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Ichilov Medical Center
Vascular Surgery

Aortic Aneurysm Treatment in Israel Using Modern Minimally Invasive Techniques

Professor Chaim AnerProfessor Chaim Aner

Surgeon, specialist in vascular surgery

The severe pathology of the body's main artery, the aorta, requires immediate treatment upon the discovery of an aneurysm. Reviews of aortic aneurysm treatment in Israel show how successfully the doctors at the Ichilov clinic handle this problem. Thanks to their skill and professionalism, the danger of aortic rupture is eliminated, and the person can return to their usual life.

For treatment to be successful, proper diagnosis is important, allowing for risk assessment and the selection of the correct therapy option. In the clinic's diagnostic center, 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, using minimally invasive surgical interventions. Only in extreme cases do doctors resort to open surgery; in most cases, minimally traumatic techniques allow for the complete elimination of the aneurysm. Complete recovery is achieved in 90% of cases.

99%
of surgeries at the Top Ichilov clinic are performed using minimally invasive methods
82%
successful cases of treatment with conservative methods
100%
high-precision diagnostic program

Foreign patients primarily come for scheduled treatment. However, if a foreigner in Israel requires emergency medical assistance, they will certainly receive it. One of the significant factors that lead foreign patients to choose the Ichilov clinic 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.

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How Treatment is Conducted

Aortic Aneurysm Treatment - Disease

Conservative therapy (medication) is only supportive and aimed at slowing the growth of the pathology. It can be a therapy option in the very early stages. Medications can eliminate hypertension and atherosclerosis – the pathologies that provoke the growth of the aneurysm. At the slightest signs that the aneurysm has begun to grow, surgical treatment must be prescribed.

To a large extent, the choice of surgical method 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 method is recognized as the most progressive in treating vascular pathologies today. Instead of cutting tissues, a puncture is made in the area of a large vessel (femoral, brachial artery), through which an elastic ultra-thin catheter is introduced. Under the supervision of equipment, the catheter is moved through the vessel to the area of pathology, where the necessary manipulations are performed. The catheter is then removed, leaving only a small wound at the site of insertion. This method avoids dangers that arise with open access: the risk of infection in the surgical wound, serious blood loss. Instead of a long and complicated recovery period, the patient is discharged from the clinic 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 area being operated on, and manipulations must be performed with special tools and devices. At the Ichilov clinic, such operations are performed only by doctors with the appropriate qualifications and significant practical experience. Operations for aortic aneurysms with endovascular access come in several types.

Stent placement. A stent is a miniature framework structure that is installed 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 folded form. At the site of the aorta, it is expanded, installed so that it is securely held there. After some time, the vessel's tissues envelop the stent, further securing it in the designated place in the aorta. The stent is made of biocompatible material, which eliminates the risk of rejection.

Clip placement. Another implant that eliminates the risks of aortic rupture. Similarly, using the endovascular method, it is delivered to the aorta. The clip then clamps the aneurysm, after which blood flow through it becomes 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 the damage to the aorta at the site of its location is quite severe. The implant – a fragment of a vessel – is made from artificial material compatible with human tissues. The fragment of the damaged vessel is removed, and a prosthesis is installed in its place. If the aneurysm is located near the aortic valve and it is also damaged, surgeons perform reconstruction or prosthesis of the valve. This is a rather complex operation, which can only be performed by surgeons with sufficient qualifications.

Modern Treatment Methods

  • Aortocoronary bypass
  • Stenting in Israel

Diagnostics

DiagnosticsAortic 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 choose the most optimal type of treatment. The clinic's diagnostic center 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 studied, 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
  • Echo cardiography
  • Tests necessary for preparing for surgery: blood clotting analysis, infection tests, etc.

Third day

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

Patients have the opportunity to consult with a doctor without coming to the clinic, via Skype. The second opinion service is especially important for those who doubt the competence of the doctors in their homeland who made the diagnosis. Video consultations can be utilized by those who plan to receive treatment at Top Ichilov, as well as those who do not plan to come to Israel for treatment. During the video consultation, the clinic's expert will provide their independent assessment of the correctness of the diagnosis and the therapy offered in their homeland. 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 homeland. If the patient decides to come for treatment at Top Ichilov 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

  • Aorta examination – aortography
  • CT angiography

How Much Does Aortic Aneurysm Treatment Cost in Israel

The cost of aortic aneurysm treatment in Israel is lower than in European countries and the USA (the difference is from 30 to 50%). The exact figure can only be provided after the examination, as the cost depends on the chosen type of treatment. Preliminary estimates can be obtained by submitting a request on the website.

Advantages of Treatment at Top Ichilov

  • 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, submit a request on the website.

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