Aneurysm Coiling Surgery Cost in Lagos

The objective of endovascular coiling is to isolate an aneurysm from the normal circulation without blocking or narrowing the main vessel away from any small arteries nearby. Endovascular describes the minimally invasive technique, specifically during angiography, of accessing the aneurysm from within the bloodstream. In the upper leg, the bloodstream is entered by the femoral artery. From the femoral artery, a flexible catheter is moved to one of four arteries in the neck that lead to the brain. Through the blood vessels, the doctor steers the catheter while injecting a special dye that makes them visible on the monitor. A kind of roadmap of the arteries is the result.

A very thin platinum wire is inserted when the catheter reaches the aneurysm. As it enters the aneurysm, the wire coils up and is then separated. Inside the dome, multiple coils are packaged to block normal blood flow from entering. A clot forms inside the aneurysm over time, effectively removing the risk of rupture of the aneurysm. Coils remain permanently inside the aneurysm. Coils are made of platinum and other materials and come in a range of clotting-promoting shapes, sizes, and coatings. From the inside, coils do what a surgical clip from the outside would do: they prevent blood from flowing into the aneurysm but allow blood to flow freely through the normal arteries.

Aneurysms differ in size and structure. Saccular aneurysms have a neck on the main artery at their root and a dome that can stretch like a balloon. There is no defined neck in other aneurysms, identified as wide-necked or fusiform in shape. It can be complex to position coils in these aneurysms and require additional support from stents or balloons. Some aneurysms can not be coiled and must be surgically clipped. Ruptured aneurysms burst open and spill blood, called a subarachnoid hemorrhage, into the space between the brain and skull (SAH). In the first 14 days after the first bleeding, the probability of repeated bleeding is 22 percent. Thus, treatment timing is key – usually within 72 hours of the first bleed. Vasospasm (narrowing of an artery) is a common complication of SAH.

 

Aneurysm Coiling Surgery Cost in Lagos

  Surgery  name    A minimum price (USD)   Maximum price (USD)   Average price (USD)    

Aneurysm Coiling

$7,500 $ 9,500 $ 8,500  

The average Aneurysm Coiling Surgery Cost in Lagos is 8,500USD.

 Lagos is the preferred destination for Aneurysm Coiling Surgery because of the Low Cost of Aneurysm Coiling Surgery in Lagos 7,500 USD.  Many patients travel from abroad and different parts of the country because the Aneurysm Coiling Surgery price in Lagos 7,500 USD is affordable. 

There are many Hospitals with highly experienced Aneurysm Coiling Surgery. Lagos city also has a very good supply of Implants required for Aneurysm Coiling Surgery in Lagos. 

Aneurysm Coiling Surgery reviews in Lagos by past clients are very encouraging because the Aneurysm Coiling Surgery success rate in Lagos is high. 

 

 

Aneurysm Coiling Insurance surgery coverage in Lagos 

 

Aneurysm Coiling Surgery is a very common procedure in Lagos. Many health insurance companies assist you with this medical emergency surgery.  

 Top Insurance companies covering Aneurysm Coiling Surgery  are, 

AIICO Insurance Aneurysm Coiling surgery coverage 

Lead Way Assurance company Aneurysm Coiling Surgery coverage 

Custodian and Allied Insurance Aneurysm Coiling Surgery coverage 

Cornerstone Insurance Plc Aneurysm Coiling Surgery coverage 

AXA Mansard Insurance Aneurysm Coiling Surgery coverage 

African Alliance Insurance Plc Aneurysm Coiling Surgery coverage 

Goldlink Insurance Plc Aneurysm Coiling Surgery coverage 

Continental Insurance Aneurysm Coiling Surgery coverage 

Industrial and General Insurance Plc Aneurysm Coiling Surgery coverage 

Aneurysm Coiling Surgery coverage from Lasaco Assurance Plc 

What happens before Aneurysm Coiling surgery?

Depending on whether the patient appears in the emergency room with a ruptured aneurysm or whether the patient considers coiling for an unruptured aneurysm, planning before surgery will vary.

A ruptured aneurysm is life-threatening, and medical stability is evaluated for each patient and treated as appropriate. The medical staff must discover the cause of the hemorrhage after the patient has been stabilized. Usually, this is done with an angiogram or CT angiogram. The neurosurgeon and/or interventional radiologist then analyze the results to decide if endovascular coiling or surgical clipping can be used to treat the aneurysm. The doctor shares this recommendation with the patient and family.

