Endovascular Procedures at Cleveland Clinic

Endovascular Procedures provide minimally invasive treatment for diseases affecting the arteries, veins and blood vessels using specialized catheters, guidewires, balloons, stents and other vascular devices. These procedures may be used to improve blood flow, open narrowed or blocked vessels, repair selected aneurysms and treat other vascular conditions. Treatment is individualized according to the patient's diagnosis, vascular anatomy, disease severity and overall health.

Price

Price on Request

Why Price on Request?

The cost of endovascular treatment depends on the vascular consultation, diagnostic imaging, laboratory testing, type of procedure, medical devices, anesthesia or sedation, hospitalization and follow-up care required. A personalized estimate is provided according to the patient's treatment plan.

Complete Description

What Are Endovascular Procedures?

Endovascular Procedures are minimally invasive treatments performed from inside a blood vessel.

A catheter is typically inserted through a blood vessel and guided to the area requiring treatment.

Endovascular techniques may be used for:

• Arterial blockages

• Peripheral artery disease

• Aneurysms

• Carotid artery disease

• Aortic disease

• Other vascular conditions

Conditions Treated With Endovascular Procedures

Endovascular treatment may be considered for selected patients with:

• Peripheral artery disease

• Arterial stenosis

• Arterial blockages

• Aortic aneurysms

• Carotid artery disease

• Thoracic aortic disease

• Other vascular disorders

Endovascular Evaluation

Before a procedure, specialists may evaluate:

• Medical history

• Symptoms

• Vascular anatomy

• Blood circulation

• Previous procedures

• Kidney function

• Cardiovascular health

• Overall medical condition

Vascular Imaging

Imaging is important for planning endovascular treatment.

Possible studies include:

• Duplex ultrasound

• CT angiography

• MR angiography

• Conventional angiography

Imaging helps identify the location and severity of vascular disease.

Angiography

Angiography uses contrast material and specialized imaging to visualize blood vessels.

It can help identify:

• Narrowed arteries

• Blocked vessels

• Aneurysms

• Abnormal blood flow

• Vascular anatomy

Angioplasty

Angioplasty uses a small balloon attached to a catheter to widen a narrowed blood vessel.

It may be used for selected patients with significant arterial narrowing.

Vascular Stent Placement

A stent is a small mesh-like device placed inside a blood vessel to help maintain an open passage for blood flow.

Stents may be used in selected arterial conditions.

Peripheral Endovascular Treatment

Endovascular procedures may be used to treat peripheral artery disease affecting the legs.

Possible procedures include:

• Angioplasty

• Stent placement

• Other catheter-based techniques

The treatment depends on the location and severity of the arterial blockage.

Carotid Endovascular Treatment

Selected patients with carotid artery disease may be considered for minimally invasive treatment.

Carotid artery stenting uses a catheter-based approach to place a stent in the carotid artery.

Aortic Endovascular Treatment

Certain aortic conditions may be treated using endovascular techniques.

Treatment may include:

• Endovascular aneurysm repair

• Thoracic endovascular aortic repair

• Stent-graft placement

Endovascular Aneurysm Repair

Endovascular aneurysm repair uses a specialized stent graft to reinforce the weakened section of an artery.

It may be used for selected patients with certain aortic aneurysms.

Thoracic Endovascular Aortic Repair

TEVAR is an endovascular procedure used to treat selected conditions affecting the thoracic aorta.

It may be considered for certain:

• Thoracic aortic aneurysms

• Aortic dissections

• Other thoracic aortic conditions

Abdominal Endovascular Aneurysm Repair

EVAR is a minimally invasive procedure used for selected abdominal aortic aneurysms.

A stent graft is placed inside the aorta to help exclude the aneurysm from normal blood flow.

Endovascular Treatment for Arterial Blockages

Catheter-based procedures may help restore blood flow through selected blocked or narrowed arteries.

Treatment may involve:

• Balloon angioplasty

• Stent placement

• Other specialized vascular techniques

Endovascular Treatment for Limb Ischemia

Patients with severe reduction in blood flow to the legs may require urgent vascular evaluation.

Selected patients may undergo endovascular treatment to improve circulation and support limb preservation.

Endovascular Treatment for Complex Vascular Disease

Some patients have vascular disease involving multiple vessels or complicated anatomy.

Treatment planning may require:

• Advanced vascular imaging

• Specialized endovascular techniques

• Multidisciplinary evaluation

• Combined endovascular and surgical approaches

Hybrid Vascular Procedures

In selected complex cases, endovascular treatment may be combined with open surgery.

