Prof. Dr. Ali Serdar Fak
Cardiac SurgeryVerified
- 29+years exp.
English · Turkish
FromPrice on request
Free quote
60 seconds · no obligationView Profile
Vascular Surgery
Stenting of arterial dissection
What an arterial dissection is, when stenting or a covered stent graft is used instead of medication or open surgery, how the procedure is done, which arteries it applies to, approximate costs in Turkey against the UK, US and Germany, recovery milestones, risks and follow-up imaging, and how to choose a vascular centre, including why an acute dissection is an emergency and not a planned trip.
A written plan with the surgeon's name and the full price — usually within 24 hours.
- Category
- Vascular Surgery
- Hospitals
- 2
- Verified
- 2
- Price from
- Price on request
Verified surgeons for Stenting of Arterial Dissection
2 doctors Compare doctors, ratings and prices — ask any of them for a free quote.
Dr. Bülent İlçöl
Cardiac SurgeryVerified
- 25+years exp.
English · Turkish
FromPrice on request
Free quote
60 seconds · no obligationView Profile
Stenting of arterial dissection in Turkey: what it is and when it is used
An arterial dissection is a tear in the inner lining of an artery. Blood enters the tear and splits the layers of the wall, which can narrow the true channel, reduce blood flow to an organ or limb, or weaken the wall until it bulges or ruptures. Stenting of arterial dissection is a minimally invasive repair in which a catheter is passed through an artery, usually from the groin or the arm, and a metal stent, or a fabric-covered stent graft, is opened inside the artery. The stent presses the torn layers against the wall and keeps the vessel open.
The technique is used in the aorta, the carotid and vertebral arteries in the neck, the renal and mesenteric arteries, the coronary arteries and the arteries of the legs. This guide explains what the procedure involves, when it is advised, what stenting of arterial dissection costs in Turkey against the UK, US and Germany, and how to check a hospital. Our overview of cardiology and vascular treatments in Turkey covers the wider range.
Is arterial dissection an emergency, and when is stenting planned?
Many dissections are emergencies. A tear in the aorta that causes severe sudden chest or back pain needs immediate treatment at the nearest hospital with a vascular or cardiac team. Anyone with these symptoms should call emergency services and should not travel abroad. Planned stenting is a different situation: it applies to stable patients, for example a known dissection that has been treated with medication but now shows narrowing, an enlarging aorta, reduced blood flow to an organ, or a leg or carotid artery dissection found on scanning.
That is the reason to be careful with any hospital that quotes a price before reviewing your scans. The decision to stent depends on the artery, the symptoms and the imaging, and the answer may be medical treatment, stenting or open surgery.
What does the evidence say about stenting for arterial dissection?
The evidence differs by artery. In the aorta, guidelines from bodies such as the European Society for Cardiology and the European Society for Vascular Surgery support endovascular repair (TEVAR) for complicated type B dissection, meaning one with malperfusion, rupture or rapid enlargement; for uncomplicated cases, blood-pressure control is usually the first approach. In the carotid and vertebral arteries, most dissections heal with antithrombotic medication, and stenting is reserved for patients with ongoing symptoms or failure of drug treatment. For coronary or peripheral dissections, stenting is used when blood flow is limited.
In short, stenting works well for selected patients and is not a routine answer for every dissection. A cardiologist or vascular surgeon should explain why it suits your case.
Stenting of arterial dissection cost in Turkey compared with the UK, US and Germany
The figures below are approximate ranges per planned procedure for a stable patient, not hospital quotes. The stenting of arterial dissection price depends on the artery, the number and type of stents (covered stent grafts cost more than bare metal stents), whether a hybrid operation is needed, hospital and intensive care days, and the follow-up imaging. Emergency admissions cost more.
| Country | Approximate cost range |
|---|---|
| Turkey | €5,000 – €22,000 |
| United Kingdom | €14,000 – €42,000 |
| United States | €28,000 – €100,000 |
| Germany | €13,000 – €40,000 |
A package normally includes the imaging and tests, the procedure, the device, anaesthesia, hospital and intensive care nights, medication and discharge scans. Ask what happens if you need an extra stent, a longer stay or a repeat procedure, and whether those costs are written into the quote.
Stenting, medication or open surgery: how do the options compare?
Treatment follows the artery and the risk. Medication aims to lower blood pressure and heart rate, or to thin the blood in neck arteries. Stenting rebuilds the channel from the inside. Open surgery replaces the damaged segment and is used for tears near the heart or when the anatomy is unsuitable for a stent. Related catheter treatments use similar tools: see carotid angioplasty and stenting, transluminal arterial angioplasty and stenting, covered stent placement and, for the heart's own arteries, coronary stenting.
| Approach | Best suited to | Typical limits |
|---|---|---|
| Medication only | Uncomplicated, stable dissections | Needs close imaging follow-up |
| Stent or stent graft | Reduced blood flow, rupture risk, enlarging aorta, failed drug treatment | Suitable anatomy needed; lifelong scans |
| Open surgery | Tears near the heart, unsuitable anatomy | Major operation, longer recovery |
Who is a good candidate for stenting of arterial dissection?
