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La pose d'un stent coronaire à la clinique Nordwest peut coûter environ 16 720 €, ce qui inclut généralement l'angiographie, la mise en place du stent, l'hospitalisation et les soins de suivi. La clinique détient un certificat TÜV et a été classée parmi les meilleurs hôpitaux du monde par Newsweek en 2021.</p>","text_type":"mt_wow_description","best_texts":{"techniques":"Coronarographie avec pose de stent, salle d'opération hybride","good_fit_for":"Cas complexes d'artères coronaires","why_its_ranked":"L'établissement se spécialise dans les interventions cardiovasculaires avec plus de 5 000 cas par an. Il dispose d'une salle d'opération hybride permettant des interventions simultanées complexes sur le cœur et les vaisseaux. 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Nommé meilleur hôpital allemand par Focus et parmi les meilleurs hôpitaux du monde par Newsweek.</p> <ul> <li>Le centre d'oncologie et d'hématologie est certifié ESMO – seules 22 cliniques dans le monde détiennent ce statut.</li> <li>Seul centre certifié de la région pour les ultrasons focalisés (FUS), reconnus par le magazine Time comme une invention majeure.</li> <li>Comprend 5 instituts de recherche, 11 cliniques spécialisées et 17 centres certifiés.</li> <li>Traite plus de 60 000 patients par an avec 286 médecins répartis dans 28 départements.</li> <li>Chambres individuelles avec WiFi, TV et repas. 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Cela diminue le risque que l'artère soit à nouveau bloquée. </p><p><img src=\"/images/editor/5ace181647f92.png\" title=\"Schéma de pose de stent\" alt=\"Stenting scheme\" style=\"margin:auto;\" /></p><p style=\"text-align:left;\"> <span style=\"font-size:12px;\"><em>Schéma de stent</em></span></p><p> Il existe plusieurs types de stents pouvant être utilisés pour l’opération :</p><ul><li> Stent à double thérapie (DTS). C'est le stent le plus contemporain. Cela diminue le risque de blocage récurrent des artères. Son matériau est recouvert de solutions médicamenteuses qui favorisent les processus de guérison dans un segment vasculaire rétréci. Le coût du stent cardiaque à double thérapie est plus élevé que celui de tous les autres types.</li><li> Échafaudage vasculaire biorésorbable (BVS). Le matériau du stent se dissout avec le temps dans l'artère du patient. Il contient des agents médicaux qui préviennent la récidive du blocage. Le prix du stent coronaire biorésorbable est inférieur à celui du DTS, mais il manque de composant de cicatrisation actif.</li><li><a></a> Stent à élution médicamenteuse (DES). Ce stent émet un médicament spécial qui prévient la cicatrisation des tissus, permettant un flux sanguin stable et empêchant le rétrécissement futur de l'artère. Un risque légèrement plus élevé de coagulation sanguine et de fibrose artérielle est associé à ce type de stents. Le coût de l’angioplastie avec ce stent est l’un des plus bas.</li><li> Stent bio-ingénierie. Le matériau est recouvert d'agents anticorps qui accélèrent les processus de régénération naturelle de l'artère. Une régénération rapide garantit que la surface du stent sera recouverte plus rapidement par les tissus, réduisant ainsi le risque de complications. Le coût du stent d’angioplastie bio-ingénierie dépend de la clinique et du pays où le patient est opéré.</li><li> Stent en métal nu. Ce stent est en acier inoxydable. Après avoir été placé dans l’artère, il est lentement envahi par les tissus en récupération qui le fixent en place. Ce prix de stent cardiaque est le plus bas parmi les solutions possibles et il est aussi efficace que les autres. Pourtant, le tissu cicatriciel recouvrant le stent peut provoquer une récidive dans 10 % des cas. </li></ul><p><img src=\"/images/editor/5ace1798bac49.jpg\" title=\"Installation d'un stent coronaire\" alt=\"Installation of coronary stent\" style=\"margin:auto;\" /></p><p style=\"text-align:left;\"> <span style=\"font-size:12px;\"><em>Installation d'un stent coronaire</em></span></p><h2> Indications et contre-indications du stenting coronarien</h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p> Le stenting coronarien est utilisé pour traiter l'athérosclérose (artères rétrécies) et les crises cardiaques, ainsi que pour traiter les symptômes suivants :</p><ul><li> essoufflement;</li><li> douleur;</li><li> malaise.</li></ul><p><a></a> Tous ces symptômes justifient une échographie intravasculaire pour évaluer l'emplacement et la taille de la plaque qui obstrue la circulation sanguine.</p><p> Les contre-indications au stenting coronarien comprennent :</p><ul><li> artère rétrécie (pour les cas où le rétrécissement n'était pas causé par l'athérosclérose);</li><li> muscle cardiaque faible ou endommagé ;</li><li> vaisseaux sanguins défectueux ou malades ;</li><li> diabète;</li><li> plusieurs blocages.