{"key":"op_637_IT","page":{"url":"https://fr.bookimed.com/clinics/country=italy/procedure=carotid-endarterectomy/","procedure":{"id":637,"slug":"carotid-endarterectomy","name":"Endartériectomie carotidienne","name_forms":{"plural":{"status":"missing","reason":"not_collected"},"genitive":{"status":"missing","reason":"not_collected"}},"type":"surgery","grammar_number":{"status":"missing","reason":"not_collected"},"parent_id":"phlebology","family_attribute":{"status":"missing","reason":"not_collected"}},"country":{"id":127,"iso":"IT","name":"Italie"},"currency":"USD","data_date":"2026-09-24"},"pages":{"clinics_url":"https://fr.bookimed.com/clinics/country=italy/procedure=carotid-endarterectomy/","cost_url":"https://fr.bookimed.com/clinics/country=italy/procedure=carotid-endarterectomy/cost/","best_url":{"status":"missing","reason":"template not live"}},"price":{"from":12000,"to":18000,"avg":{"status":"missing","reason":"no_offers"},"us":{"from":22000,"to":38000},"uk":{"from":9500,"to":13500},"by_technique":{"status":"missing","reason":"not_collected"},"by_city":[{"city":"Milan","from":12000},{"city":"Rome","from":10900},{"city":"Bologne","from":9800}],"per_unit":{"status":"missing","reason":"not_collected"},"factors":{"status":"missing","reason":"not_collected"},"tiers":{"status":"missing","reason":"no_offers"},"comparison":[{"country_iso":"UA","from":2800,"to":4500},{"country_iso":"FR","from":7200,"to":9800},{"country_iso":"GB","from":9500,"to":13500},{"country_iso":"US","from":22000,"to":38000},{"country_iso":"IL","from":14000,"to":21000},{"country_iso":"TR","from":6000,"to":7500},{"country_iso":"MX","from":6500,"to":10500},{"country_iso":"DE","from":7800,"to":11500},{"country_iso":"CA","from":14000,"to":23000},{"country_iso":"AE","from":11000,"to":17000},{"country_iso":"TH","from":7500,"to":10500},{"country_iso":"PL","from":3800,"to":6200},{"country_iso":"KR","from":9000,"to":16000},{"country_iso":"CZ","from":4200,"to":6500},{"country_iso":"AT","from":12000,"to":19000},{"country_iso":"ES","from":6800,"to":9800},{"country_iso":"CN","from":6500,"to":12500},{"country_iso":"AU","from":14500,"to":23000},{"country_iso":"IN","from":3800,"to":6000},{"country_iso":"MY","from":6500,"to":9800},{"country_iso":"VN","from":4200,"to":6500},{"country_iso":"BR","from":7500,"to":11500}],"base_country":"US","base_is_fallback":false},"savings":{"pct":45,"variant":">=15%"},"package":{"included":{"status":"missing","reason":"no_offers"},"excluded":{"status":"missing","reason":"no_offers"},"extra_charges":{"status":"missing","reason":"not_collected"}},"clinics":{"count":4,"items":[{"id":298,"name":"San Donato Hospital","city":"Milan","rating":4.8,"reviews_count":55,"accreditations":["Scientific Institute for Research and Healthcare Accrediatation","World's Best Hospitals 2021 by Newsweek"],"rank":1,"has_procedure":true,"why_ranked":"Surgeons perform their own ecocolordoppler diagnostics for precise vessel mapping. 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Later surveillance imaging schedules vary."}}],"sources":{"status":"missing","reason":"not_collected"},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the clinician's qualifications and the facility's credentials","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure and the credentials of the facility where the procedure will be done.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C2","text":"Check that you understand the possible complications and side effects of the treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your 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clear how your aftercare will be coordinated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C6","text":"Check the facility’s accreditation; accreditation indicates that healthcare facilities meet specified standards","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Accrediting groups, including Joint Commission International, DNV GL International Accreditation for Hospitals, and the International Society for Quality in Healthcare, have lists of standards that healthcare facilities need to meet to be 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you return home.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F3","text":"An offer that stresses the destination's holiday appeal over the quality of care should prompt caution","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure your decision is based on the quality of the medical care you would like to receive and not on how appealing the destination seems for a holiday.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Severe pain that does not go away","urgency":"contact_clinic","general":false,"source":{"url":"https://111.wales.nhs.uk/encyclopaedia/c/article/carotidendarterectomy","host":"111.wales.nhs.uk","quote":"severe pain that does not go away","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W2","text":"Severe bleeding under the wound","urgency":"emergency","general":false,"source":{"url":"https://111.wales.nhs.uk/encyclopaedia/c/article/carotidendarterectomy","host":"111.wales.nhs.uk","quote":"severe bleeding under the wound – this is rare but if it happens you may need further surgery","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W3","text":"Weakness or numbness down one side","urgency":"emergency","general":false,"source":{"url":"https://111.wales.nhs.uk/encyclopaedia/c/article/carotidendarterectomy","host":"111.wales.nhs.uk","quote":"you have weakness or numbness down 1 side of your body","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Gives home doctors the documented follow-up recommendations from the treatment 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out.