About Carotid Stenting
Key Highlights
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Minimally invasive procedure with no major neck incision required.Typically performed under local anesthesia with sedation, reducing risks associated with general anesthesia.Shorter hospital stay and faster recovery compared to traditional open surgery (carotid endarterectomy).Effective in reducing the risk of stroke in patients with significant carotid artery narrowing.Uses advanced imaging guidance for precise stent placement.Often suitable for patients who are high-risk candidates for open surgery./ul
Who is this surgery for?
- Symptomatic carotid artery stenosis (narrowing of 50% or more) in patients who have experienced a TIA (transient ischemic attack) or stroke.
- Asymptomatic carotid artery stenosis (narrowing of 70% or more) to prevent a future stroke.
- Patients with recurrent stenosis (re-narrowing) after a previous carotid endarterectomy.
- Patients considered high-risk for traditional open surgery due to factors like severe heart disease, lung disease, previous neck surgery or radiation, or anatomical challenges.
- As an alternative when carotid endarterectomy is not technically feasible.
How to prepare
- Comprehensive pre-procedure evaluation including blood tests, ECG, and detailed imaging of the carotid arteries (Duplex ultrasound, CTA, or MRA).
- Review and adjustment of current medications; patients may be asked to stop blood thinners like aspirin or clopidogrel a few days before, but this is surgeon-specific.
- Management of co-existing conditions like high blood pressure and diabetes to optimize safety.
- Fasting for 6-8 hours before the procedure, typically after midnight.
- Informed consent process detailing the procedure, benefits, and potential risks.
- Arranging for transportation home post-procedure as driving is not permitted immediately.
Risks & possible complications
- Stroke or transient ischemic attack (TIA) during or immediately after the procedure.
- Injury to the blood vessel at the catheter insertion site, leading to bleeding, hematoma, or pseudoaneurysm.
- Allergic reaction to the contrast dye used during imaging.
- Restenosis (re-narrowing of the artery) or stent thrombosis (blood clot forming in the stent) over time.
- Bradycardia (slow heart rate) or hypotension (low blood pressure) during balloon inflation.
- Rare complications include heart attack, infection, or kidney damage from contrast dye.
Recovery & hospital stay
- Initial monitoring for 4-6 hours in a recovery area, with pressure applied to the catheter insertion site (usually in the groin).
- Hospital stay is typically 1-2 days for observation of neurological status and access site.
- Patients are advised to drink plenty of fluids to help flush the contrast dye from their system.
- Avoidance of strenuous activities, heavy lifting, and driving for at least a week or as advised.
- Mandatory dual antiplatelet therapy (e.g., aspirin and clopidogrel) for several weeks to months to prevent blood clots on the stent.
- Regular follow-up appointments and carotid ultrasound scans to monitor stent patency and overall vascular health.
- Lifestyle modifications including smoking cessation, healthy diet, and regular exercise are strongly encouraged.
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Typical hospital stay: 1-2 days
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Expected recovery time: 1-2 weeks
Frequently Asked Questions
If you are considering carotid stenting in India, these questions and answers can help you make a confident, informed decision.
Popular choices for carotid stenting in India include Miot Hospital Chennai, Kamineni Hospital, King Koti, Kamineni Hospital, Tadigadapa, Manipal Hospital Old Airport Road, Manipal Hospital Bhubaneswar, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform carotid stenting. MediFyr helps you compare cardiac surgeons and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for carotid stenting compare across other countries where we have data.
Top hospitals for Carotid Stenting in India
These partner hospitals in India have dedicated cardiac surgery teams and experience managing patients undergoing carotid stenting.
Karan Joshi, a 58-year-old senior bank...
Karan Joshi, a 58-year-old senior bank manager, had always prided himself on his active lifestyle. His world tilted during a quarterly review meeting when he suddenly experienced a brief, terrifying episode of slurred speech and weakness in his right arm that resolved in minutes. A subsequent visit to his doctor and a carotid ultrasound revealed a severe 80% blockage in his left carotid artery, a 'ticking time bomb' for a major stroke. His cardiologist, Dr. Sharma, explained that while Karan was on strong blood thinners, the high-grade stenosis posed a significant risk. Given Karan's relative youth and aversion to a large neck scar from traditional surgery, Dr. Sharma recommended carotid stenting, a minimally invasive procedure to open the artery from within. The procedure itself, under local anesthesia, was surreal for Karan; he was awake, feeling only pressure as the stent was deployed. The relief was immediate. Post-procedure, he spent one night in the hospital for observation and was back at his desk (with strict instructions to take it easy) within a week. Emotionally, he journeyed from the sheer panic of his transient ischemic attack, fearing he'd lose his independence and ability to provide, to a profound sense of gratitude and a renewed commitment to his health, now viewing the stent not as a weakness but as a guardian that gave him a second chance.
Cardiac surgeons for Carotid Stenting
Explore experienced cardiac surgeons who regularly perform carotid stenting and provide pre- and post-operative care in India.
- 31 Years Experience
- Pediatric Cardiac surgeon
Miot Hospital Chennai, Chennai
- 37 Years Experience
- Cardiac surgeon
Miot Hospital Chennai, Chennai
- 30 Years Experience
- Cardiac surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 21 Years Experience
- Cardiac surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 11 Years Experience
- Cardiac surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 13 Years Experience
- Cardiac surgeon
- 31 Years Experience
- Cardiac surgeon
Manipal Hospital Whitefield, Bangalore
- 13 Years Experience
- Cardiac surgeon
Manipal Hospital Whitefield, Bangalore
- 15 Years Experience
- Cardiac surgeon
Manipal Hospital Old Airport Road, Bangalore
- 30 Years Experience
- Cardiac surgeon
Manipal Hospital Old Airport Road, Bangalore
- 16 Years Experience
- Cardiac surgeon
Manipal Hospital Old Airport Road, Bangalore
- 23 Years Experience
- Cardiac surgeon
Manipal Hospital Mysore, Mysore
- 13 Years Experience
- Cardiac surgeon
Manipal Hospital Vijayawada, vijayawada
- 23 Years Experience
- Cardiac surgeon
Manipal Hospital Malleshwaram, Bangalore
- 37 Years Experience
- Cardiac surgeon
SIMS Hospital Vadapalani, Chennai
- 8 Years Experience
- Cardiac surgeon
SIMS Hospital Vadapalani, Chennai
- 11 Years Experience
- Cardiac surgeon
SIMS Hospital Vadapalani, Chennai
- 17 Years Experience
- Cardiac surgeon
SIMS Hospital Vadapalani, Chennai
- 11 Years Experience
- Cardiac surgeon
Manipal Hospital Hebbal, Bangalore
- 15 Years Experience
- Cardiac surgeon
Manipal Hospital Hebbal, Bangalore