There is time for a patient with an unruptured aneurysm to prepare for a scheduled operation and will usually undergo checks several days before surgery (e.g., blood test, electrocardiogram, chest X-ray). You will sign consent forms and full reports on your medical history at the doctor’s office, including allergies, drugs, bleeding history, anesthesia reactions, and prior surgeries. Discuss all the drugs you are taking with your health care provider (prescription, over-the-counter, herbal supplements). There is a need to continue or avoid certain drugs on the day of surgery. Be sure to speak to your doctor about any drugs, jewelry (nickel), or shellfish (iodine) allergies.

Avoid taking all non-steroidal anti-inflammatory drugs 1 week before surgery (Naprosyn, Advil, Motrin, Nuprin, Aleve, etc.). 1 week before surgery, avoid the use of coumadin. Until coiling, certain blood-thinning drugs (aspirin, Plavix) are occasionally prescribed. Specific instructions will be provided by the doctor to either avoid or start taking blood thinners. In addition, 1 week before and 2 weeks after surgery, avoid smoking, chewing tobacco, and consuming alcohol, as these practices can cause bleeding problems. The night before surgery, no food or drink is allowed after midnight.

On the morning of the operation, the patients are admitted to the hospital. Patients are admitted to the hospital the morning of the procedure. An intravenous (IV) line is placed in the arm. An anesthesiologist will explain the effects of anesthesia and its risks.

The cost of Aneurysm Coiling Surgery in Lagos is as following: 

  Surgery name    A minimum price (Naira)   Maximum price (Naira)  Average price (Naira)  
Aneurysm Coiling ₦ 2,859,000 ₦ 3,621,400 ₦3,240,200

The Cost for Aneurysm Coiling Surgery may vary according to the following factors: 

  • Doctor’s Fee 
  • Hospital charges 
  • Medical condition after Aneurysm Coiling Surgery
  • Type & Quality of Implants/Consumables 
  • Lab Tests recommended post-Aneurysm Coiling Surgery

 

What happens during the Aneurysm Coiling Surgery?

 

Endovascular procedures are normally conducted in the radiology department’s special procedure room or angiography suite. There are six steps to the process and it usually takes 2 to 4 hours.

prepare the patient
On the x-ray table, you can lie on your back and be given anesthesia. Depending on your medical history, the capacity to obey orders from the surgical team, the severity of your situation, and the choice of your physician, the type of anesthesia varies. Some cases with “twilight” sedation can be done, and those with a general anesthetic can be done. To prevent blood clots from developing, anti-clotting medication (heparin) is injected during the operation. Your head is placed so that, during the operation, it will not move.

insert the catheter
There is shaving and cleansing of the inner thigh and groin section. As the skin incision is made, a local numbing agent is provided to reduce discomfort. The femoral artery is situated in the artery and a hollow needle is inserted. Next, to reach the bloodstream, a long tube made of a flexible plastic called a catheter is brought through the needle. A special dye is injected through the catheter into the bloodstream, called a contrast agent. On the x-ray display, the dye reveals the blood vessels (fluoroscopy). The doctor carefully directs the catheter from the femoral artery in the leg, up the aorta, past the heart, and to one of four arteries in the n. Watching the monitor while injecting medicine You may feel brief discomfort when the catheter is inserted, but most catheter manipulation is painless.

locate the aneurysm
The doctor injects the contrast dye when the catheter is positioned right when x-ray images are taken. You can feel a flush that lasts 5 to 20 seconds and is hot. Injections of the dye are repeated until the doctor is able to see all the required arteries and measure the aneurysm, particularly the neck.

insert the coils/stent
A second smaller catheter is progressed via the first catheter, roughly the size of a string of spaghetti. This microcatheter passes through the aneurysm itself and into the arteries. Then, before they emerge within the aneurysm, tiny platinum coils are advanced via the catheter. As seen on the x-ray display, the contrast dye is administered to allow the doctor to see the position of the coils in the aneurysm. If the position is fine, the doctor releases the coil from the guidewire. When the aneurysm is packed, coils are added, one after another.

To help keep the coils in place, some aneurysms with a large neck or an irregular shape need a stent. The stent advances through the catheter and is placed next to the aneurysm in the regular artery. A stent is a chicken wire-like tube made of metal that conforms to the artery’s shape. To carry coils into the aneurysm, the guidewire is transmitted via the stent. The stent remains permanently in the artery, keeping the coils in place.

Other devices:
Flow-diversion stent
Within the parent artery, a tightly woven mesh tube is positioned across the aneurysm. The blood flows inside the flow-diverter and proceeds down the artery without going through the aneurysm, because the blood does not easily get through the spaces of the tight mesh stent. The aneurysm will gradually clot away and shrink in 6 weeks to 6 months without the pulsating blood flow.