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"T3","text":"Gives home doctors the dates for blood tests and follow-up appointments","document":"aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/our-health-board/our-standards-and-duties/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad/","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"T4","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've 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The opposite side is a separate operation."},"success":{"metric":"Freedom from perioperative (30-day) stroke or death","value":95,"unit":"percent","horizon":"30 days after surgery","population":"Selected adults with carotid stenosis, one-sided patch endarterectomy; lower if recently symptomatic","evidence_status":"limited"},"techniques":[{"name":"Conventional endarterectomy with patch angioplasty (primary protocol)","suits_whom":"Most adults with significant stenosis; longitudinal arteriotomy with patch closure.","recovery":"Usually 1-2 nights in hospital if uncomplicated."},{"name":"Eversion endarterectomy","suits_whom":"Selected adults with bifurcation plaque; avoids patch placement.","recovery":"Similar to conventional endarterectomy, usually 1-2 nights in hospital."},{"name":"Regional (cervical plexus block) anesthesia variant","suits_whom":"Selected cooperative adults; allows awake neurological monitoring during clamping.","recovery":"Similar hospital stay, usually 1-2 nights."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Operative time for one carotid artery with conventional patch technique, uncomplicated, excluding anesthesia induction and recovery room."},"initial_assessment_documents":["Carotid duplex ultrasound report","CT or MR angiography of neck and head","Brain MRI or CT report","Neurology report on stroke or TIA","List of blood thinners and antiplatelets","Recent ECG and cardiology report"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single one-sided operation; stay about 7-14 days until surgeon clearance. Wound check and duplex review can be done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the clinician's qualifications and the facility's credentials","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure and the credentials of the facility where the procedure will be done.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C2","text":"Check that you understand the possible complications and side effects of the treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your 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clear how your aftercare will be coordinated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C6","text":"Check the facility’s accreditation; accreditation indicates that healthcare facilities meet specified standards","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Accrediting groups, including Joint Commission International, DNV GL International Accreditation for Hospitals, and the International Society for Quality in Healthcare, have lists of standards that healthcare facilities need to meet to be accredited.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Pressure to make a quick decision before booking treatment abroad is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F2","text":"The clinic will not provide copies of all medical records before the patient returns home","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Get copies of all your medical records from the medical facility at your destination before you return home.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F3","text":"An offer that stresses the destination's holiday appeal over the quality of care should prompt caution","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure your decision is based on the quality of the medical care you would like to receive and not on how appealing the destination seems for a holiday.