</li></ul></div><h2> Préparation au stenting coronaire</h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p> Avant l'intervention chirurgicale, un médecin évalue les antécédents médicaux du patient. Un test d’imagerie appelé angiographie coronarienne est effectué. Au cours de ce test, un colorant liquide est introduit dans le flux sanguin du patient à travers un cathéter situé au niveau du poignet ou de l'aine. Le colorant est visible aux rayons X, permettant de localiser et de planifier le traitement des blocages du flux sanguin.</p><p><a></a> Sur la base des résultats de l'examen du patient, un médecin décide si la procédure est viable, quel type de stent doit être utilisé et quelle clinique choisir. Selon ce médecin coordinateur, il vous répondra combien coûte une angioplastie dans votre cas particulier.</p><p> Des examens de routine sont réalisés avant l'intervention : prise de sang, radiographie pulmonaire et électrocardiogramme pour écarter les contre-indications et mieux connaître l'état du patient.</p><p> Les patients ne doivent prendre aucun médicament susceptible d’interférer avec la coagulation ou l’épaisseur du sang. Tout médicament doit être pris uniquement en accord avec un médecin.</p></div><h2> Processus de pose de stent coronaire</h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p> La procédure dure 1 à 3 heures en fonction de l'état du patient, du nombre de blocages et des difficultés. L'opération est réalisée par un chirurgien cardiaque et une équipe de personnel médical dans un laboratoire de cathétérisme cardiaque. La procédure est la suivante :</p><ul><li> un patient reçoit une anesthésie locale pour engourdir la douleur causée par l'incision ;</li><li> une petite incision est pratiquée au poignet ou au niveau de l'aine pour accéder à l'artère ;</li><li> un cathéter est ensuite inséré dans l'artère et guidé jusqu'à l'emplacement du blocage par le flux sanguin ;</li><li> à l'aide de l'imagerie par rayons X et des données d'examens antérieurs, un médecin place un stent non ouvert dans le blocage ;</li><li> un petit ballon sur le cathéter est gonflé, mettant en place un stent et étirant l'artère ;</li><li> le ballon est dégonflé et le cathéter est retiré de l'artère du patient. </li></ul><p><img src=\"/images/editor/5ace177406bf4.jpg\" title=\"Processus de cathétérisme\" alt=\"Catheterization process\" style=\"margin:auto;\" /></p><p style=\"text-align:left;\"> <span style=\"font-size:12px;\"><em>Processus de cathétérisme</em></span></p></div><h2> Réhabilitation</h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p> Après l'opération, les patients doivent rester à l'hôpital pendant 1 à 4 jours. Habituellement, aucun médicament ni régime spécial n’est nécessaire mais peut être mis en œuvre en fonction de l’état du patient. Les patients doivent noter que le prix du stent cardiaque est influencé par la durée de leur séjour à l'hôpital. Une fois qu'un patient est renvoyé, il doit suivre les recommandations du médecin.</p><p><a></a> Les symptômes suivants doivent être traités immédiatement en appelant le médecin opératoire ou l'hôpital :</p><ul><li> la zone du cathéter commence à saigner ou à gonfler ;</li><li> une sensation d'inconfort ou de douleur au site d'insertion du cathéter ;</li><li> rougeur, fièvre, gonflement ;</li><li> signes de manque de sang dans les membres (engourdissement, changement de couleur, diminution de la température) ;</li><li> un sentiment de faiblesse;</li><li> douleurs thoraciques, essoufflement.</li></ul></div><h2> Des risques</h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p> La procédure est considérée comme peu invasive et à faible risque. Il existe néanmoins un faible risque (moins de 8 %) de complications. Les médecins opérateurs s'en occuperont dès le premier avis et cela n'influencera pas le coût de la chirurgie du stent cardiaque.</p><ul><li> Récidive du blocage. Il existe un faible risque de resténose (rétrécissement) de l'artère après l'intervention. Le risque de formation d'un nouveau blocage est estimé à moins de 10 %.</li><li> La coagulation du sang. Des caillots sanguins peuvent se former dans le stent et provoquer des accidents vasculaires cérébraux ou des crises cardiaques. Pour éviter cela, on prescrit au patient un médicament qui empêche la coagulation du sang.</li><li> Saignement dans la zone d'incision du cathéter. Bien que cela ne soit pas inhabituel, des saignements abondants peuvent nécessiter des soins médicaux et une transfusion sanguine.</li><li> Dommages aux artères. Pendant l'opération, l'artère du patient peut être endommagée. Cette complication est traitée par pontage.</li><li> Battements cardiaques arythmiques. Pendant la procédure, le cœur peut commencer à battre de manière irrégulière. Cette affection est traitée avec des médicaments appropriés et ne s'étend pas sur la période postopératoire.</li></ul></div><h2> Perspectives</h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p> Le taux de réussite de la procédure est supérieur à 90 %. Le stent placé améliore considérablement la circulation sanguine et le patient ressent un soulagement presque immédiat après l'opération. Les patients sont libres de reprendre leur mode de vie habituel après une courte période de rééducation d'environ une semaine. Un médecin vous dira quand des activités excessives peuvent être pratiquées.