Aortic Aneurysm Treatment in Israel Using Modern Minimally Invasive Techniques

Professor Chaim Aner

Surgeon, vascular surgery specialist

Severe pathology of the body's main artery, the aorta, requires immediate treatment upon detection of an aneurysm. Reviews of aortic aneurysm treatment in Israel demonstrate how successfully the doctors at Ichilov Hospital address this issue. Thanks to their skill and professionalism, the risk of aortic rupture is eliminated, allowing the patient to return to their normal life.

For treatment to be successful, accurate diagnosis is crucial, as it allows for risk assessment and the selection of the appropriate therapy option. In the diagnostic center of the hospital, examinations are maximally informative and 100% reliable. After several days of diagnostics, endovascular surgeons begin treatment. It is conducted according to the most modern protocols through minimally invasive surgical interventions. Only in extreme cases do doctors resort to open surgery; in most cases, minimally traumatic techniques completely eliminate the aneurysm. Complete recovery is achieved in 90% of cases.

99%

of surgeries at Ichilov Top Hospital are performed using minimally invasive methods

82%

successful cases of conservative treatment

100%

high-precision diagnostic program

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Table of Contents

Treatment Methods

Diagnostics

Prices

Reviews

Foreign patients primarily come for scheduled treatments. However, if a foreigner in Israel requires emergency medical assistance, they will certainly receive it. One significant factor that leads foreign patients to choose Ichilov Hospital is the cost of the complete set of diagnostic and treatment procedures. The price of aortic aneurysm treatment in Israel is more affordable than in clinics in Germany and the USA, although the quality of treatment is no less than that in Germany or America.

Heart Surgery in Israel

How Treatment is Conducted

Conservative therapy (medication) is only supportive and aims to slow the progression of the pathology. It may be a treatment option in the very early stages. Medications can eliminate hypertension and atherosclerosis—conditions that provoke the growth of the aneurysm. At the slightest signs that the aneurysm has begun to grow, surgical treatment must be initiated.

To a large extent, the choice of surgical technique depends on the size of the pathology. Currently, doctors strive to reduce the volume of surgical intervention to minimize the risks of complications.

Endovascular surgeries. This technique is recognized as the most progressive in treating vascular pathologies today. Instead of cutting through tissues, a puncture is made in the area of a large vessel (femoral or brachial artery), through which a flexible ultra-thin catheter is introduced. Under the guidance of imaging equipment, the catheter is maneuvered through the vessel to the area of the pathology, where the necessary manipulations are performed. The catheter is then removed, leaving only a small wound at the insertion site. This technique avoids dangers associated with open access: the risk of infection in the surgical wound and significant blood loss. Instead of a long and complicated recovery period, the patient is discharged from the hospital after a few days and can go home.

On one hand, endovascular surgery is the least dangerous for the patient, but on the other hand, it requires special qualifications and skills from surgeons, as the course of the operation is very different from traditional methods. For example, there is no direct visual contact with the surgical area, and manipulations must be performed with special tools and devices. At Ichilov Hospital, such surgeries are performed only by doctors with the appropriate qualifications and considerable practical experience. Aortic aneurysm surgeries using endovascular access can take several forms.

Stent placement. A stent is a miniature framework structure that is placed at the site of the pathology. It prevents blood flow through the aneurysm and prevents the walls of the aorta from narrowing. The stent is introduced at the end of the catheter in a compressed form. Once in the aorta, it is expanded and positioned to ensure it is securely held in place. Over time, the vessel's tissues envelop the stent, further securing it in the designated area of the aorta. The stent is made of biocompatible material, which eliminates the risk of rejection.

Clip placement. Another implant that eliminates the risk of aortic rupture. Similarly, using the endovascular method, it is delivered to the aorta. The clip then clamps the aneurysm, making blood flow through it impossible. This type of surgery eliminates dangers and allows the patient to return to a normal rhythm of life. The material from which the clip is made is compatible with human body tissues.

Aorta prosthesis. An open surgery that is resorted to if the aneurysm cannot be eliminated minimally invasively and if the damage to the aorta at the site of its location is significant. The implant—a fragment of the vessel—is made from artificial material compatible with human tissues. The damaged vessel fragment is removed, and a prosthesis is installed in its place. If the aneurysm is near the aortic valve and it is also damaged, surgeons perform reconstruction or prosthesis of the valve. This is a complex surgery that can only be performed by surgeons with sufficient qualifications.

Diagnostics

Aortic aneurysm treatment in Israeli clinics begins with a detailed examination, during which the size of the aneurysm, the degree of vessel damage, accompanying pathologies, and so on are determined. All this information allows doctors to select the most optimal treatment type. The diagnostic center of the hospital is equipped with innovative devices and a complex of laboratories. Diagnostics are performed within three days, after which treatment can begin immediately.

First Day

A consultation with the attending physician takes place: the patient is examined, the medical history is reviewed, and complaints about their condition are listened to. Patients from the CIS are accompanied by a Russian-speaking translator.

Second Day

The following diagnostic procedures are conducted:

• Aortography
• MRI, CT
• X-ray
• Echocardiography
• Tests necessary for surgical preparation: blood clotting analysis, infection tests, etc.

Third Day

During a medical council, the method of treatment is determined. The patient is informed in detail about the chosen method, its features, and the results that the doctors plan to achieve.

Patients have the option to consult with a doctor without coming to the hospital via Skype. The second opinion service is especially important for those who doubt the competence of the doctors in their home country who made the diagnosis. Video consultations can be utilized by those planning to receive treatment at Ichilov Top as well as those who do not plan to come to Israel for treatment. During the video consultation, a clinic expert will provide their independent assessment of the accuracy of the diagnosis and the therapy proposed in the home country. They will also suggest the most optimal treatment option and provide a written conclusion. The conclusion from the Israeli expert can serve as a basis for revising therapy in the home country. If the patient decides to come for treatment at Ichilov Top after the video consultation, the first examination will be conducted free of charge. The service can be accessed simply by submitting a request on the website.

Modern Diagnostic Methods

How Much Does Aortic Aneurysm Treatment Cost in Israel

Advantages of Treatment at Ichilov Top

• Modern minimally invasive treatment standards
• Minimum side effects and risks
• Quick elimination of pathology
• Highly qualified team of doctors
• Moderate cost.

To learn more about treatment at our clinic, please submit a request on the website.