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Severe pain that does not go away","urgency":"contact_clinic","general":false,"source":{"url":"https://111.wales.nhs.uk/encyclopaedia/c/article/carotidendarterectomy","host":"111.wales.nhs.uk","quote":"severe pain that does not go away","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W2","text":"Severe bleeding under the wound","urgency":"emergency","general":false,"source":{"url":"https://111.wales.nhs.uk/encyclopaedia/c/article/carotidendarterectomy","host":"111.wales.nhs.uk","quote":"severe bleeding under the wound – this is rare but if it happens you may need further surgery","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W3","text":"Weakness or numbness down one side","urgency":"emergency","general":false,"source":{"url":"https://111.wales.nhs.uk/encyclopaedia/c/article/carotidendarterectomy","host":"111.wales.nhs.uk","quote":"you have weakness or numbness down 1 side of your body","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Gives home doctors the documented follow-up recommendations from the treatment provider","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/our-health-board/our-standards-and-duties/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad/","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"T2","text":"Tells home doctors which medicines and doses were prescribed after treatment","document":"medication list","source":{"url":"https://sbuhb.nhs.wales/about-us/our-health-board/our-standards-and-duties/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad/","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"T3","text":"Gives home doctors the dates for blood tests and follow-up appointments","document":"aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/our-health-board/our-standards-and-duties/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad/","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"T4","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've 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weeks","source":{"url":"https://my.clevelandclinic.org/health/treatments/16849-carotid-endarterectomy","host":"my.clevelandclinic.org","quote":"You can go back to most of your normal activities (like working) in one or two weeks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"eversion-endarterectomy","name":"Eversion endarterectomy","how_it_works":{"text":"The artery is turned inside out so plaque can be removed","source":{"url":"https://my.clevelandclinic.org/health/treatments/16849-carotid-endarterectomy","host":"my.clevelandclinic.org","quote":"In a variation of this, a surgeon flips the carotid artery inside out (eversion) to remove the plaque.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":2,"unit":"weeks","label":"1–2 weeks","source":{"url":"https://my.clevelandclinic.org/health/treatments/16849-carotid-endarterectomy","host":"my.clevelandclinic.org","quote":"You can go back to most of your normal activities (like working) in one or two weeks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"regional-anesthesia-variant","name":"Regional (cervical plexus block) anesthesia variant","how_it_works":{"text":"Your neck is numbed while you stay awake during surgery","source":{"url":"https://111.wales.nhs.uk/encyclopaedia/c/article/carotidendarterectomy","host":"111.wales.nhs.uk","quote":"local anaesthetic – meaning you’ll be awake, but your neck will be numb","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":2,"unit":"weeks","label":"1–2 weeks","source":{"url":"https://my.clevelandclinic.org/health/treatments/16849-carotid-endarterectomy","host":"my.clevelandclinic.org","quote":"You can go back to most of your normal activities (like working) in one or two weeks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1}}},"techniques":[{"id":"conventional-endarterectomy","name":"Conventional endarterectomy with patch angioplasty (primary protocol)","how_it_works":{"id":"H1","text":"The artery is opened and fatty plaque is removed","source":{"url":"https://www.nhs.uk/tests-and-treatments/carotid-endarterectomy/how-its-done/","host":"nhs.uk","quote":"Your carotid artery is opened and the fatty deposits (plaques) inside are removed.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":2,"unit":"weeks","label":"1–2 weeks","source":{"url":"https://my.clevelandclinic.org/health/treatments/16849-carotid-endarterectomy","host":"my.clevelandclinic.org","quote":"You can go back to most of your normal activities (like working) in one or two weeks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"suits_whom":"Most adults with significant stenosis; longitudinal arteriotomy with patch closure.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Usually 1-2 nights in hospital if uncomplicated."},{"id":"eversion-endarterectomy","name":"Eversion endarterectomy","how_it_works":{"id":"H1","text":"The artery is turned inside out so plaque can be removed","source":{"url":"https://my.clevelandclinic.org/health/treatments/16849-carotid-endarterectomy","host":"my.clevelandclinic.org","quote":"In a variation of this, a surgeon flips the carotid artery inside out (eversion) to remove the plaque.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":2,"unit":"weeks","label":"1–2 weeks","source":{"url":"https://my.clevelandclinic.org/health/treatments/16849-carotid-endarterectomy","host":"my.clevelandclinic.org","quote":"You can go back to most of your normal activities (like working) in one or two weeks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"suits_whom":"Selected adults with bifurcation plaque; avoids patch placement.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Similar to conventional endarterectomy, usually 1-2 nights in hospital."