<a></a></p><p> Il convient de noter que le stenting ne guérit pas la maladie, mais neutralise plutôt les symptômes. Pour maintenir et prolonger l’état de santé, il faut :</p><ul><li> exercice régulier;</li><li> surveiller les paramètres vitaux, tels que le taux de sucre et la tension artérielle ;</li><li> contrôler la masse corporelle et mettre en œuvre des régimes si nécessaire ;</li><li> arrêter de fumer;</li><li> consommer moins de cholestérol, réduire les taux de cholestérol actuels.</li></ul></div><h2> Coût de l'angioplastie</h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p> Le coût du stent cardiaque dépend des facteurs suivants :</p><ul><li> État du patient. Le coût total du cathétérisme cardiaque dépend de la durée du séjour hospitalier global du patient. Des procédures de stabilisation et des médicaments supplémentaires influencent également le coût de l’angioplastie.</li><li> Type de stent utilisé. Le coût du cathétérisme cardiaque est différent pour chaque type de stent. Un chirurgien cardiaque évaluera l'état du patient et suggérera quel type de stents doit être utilisé dans un cas particulier. Le prix de l’angioplastie dépend en grande partie de ce choix.</li><li> Emplacement. La réponse à la question combien coûte une opération d’angioplastie varie selon les pays. Les coûts des opérations d'angioplastie en Turquie ou en Inde sont 10 à 12 fois inférieurs à ceux des États-Unis et 2 à 3 fois inférieurs à ceux de l'Allemagne ou d'Israël. A noter que les cliniques en question fonctionnent avec le même taux de réussite et la même qualité de service.</li><li> Difficulté de fonctionnement. Le prix du stent pour angioplastie augmente si un patient présente plusieurs blocages artériels nécessitant la pose d'un stent. Outre l'augmentation du coût des stents cardiaques, cela nécessite également plus de temps de la part du personnel médical.</li><li> Méthode de dépistage utilisée pendant la procédure. Le type d’appareil d’imagerie et la durée de son utilisation influencent également le coût de la procédure de cathétérisme cardiaque.</li></ul></div><h2> Comment recevoir un stenting coronarien à l’étranger ?</h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p> Pour recevoir un stent coronarien à l'étranger, soumettez une demande sur le site Bookimed. Dans les plus brefs délais, notre coordinateur médical vous consultera par téléphone. Vous recevrez toutes les informations nécessaires pour trouver le meilleur endroit pour subir l'intervention, combien coûte un stent cardiaque, l'expérience des chirurgiens, l'accréditation hospitalière. Bookimed vous accompagne dans vos démarches administratives et organise votre voyage à l'étranger.</p></div>"},"guide_mc":{"text":"<p>Jour 1 : Arrivée</p><ul><li> Arriver à l'aéroport.</li><li> Transfert à l'hôtel.</li></ul><p> Jour 2 : Pré-opération</p><ul><li> Consultez des cardiologues et des radiologues interventionnels.</li><li> Effectuer une angiographie CT.</li><li> Préparez-vous à la procédure de pose de stent coronaire.</li></ul><p> Jour 3 : Stenting coronarien</p><ul><li> Admission à l'hôpital.</li><li> Subissez un stent coronaire sous anesthésie locale.</li><li> La procédure dure 1 à 2 heures.</li></ul><p> Jour 4 : Post-opération</p><ul><li> Restez à l'hôpital pour observation.</li><li> Bénéficiez des soins de l'équipe médicale.</li></ul><p> Jour 5 : Décharge</p><ul><li> Sortez de l’hôpital.</li><li> Transfert de retour à l'hôtel.</li></ul><p> Semaine 1-2 : Rééducation</p><ul><li> Prenez les médicaments prescrits.</li><li> Suivez une alimentation saine pour le cœur.</li></ul><p> Semaine 3-4 : Rééducation</p><ul><li> Retour progressif au travail et aux activités quotidiennes.</li><li> Évitez les exercices intenses.</li></ul><p> Semaine 5-6 : Rééducation</p><ul><li> Reprenez des activités plus intenses.</li><li> Voir le résultat final de la procédure.</li></ul><p> <i>Veuillez noter que l'expérience de chaque patient peut varier. Il s'agit des étapes et des délais typiques pour la pose d'un stent coronaire.</i></p>"}}},"relations":{"countries":[{"name":"Allemagne","alias":"germany","iso_code":"DE"},{"name":"Autriche","alias":"austria","iso_code":"AT"},{"name":"Azerbaïdjan","alias":"azerbaijan","iso_code":"AZ"},{"name":"Emirats Arabes Unis","alias":"united-arab-emirates","iso_code":"AE"},{"name":"Espagne","alias":"spain","iso_code":"ES"},{"name":"Grèce","alias":"greece","iso_code":"GR"},{"name":"Inde","alias":"india","iso_code":"IN"},{"name":"Israël","alias":"israel","iso_code":"IL"},{"name":"Italie","alias":"italy","iso_code":"IT"},{"name":"Kazakhstan","alias":"kazakhstan","iso_code":"KZ"},{"name":"Lituanie","alias":"lithuania","iso_code":"LT"},{"name":"Pologne","alias":"poland","iso_code":"PL"},{"name":"Roumanie","alias":"romania","iso_code":"RO"},{"name":"République de 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