Intrasaccular flow disruptor
Within the sac of the aneurysm, a tightly woven mesh basket is inserted. It provides a bridge across the aneurysm’s large neck, stopping blood from getting through the narrow mesh spaces. Without heading into the aneurysm, the blood flow proceeds down the artery.

check the coils/stent-
The doctor inspects the coils by administering a contrast agent to ensure that blood no longer flows through the aneurysm. This procedure also verifies that the aneurysm is within the coils and does not narrow the main artery.

remove the catheter
The catheter is removed once the coils have been mounted. For around 10 to 15 minutes, the pressure is applied to the groin area so that the artery won’t bleed. A bandage is applied firmly to the incision.

To close the puncture site in the artery, an angio-seal can often be used. It seals the gap with a collagen sponge outside the artery by sandwiching an anchor within the artery. The sandwich is held together by a suture. The body absorbs the anchor and sponge naturally within around 60 to 90 days.

 

What happens after the Aneurysm Coiling Surgery?

As the anesthesia or sedation wears off, you are moved to the neuroscience intensive care unit (NSICU) for observation and monitoring. Medication for pain is given as needed. After the operation, nausea and headache can occur, but there is medication available to treat these symptoms.

For the next 6 hours, you must stay flat on your back, holding the bandaged leg as straight as possible. You must stay flat on your back for just 2 hours if you have used an engine-seal. On this web, you can feel a pea-size lump in your groin or mild tenderness. If any pressure, swelling, or bleeding happens at the incision site, alert the nurse.

For 14 to 21 days, a patient who has sustained a ruptured aneurysm usually stays in the NSICU. He or she is closely monitored during that period for symptoms of vasospasm, a narrowing (spasm) of an artery that can occur 3 to 14 days after a subarachnoid hemorrhage. Vasospasm signs include weakness of the arm or leg, confusion, sleepiness, or restlessness.

A patient who has undergone coiling for an unruptured aneurysm is usually released the next day from the hospital. Detailed discharge directions will be issued to you to obey for 2 weeks at home.

What are the risks of Aneurysm Coiling Surgery?

No operation is without risk. Infection, allergic reactions, stroke, epilepsy, and bleeding are general complications linked to an invasive procedure. Complications associated with an endovascular procedure are:

Blood clots (thromboembolism): inside the guiding catheter, on the coils or stents, or in the parent vessels, clots can develop. To block a smaller artery, clots may break loose and move downstream, possibly causing a stroke. In 8 percent of cases, blood clots happen, but stroke only happens in 3 percent. During the treatment, giving heparin reduces clot formation.

Rupture of the aneurysm: caused by puncture with the catheter, guidewire, or coils of the aneurysm. This occurs in around 5% of ruptured aneurysms that have a wall that is already compromised, but in unruptured aneurysms, it is less common.

Vasospasm: an irregular narrowing or constriction of the artery arising from subarachnoid space discomfort of the blood or manipulation of the catheter during an endovascular procedure. Drugs (triple-H treatment, nimodipine, papaverine) and angioplasty can treat vasospasm.

Position of the coil: some coils can protrude out of the aneurysm neck and narrow the parent artery after placement. In order to force the coils back into the aneurysm, a stent or temporary balloon may be inflated. After the operation is complete, it is unusual for a coil to travel out of the aneurysm.

Incomplete occlusion: this happens when the aneurysm is not completely filled by coils, leaving a residual collar. The residual neck will have blood entering and cause the aneurysm to regrow (recur).

Recovery for Aneurysm Coiling Surgery

The majority of patients treated for an unruptured aneurysm with coils should expect to live regular and productive lives. As before, they will usually work and enjoy sports, including exercise. Going back for follow-up angiograms as recommended is part of their healthcare regimen.

Depending on the severity of the rupture, patients treated with coils for a ruptured aneurysm face problems ranging from mild to severe. After a ruptured aneurysm, short-term memory loss and headaches are normal. With healing and therapy, some of these deficits can disappear over time. In helping the patient to heal physically and emotionally, family members and friends may play an important role.

For those dealing with short-term memory loss, a daily planner and reminder notes put at strategic locations in the household are useful instruments. Participating in a support group will also help patients and family members.

 

What is the Aneurysm Coiling Surgery success rate in Lagos? 

The posterior communicating artery (15.8 percent) was the most common site for endovascular care, and endovascular procedures were most commonly used for posterior circulation and aneurysms. With a 16.5 percent regrowth rate and no rebleeding, the performance rate was approximately 99.2 percent.

Aneurysm Coiling Surgery Cost in Lagos

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