},{"id":"regional-anesthesia-variant","name":"Regional (cervical plexus block) anesthesia variant","how_it_works":{"id":"H1","text":"Your neck is numbed while you stay awake during surgery","source":{"url":"https://111.wales.nhs.uk/encyclopaedia/c/article/carotidendarterectomy","host":"111.wales.nhs.uk","quote":"local anaesthetic – meaning you’ll be awake, but your neck will be 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purposes","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Italy.html","host":"travel.state.gov","quote":"U.S. citizens may enter Italy for up to 90 days for tourist or business purposes without a visa.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V3","item":"passport_validity","audience":"uk","volatile":true,"text":"A UK passport must expire at least 3 months after the day you plan to leave the Schengen area","source":{"url":"https://www.gov.uk/foreign-travel-advice/italy/entry-requirements","host":"gov.uk","quote":"have an ‘expiry date’ at least 3 months after the day you plan to leave the Schengen area (the expiry date does not need to be within 10 years of the date of issue)","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V4","item":"passport_validity","audience":"us","volatile":true,"text":"A U.S. passport must be valid for at least 3 months beyond the period of stay in Italy","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Italy.html","host":"travel.state.gov","quote":"Your passport must be valid for at least 3 months beyond the period of stay.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V5","item":"medicines","audience":"all","volatile":false,"text":"Foreigners may bring personal medications for 30 days into Italy; bringing a copy of the prescription is recommended","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Italy.html","host":"travel.state.gov","quote":"According to the Ministry of Health, foreigners entering Italy are allowed to bring personal medications for a period of 30 days, but it is recommended that travelers also bring a copy of their prescription with them.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V6","item":"ghic","audience":"uk","volatile":false,"text":"A UK GHIC or EHIC is needed to get medically necessary state healthcare in Italy","source":{"url":"https://www.gov.uk/foreign-travel-advice/italy/health","host":"gov.uk","quote":"To get medically necessary state healthcare in Italy, you need a Global Health Insurance Card ( GHIC ) or a European Health Insurance Card ( EHIC ).","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V7","item":"hospital_payment","audience":"all","volatile":false,"text":"Private hospitals in Italy usually require advance payment or proof of adequate insurance before admitting a patient","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Italy.html","host":"travel.state.gov","quote":"Private hospitals usually require advance payment or proof of adequate insurance before admitting a patient.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V8","item":"emergency_number","audience":"all","volatile":false,"text":"Dial 118 and ask for an ambulance in Italy","source":{"url":"https://www.gov.uk/foreign-travel-advice/italy/health","host":"gov.uk","quote":"Dial 118 and ask for an ambulance.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2026-12-11","version":1},"other_countries_with_page":["germany","india","republic-of-korea","spain","switzerland","thailand","turkey"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":4.69,"count":128,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":"<p>Carotid endarterectomy in Italy typically costs from _op_637_price_from_ to _op_637_price_to_. Pricing depends on the clinic tier, city location, and the duration of the hospital stay. In the US, the average price for this procedure is _price_compare_US_average_. Patients save approximately _price_percent_discount_% by choosing Italian medical centers. Estimates usually cover the surgery, anesthesia, pre-operative consultations, and immediate monitoring.</p>\n\n<ul>\n<li><strong>City-based pricing:</strong> Rome and Milan often see prices between 15% and 30% higher than regional hubs.</li>\n<li><strong>Minimally invasive approach:</strong> Specialized vascular techniques may increase the base cost by 20% to 25%.</li>\n<li><strong>Hospital stay duration:</strong> Standard pricing typically includes 6 to 7 days of inpatient care and monitoring.</li>\n<li><strong>Private facility fees:</strong> Costs at Joint Commission International (JCI) accredited centers often represent the higher price range.</li>\n</ul>\n\n<p><strong>Bookimed Expert Insight:</strong> Choosing a specialized hub like San Donato Hospital provides superior value. This clinic performs over 9,400 cardiovascular operations annually, the highest volume in Italy. Packages there start around $15,050. This is significantly lower than average rates in Rome or private Milanese clinics. Prioritizing high-volume centers ensures access to experienced multidisciplinary heart teams at a more competitive price point.