Stenting in Israel

Dr. Itzhak Kori

Head of the Angiography Department

Top Ihilov is one of the most advanced clinics in Israel, where patients can receive highly qualified medical care for any disease. In particular, first-class angi surgeons work here, capable of successfully treating atherosclerosis and its associated cardiological pathologies. They use the most progressive technologies in endovascular surgery, allowing for the restoration of normal blood flow in vessels without a single incision and with the most durable results. Most often, this involves stenting.

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5000

foreign patients are treated annually at Top Ihilov clinic

82%

successful cases of treatment with conservative methods

24

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Table of contents

Methods

Stages

Prices

Compared to other methods of surgical treatment for atherosclerosis, this procedure has many advantages. These include minimal invasiveness, absence of blood loss, and very short recovery times. An additional plus is the fact that at the Top Ihilov medical center, it is performed using next-generation stents, which can not only effectively eliminate stenosis but also release a drug over a certain period that prevents re-occlusion of the vessel. Thanks to all this, patients quickly return to a fully active life and long forget about any problems with the cardiovascular system.

Indications for Stenting

Under the influence of a number of provoking factors, atherosclerotic plaques can form on the inner surfaces of blood vessel walls, which can ultimately lead to stenosis of the affected artery and a significant deterioration in the quality of life, even leading to death. While atherosclerosis was considered primarily a condition of elderly patients just a few decades ago, today this disease is increasingly encountered in relatively young people. Various vessels can be affected, but in the overwhelming majority of cases, these are the coronary arteries, aorta, vessels of the brain, neck, and lower extremities.

Depending on the stage of atherosclerosis progression, Israeli specialists apply different approaches to its treatment. At early stages, conservative therapy methods are typically used. If these prove ineffective or the disease is diagnosed at a stage where the vessel lumen is blocked by more than 50%, this becomes a direct indication for surgical intervention.

Here is the main list of diseases for which stenting may be performed:

• atherosclerosis of the coronary arteries;
• ischemic heart disease;
• myocardial infarction;
• angina;
• aortic aneurysm;
• cerebral atherosclerosis (damage to the brain vessels);
• aneurysm of the brain vessels;
• obliterating atherosclerosis (stenosis of the arteries of the lower extremities).

In any case, before assigning stenting to a patient, doctors at Top Ihilov conduct a comprehensive preoperative examination. This includes procedures such as ECG, echocardiography, ultrasound Dopplerography, coronary angiography, and others. Based on the results, doctors assess the condition of the vessels, determine the degree of blockage, and then develop the most optimal plan for eliminating the pathology.

How Stenting of Blood Vessels is Performed in Israel

The essence of the procedure is the implantation of a special mesh framework into the stenosed section of the blood vessel, restoring its normal patency and preventing re-narrowing. At Top Ihilov, stents of various types are used. They differ in material, shape, length, diameter, type of coating, and method of installation. The specific type of stent for each patient is selected individually, depending on their age, overall health, nature of the pathology, and other factors.

• Metallic. Most often made from stainless medical steel or metal alloys (for example, cobalt-chromium). In addition to advantages such as good biocompatibility, reliable fixation within the vessel, and relatively low cost, they also have disadvantages. Primarily, there are increased risks of thrombosis in the first few weeks after the procedure and the possibility of restenosis in the future. For this reason, doctors at Top Ihilov sometimes prefer to use other designs as an alternative to metallic stents.
• Biodegradable. One of the most innovative developments in endovascular surgery. Biodegradable stents are made from special materials that can gradually dissolve and be naturally eliminated from the body. The achieved effect is not lost – because the implanted stent additionally releases a drug that prevents re-narrowing of the artery, the risks of restenosis (at least in the coming years) are virtually reduced to zero.
• Drug-eluting stents. These can be made from both metal alloys and biodegradable materials. The main advantage of installing drug-coated stents lies in their anti-proliferative action. They suppress the processes of deposition of atherosclerotic plaques on the vascular walls and thereby ensure the longest possible effect.

Since stenting is performed using a minimally invasive endovascular method, it is practically discomfort-free for patients. Given that the procedure lasts no more than 30-60 minutes and does not require general anesthesia, recovery takes just a few hours, and typically, the patient is discharged from the clinic on the same or the following day.

Using the example of how stenting of the heart vessels is performed in Israel, the following stages of the operation can be highlighted:

• Performing angiography. A control X-ray contrast study of the affected vessels is necessary to clarify the localization of stenosis areas and ensure maximum precision of medical manipulations.
• Catheter insertion. The doctor makes a small puncture in the area of the radial or femoral artery and advances the stent to the pathological focus through it.
• Stent placement. After reaching the blocked section of the vessel with the catheter, the doctor implants the stent. Depending on the type of installation, the designs can be either self-expanding or expanded using a balloon. In most cases, stenting is performed in combination with balloon angioplasty. First, doctors restore the vessel's patency by compressing atherosclerotic plaques by inflating a balloon, and then they "embed" the framework into the vessel walls, which secures the achieved effect and ensures its stability in the future.
• Catheter removal and completion of the operation. Since the procedure does not involve any incisions or bleeding, the patient simply has a bandage applied to the puncture site, and after assessing the effectiveness of the stenting and ruling out complications, they are allowed to leave the clinic.

How much does stenting cost in Israel

Advantages of Stenting at Top Ihilov

• Highly qualified specialists with many years of practical experience.
• Use of the most advanced technologies in endovascular surgery, characterized by maximum effectiveness and safety.
• Maximum durable results – next-generation stents used in the clinic last much longer.
• Clear benefits – the cost of stenting in Israel is 25-45% lower than in Germany or the USA.
• Professional assistance in solving all organizational and household issues.

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