Hybrid procedures may be considered when a single treatment approach is not sufficient.

Catheter-Based Treatment

Endovascular procedures generally involve:

• Vascular access

• Catheter placement

• Guidewire navigation

• Imaging guidance

• Treatment of the affected vessel

• Removal of the catheter

The specific technique varies according to the procedure.

Anesthesia and Sedation

Depending on the procedure, patients may receive:

• Local anesthesia

• Conscious sedation

• Regional anesthesia

• General anesthesia

The choice depends on the procedure and patient's medical condition.

Recovery After Endovascular Procedures

Recovery varies depending on the type and complexity of the procedure.

Patients may require monitoring of:

• Blood circulation

• Vascular access site

• Blood pressure

• Heart rhythm

• Kidney function

• Symptoms

Post-Procedure Monitoring

Follow-up may include:

• Physical examination

• Vascular ultrasound

• CT imaging when appropriate

• Medication review

• Assessment of blood flow

• Monitoring of stents or stent grafts

Medication After Endovascular Treatment

Some patients may require medications after endovascular treatment.

Medication plans may focus on:

• Preventing blood clots

• Managing cholesterol

• Controlling blood pressure

• Managing other cardiovascular risk factors

Long-Term Endovascular Follow-Up

Patients who receive vascular stents or stent grafts may require ongoing monitoring.

Follow-up may evaluate:

• Blood flow

• Stent position

• Stent-graft function

• Recurrent narrowing

• Other vascular changes

Endovascular Procedure Second Opinion

Patients who have received a recommendation for an endovascular procedure may seek a vascular second opinion.

Specialists may review:

• Angiography

• CT angiography

• MR angiography

• Ultrasound

• Previous procedure reports

• Medical records

• Proposed treatment plan

International Patients

International patients should provide relevant vascular records whenever possible.

Useful documents may include:

• CT angiography

• MR angiography

• Doppler ultrasound

• Angiography reports

• Previous vascular procedure reports

• Laboratory results

• Current medication list

Benefits of Specialized Endovascular Procedures

Endovascular care may help:

• Treat vascular blockages

• Improve blood circulation

• Treat selected aneurysms

• Reduce the need for open surgery in appropriate cases

• Treat peripheral artery disease

• Treat selected carotid conditions

• Treat selected aortic conditions

• Provide minimally invasive vascular treatment

• Support limb preservation

• Provide individualized vascular treatment plans

Why Choose Cleveland Clinic for Endovascular Procedures?

Cleveland Clinic provides multidisciplinary vascular care involving vascular specialists, vascular surgeons, interventional specialists, cardiovascular imaging professionals and other healthcare providers.

Depending on the patient's condition, treatment may include angioplasty, stent placement, endovascular aneurysm repair, thoracic endovascular treatment or combined vascular procedures.

Cost & Price on Request

Price: Price on Request

The total cost of an endovascular procedure depends on the vascular condition, complexity of treatment and resources required.

Potential costs may include:

• Vascular consultation

• Diagnostic imaging

• Angiography

• Laboratory testing

• Endovascular procedure

• Balloons

• Stents or stent grafts

• Anesthesia or sedation

• Hospitalization

• Medications

• Follow-up imaging

• Follow-up consultations

A personalized cost estimate should be requested according to the patient's individual treatment plan.

Frequently Asked Questions

1. What are endovascular procedures?

Endovascular procedures are minimally invasive treatments performed from inside a blood vessel using catheters, guidewires, balloons, stents or other specialized devices.

2. What conditions can be treated with endovascular procedures?

They may be used for selected cases of peripheral artery disease, arterial blockages, aneurysms, carotid artery disease and aortic disease.

3. Is endovascular treatment less invasive than open surgery?

Endovascular procedures generally use small vascular access sites rather than a large surgical incision, although the appropriate treatment depends on the patient's condition.

4. What is angioplasty?

Angioplasty is a catheter-based procedure that uses a balloon to widen a narrowed blood vessel and improve blood flow.

5. How much do endovascular procedures cost?

Price is available on request. The final cost depends on the procedure, imaging, medical devices, anesthesia, hospitalization and follow-up care.

Product Details

Product Name: Endovascular Procedures

Hospital: Cleveland Clinic

Brand: Cleveland Clinic

Country: United States

Specialty: Vascular Medicine & Surgery

Service Type: Endovascular Procedures

Customer-Facing Price: Price on Request

International Patients: Available

Location: Cleveland, Ohio, USA