q: What is plaque?

A: It is the fatty substance that creates blockage in the blood vessels. It is made up of cholesterol, fat, calcium, protein and, cellular waste.

Q: Who are at an increased risk for carotid artery disease?

A: People who are ageing, smokers, having had previous stroke or mini-stroke attacks, people with diabetes, cancer, high blood pressure are at greater risk.

Q: How will I prevent carotid artery disease?

A: Maintaining a healthy lifestyle, quitting smoking, controlling weight if obese with plenty of physical activities could go a long way in preventing this disease. Your doctor may also prescribe some medications to control risk factors.

Q: When is Carotid Endarterectomy recommended?

A: Carotid Endarterectomy is recommended depending on the Grading of the severity of the blockage. When a patient has a Moderate or Severe blockage, surgery is then recommended.

Q: When is Carotid Endarterectomy contraindicated?

A: Certain issues that rule out the surgery are:

  • When the carotid artery is completely blocked
  • A serious illness that could pose greater risk for the patient or reduce the span of life
  • A patient suffers from major stroke with minimal recovery
  • A patient has significantly altered level of consciousness.

Q: Is Carotid Endarterectomy a painful procedure?

A: You will be given either local or general anaesthesia, so it will not be painful. However, you may experience some discomfort in the surgical area which will eventually fade away. If there is any pain, medications are available to alleviate any pain.

Q: How long is the recovery?

A: Recovery can be rapid and may take around 3 to 4 weeks to get back to work. However, you may be asked to stop physical activities for a while.

Q: How will I know whether there is recurrence of plaque in my artery?

A: During a follow-up procedure, a Carotid ultrasound will be performed to see whether there is a recurrence or not.

Best Surgeons for Carotid Endarterectomy In India

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