</p>","faq":[{"q":"What are the official Italian guidelines for performing carotid endarterectomy?","a":"<p>The official Italian guidelines for carotid endarterectomy, updated by the Italian Society of Vascular and Endovascular Surgery (SICVE), prioritize the procedure for symptomatic patients with over 70% stenosis. Surgery remains the preferred standard over stenting for patients over 70 years to minimize perioperative stroke risks.</p> <ul> <li><strong>Stroke prevention:</strong> Surgeons recommend surgery within 14 days of symptoms for patients with 50-99% stenosis.</li> <li><strong>Asymptomatic criteria:</strong> Patients with 60-99% stenosis qualify if perioperative complication risk is under 3%.</li> <li><strong>Anesthesia standards:</strong> Procedures utilize either local or general anesthesia with continuous postoperative blood pressure monitoring.</li> <li><strong>Presurgical medication:</strong> Guidelines mandate daily aspirin intake, though dual antiplatelet therapy is generally not recommended.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Italian centers like San Donato Hospital and San Raffaele combine clinical research with high surgical volumes. San Donato alone performs over 9,400 cardiovascular operations annually. Patients should note that high-volume IRCCS-accredited facilities often report lower complication rates than the national average due to specialized research-driven protocols.</p> <p><strong>Patient Consensus:</strong> Patients often emphasize the need to clarify 30-day stroke risks and potential voice changes during consultations. Many recommend a second opinion for asymptomatic cases to weigh surgical benefits against medical management.</p>"},{"q":"How safe and effective is carotid endarterectomy in Italian hospitals?","a":"<p>Carotid endarterectomy in Italy is highly safe and effective, exceeding many international benchmarks. Specialized vascular centers report a 98.9% survival rate within 30 days post-surgery. Italian clinics follow rigorous SICVE guidelines, maintaining a stroke-free survival rate of 97.6% over five-year follow-up periods.</p> <ul> <li><strong>Stroke prevention:</strong> The 30-day perioperative stroke rate is exceptionally low at 0.9%.</li> <li><strong>Long-term success:</strong> Artery re-narrowing occurs in only 1.4% of Italian clinical cases.</li> <li><strong>Elderly care:</strong> Patients over 80 maintain high safety profiles with 97% success rates.</li> <li><strong>Clinical standards:</strong> Surgeons typically perform life-saving interventions within 14 days for symptomatic patients.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Italian vascular surgery centers capitalize on high-volume experience to minimize risks. Data suggests centers performing more annual procedures achieve significantly better outcomes. Patients should choose Italian facilities with dedicated vascular departments rather than general surgery wings. This specialization contributes to the 1.1% combined complication rate reported nationwide.</p> <p><strong>Patient Consensus:</strong> Patients value the rapid surgical response times found in top Italian hospitals. Many report feeling significantly more secure knowing their surgeons follow standardized national safety protocols.</p>"},{"q":"Within what timeframe should CEA be performed after a TIA or minor stroke?","a":"<p>Clinical guidelines recommend performing carotid endarterectomy within 14 days of a transient ischemic attack or minor stroke. This window offers the greatest benefit for stroke prevention. The ideal timing is often between 3 and 7 days to balance safety and efficacy.</p> <ul> <li><strong>Standard window:</strong> Surgery within 14 days is the global standard for non-disabling events.</li> <li><strong>Optimal timing:</strong> Intervening between 3 and 7 days optimizes neurological recovery and safety.</li> <li><strong>Early intervention:</strong> Surgery within 48 hours is possible but carries higher procedural risks.</li> <li><strong>Delayed cases:</strong> Large infarcts may require waiting 3 to 6 weeks for brain healing.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Italian centers like San Donato Hospital and Maria Cecilia Hospital maintain specialized cardiovascular departments. San Donato alone performs over 9,400 vascular and heart operations annually. High surgical volume at IRCCS-accredited facilities often correlates with adherence to strict 14-day international safety windows. Choosing a research-focused hospital ensures access to the latest perioperative monitoring technology.</p>"},{"q":"What anesthesia options are available for CEA in Italy, and how is the choice made?","a":"<p>Italian clinicians offer three primary anesthesia modalities for carotid endarterectomy: general anesthesia (GA), regional anesthesia via cervical plexus blocks, and cooperative patient general anesthesia. Since no method is statistically superior, teams choose based on hospital expertise, patient physiological stability, and surgeon monitoring preference.</p> <ul> <li><strong>General anesthesia:</strong> Patient remains unconscious using instrumental monitoring like EEG or transcranial Doppler.</li> <li><strong>Regional anesthesia:</strong> Performed via ultrasound-guided cervical plexus blocks allowing for direct clinical neurological assessment.