Candidates are patients whose scans show a dissection that is causing or is likely to cause harm and whose arterial anatomy allows a stent. That is judged on CT or MRI angiography, sometimes with an ultrasound or catheter angiogram. Stenting is less suitable when the tear is very close to the heart or a main branch, when the artery is too small or twisted, when there is a severe contrast-dye allergy or kidney failure that cannot be managed, or when a connective-tissue condition such as Marfan syndrome calls for a different plan. Your team will weigh these before offering an operation.
How is stenting of an arterial dissection done, step by step?
You are admitted, given sedation or general anaesthesia, and the access site in the groin, wrist or neck is prepared. A needle and sheath are placed in the artery, a thin wire is guided across the tear using live X-ray, and contrast dye shows the true channel. The stent or stent graft is advanced on a balloon or delivery system and opened to cover the tear; sometimes more than one stent is placed. A final angiogram confirms flow, the sheath is removed and the site is closed with pressure or a closure device. The procedure takes one to four hours, depending on the artery.
Stenting of arterial dissection recovery: hospital stay and milestones
Most patients spend a night or two in hospital, longer after an aortic stent graft or a complex repair. You lie flat for several hours after groin access, then walk the same or next day. Expect bruising and a bruised feeling at the access site for one to two weeks, and light activity at home within a few days. Blood-pressure medicine and, depending on the artery, an antiplatelet or anticoagulant drug are continued. Driving, lifting and strenuous exercise are usually restricted for two to six weeks. Follow-up CT or MRI is normally arranged at one, six and twelve months, then yearly.
For the trip, plan five to ten nights in Turkey for a planned procedure so that the team can review your scan and symptoms before you fly, and ask whether flying is allowed on your timetable.
What are the risks and complications of stenting?
Every endovascular procedure carries risks. Common ones are bruising and bleeding at the access site and a reaction to the contrast dye or its effect on the kidneys. Less common are blood clots, damage to the artery, infection, stroke, the stent moving or narrowing again, a leak around a stent graft that needs another procedure, and, rarely, paraplegia after aortic repair, a heart attack or death. The NHS and professional societies advise that these risks are weighed against the risk of leaving a dangerous dissection untreated. Lifelong scans are part of safety because grafts and arteries can change over time.
How to choose a vascular centre, and questions to ask
Look for a hospital with a cardiovascular or vascular surgery team, a hybrid operating room, 24-hour intensive care and experience in the artery you need treated. Insist that the team reviews your actual scans before quoting. Red flags are a firm price without imaging, no named specialist, pressure to travel soon after an acute event and no plan for follow-up scans at home. Read how our process works and submit your scan reports through our free quote page for a hospital review.
- Which artery is torn, and is stenting, medication or surgery advised for me?
- What type of stent or graft is used, and which brand and size?
- How long will I stay, and is intensive care included in the price?
- What follow-up scans do I need, and who reads them in my own country?
- What happens if a second procedure is needed?
Hospitals with Cardiac Surgery in Turkey
Frequently asked questions
It is a minimally invasive repair in which a catheter carries a stent or fabric-covered stent graft into an artery with a tear in its wall. The stent presses the layers together and reopens the true channel for blood flow.
It is advised when a dissection reduces blood flow, enlarges, ruptures or does not respond to medication. Many stable dissections are treated with medication and scans alone, so the decision depends on the artery and imaging.
Approximate ranges are €5,000 to €22,000 in Turkey, against about €14,000 to €42,000 in the UK. The price depends on the artery, the number and type of stents and hospital or intensive care days. Hospitals quote after reviewing scans.
Often yes. Sudden severe chest, back or neck pain needs emergency care at the nearest hospital, not travel abroad. Planned stenting applies to stable patients with a known dissection reviewed on scans.
Most people stay one or two nights, walk the next day and resume light activity within days. Strenuous exercise and heavy lifting are usually restricted for two to six weeks, with follow-up scans planned.
You are sedated or under general anaesthesia and the access site is numbed. Afterwards expect soreness and bruising where the catheter entered the artery, which usually eases within one to two weeks.
Stents are designed to be permanent, but arteries can change, so lifelong imaging is advised. Some patients need a further procedure if the stent narrows, leaks or a new tear forms.
It is widely used and less invasive than open surgery, but risks include bleeding, stroke, kidney effects from dye, leaks and, rarely, paralysis after aortic repair. A specialist should explain the risks for your artery.
It depends. Uncomplicated dissections are often managed with medication, complicated ones may need a stent, and tears near the heart usually need open surgery. Imaging and a specialist decide.
For a planned procedure, usually five to ten nights, covering admission, the procedure, a scan and a check before you fly. Complex repairs or longer intensive care can extend the stay.
Patient stories