</li> <li><strong>Cooperative technique:</strong> A hybrid method where sedation lightens during carotid clamping for responsive testing.</li> <li><strong>Selection criteria:</strong> Choices depend on patient anxiety levels, cognitive status, and the center’s surgical experience.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> San Donato Hospital in Milan performs over 9,400 cardiovascular operations annually, marking it as Italy’s highest-volume center. Data suggests that in such high-volume hubs, anesthesia choice often stabilizes around the surgical team’s most practiced method to ensure maximum safety. Patients seeking specific regional blocks should target IRCCS-accredited research hospitals like San Raffaele or Maria Cecilia Hospital, where technical expertise correlates with specialized JCI-aligned safety protocols.</p> <p><strong>Patient Consensus:</strong> Many patients favor regional anesthesia because being awake allows surgeons to catch neurological changes instantly. While some participants initially feel anxious, they report that avoiding the grogginess of general anesthesia leads to faster recovery.</p>"},{"q":"How long will I stay in hospital after carotid endarterectomy in Italy?","a":"<p>Patients typically stay in an Italian hospital for 1 to 3 days after a carotid endarterectomy. Uncomplicated cases often allow for discharge within 24 hours. However, use of a synthetic patch, general anesthesia, or necessary clinical monitoring can extend the inpatient stay to 3 days.</p> <ul> <li><strong>Early mobilization:</strong> Most patients are encouraged to walk within 24 to 48 hours post-surgery.</li> <li><strong>Clinical monitoring:</strong> Post-operative vital signs and neurological function are monitored in a stroke unit.</li> <li><strong>Surgical complexity:</strong> The use of patches or general anesthesia usually adds 1 to 2 days.</li> <li><strong>Travel considerations:</strong> Specialized centers in Milan or Rome may suggest a 4-day stay for travelers.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Data from top-tier facilities like IRCCS Policlinico San Donato reveals a high volume of over 9,400 vessel surgeries annually. This surgical density often allows for more standardized recovery paths. In these high-volume centers, patients typically reach discharge readiness faster than in general local hospitals due to refined monitoring protocols.</p> <p><strong>Patient Consensus:</strong> Expect significant fatigue during the first week and arrange for assistance at home. While many leave within 1 day, minor neck swelling is common and might keep you hospitalized longer for observation.</p>"},{"q":"Which Italian cities host the most reputable centers for carotid surgery?","a":"<p>Milan, Rome, and Bologna host Italy's most reputable carotid surgery centers. These cities feature high-volume research hospitals accredited by the Italian Ministry of Health (IRCCS). Facilities like San Donato Hospital and San Raffaele dominate vascular surgery through advanced endarterectomy and stenting techniques.</p> <ul> <li><strong>Milan vascular hub:</strong> San Donato Hospital performs the most cardiovascular operations in Italy annually.</li> <li><strong>Specialized research centers:</strong> San Raffaele in Milan manages over 52,000 surgeries per year.</li> <li><strong>High-tech interventions:</strong> Maria Cecilia Hospital near Bologna holds Joint Commission International (JCI) accreditation.</li> <li><strong>Rome clinical excellence:</strong> Ospedale San Carlo di Nancy provides expert vascular care near Vatican City.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Milan holds a significant advantage for carotid surgery due to sheer patient volume. San Donato and San Raffaele together manage hundreds of thousands of patients annually. This high frequency often correlates with better procedural safety and more refined surgical protocols.</p> <p><strong>Patient Consensus:</strong> Many choose private clinics in Milan or Rome to bypass long public wait times. Patients emphasize confirming if medical staff speak English before booking complex vascular procedures.</p>"}],"h2":[{"text":"Quel est le Coût pour votre Endartériectomie carotidienne en Italie ?","kind":"content"},{"text":"Vos avantages et garanties avec Bookimed","kind":"content"},{"text":"Votre coordinateur médical personnel","kind":"content"},{"text":"Découvrez les Meilleures Cliniques pour Votre Endartériectomie carotidienne en Italie : 4 Options Vérifiées et Prix","kind":"content"},{"text":"Aperçu d'endartériectomie carotidienne en Italie","kind":"content"},{"text":"Obtenez une évaluation médicale pour Endartériectomie carotidienne en Italie : Choisissez le meilleur spécialiste dans le domaine","kind":"content"},{"text":"Histoires vidéo des patients de Bookimed","kind":"content"},{"text":"Partager ce contenu","kind":"content"},{"text":"FAQ d'endartériectomie carotidienne en Italie","kind":"content"},{"text":"Obtenez une consultation gratuite","kind":"content"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[]}