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tourists should ensure that they understand which services are included as part of the cost for their procedures; some overseas facilities and healthcare professionals charge substantial fees for follow-up care in addition to the base cost.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F3","text":"The clinic cannot state whether follow-up care occurs at the same facility","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the 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bleeding, requiring a blood transfusion, paralysis, or potential worsening or lack of improvement of symptoms despite intervention.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W3","text":"Worsening of symptoms despite intervention","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10201878/","host":"pmc.ncbi.nlm.nih.gov","quote":"Care should be taken to explain the risks of VAI, which include death, ischemic or hemorrhagic stroke, access site bleeding, requiring a blood transfusion, paralysis, or potential worsening or lack of improvement of symptoms despite intervention.","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":"Home doctor needs the written follow-up recommendations from treatment","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":"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 had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/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":"2026-11-11","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your vertebral artery stenosis can be managed with risk-factor and medical treatment","name":"Medical treatment","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC9477552/","host":"pmc.ncbi.nlm.nih.gov","quote":"Currently, asymptomatic and symptomatic vertebral artery stenoses are treated by risk factor modification and medical treatment.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":null},{"id":"A2","text":"Your symptomatic vertebral artery stenosis may suit surgical revascularization","name":"Surgical revascularization","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10201878/","host":"pmc.ncbi.nlm.nih.gov","quote":"Surgical revascularization is an alternative approach for the treatment of symptomatic vertebral artery stenosis that carries a 10-20% mortality 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days","source":{"url":"https://medlineplus.gov/angioplasty.html","host":"medlineplus.gov","quote":"Most people can return to their usual activities after a week.","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":"balloon-angioplasty","name":"Balloon angioplasty with stent (drug-eluting or bare-metal) via femoral or radial access","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"event":"back_to_daily_activities","min":7,"max":7,"unit":"days","label":"7 days","source":{"url":"https://medlineplus.gov/angioplasty.html","host":"medlineplus.gov","quote":"Most people can return to their usual activities after a week.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"suits_whom":"Symptomatic patients with ostial or proximal vertebral stenosis and suitable anatomy","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Typically 1-2 nights monitoring, light activity within days."},{"id":"distal-embolic-protection","name":"Distal embolic protection or angioplasty alone in selected lesions","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"event":"back_to_daily_activities","min":7,"max":7,"unit":"days","label":"7 days","source":{"url":"https://medlineplus.gov/angioplasty.html","host":"medlineplus.gov","quote":"Most people can return to their usual activities after a week.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"suits_whom":"Lesions with high embolic risk or unsuitable for stent placement","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Similar to stenting; antiplatelet course may differ."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your vertebral artery stenosis can be managed with risk-factor and medical treatment","name":"Medical treatment","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC9477552/","host":"pmc.ncbi.nlm.nih.gov","quote":"Currently, asymptomatic and symptomatic vertebral artery stenoses are treated by risk factor modification and medical treatment.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":null},{"id":"A2","text":"Your symptomatic vertebral artery stenosis may suit surgical revascularization","name":"Surgical revascularization","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10201878/","host":"pmc.ncbi.nlm.nih.gov","quote":"Surgical revascularization is an alternative approach for the treatment of symptomatic vertebral artery stenosis that carries a 10-20% mortality rate.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":null}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-11","next_check_at":"2027-02-09"},"travel":{"status":"ok","items":[{"id":"V1","item":"passport_validity","audience":"uk","volatile":true,"text":"The passport must have an expiry date at least 3 months after you plan to leave the Schengen area","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/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":"V2","item":"medicines","audience":"all","volatile":false,"text":"Carry prescription medication in its original packaging, along with your doctor's prescription","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Always carry your prescription medication in original packaging, along with your doctor’s prescription.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V3","item":"prescriptions","audience":"us","volatile":false,"text":"Medications that require a prescription in the United States also require a local doctor's prescription in Spain","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Medications requiring prescriptions in the United States also require a local doctor’s prescription in Spain.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V4","item":"ghic","audience":"uk","volatile":false,"text":"A GHIC or EHIC is needed to get medically necessary state healthcare in Spain","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/health","host":"gov.uk","quote":"To get medically necessary state healthcare in Spain, 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":"V5","item":"hospital_payment","audience":"all","volatile":false,"text":"Private hospitals usually require payment or proof of insurance or funds before admitting a patient","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Private hospitals usually require payment or proof insurance or funds before admitting a patient.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V6","item":"emergency_number","audience":"all","volatile":false,"text":"Dial 112 and ask for an ambulance","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/health","host":"gov.uk","quote":"Dial 112 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":["azerbaijan","israel","italy","turkey"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":4.7,"count":500,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":"<p>Vertebral artery angioplasty and stenting in Spain typically costs from _op_971_price_from_ to _op_971_price_to_. Prices depend on case complexity, stent type, and the choice of medical center. In the United States, this procedure costs _price_compare_US_average_ on average. Patients in Spain can achieve savings of approximately _price_percent_discount_%. Most Spanish clinical programs include neuroimaging, surgical fees, anesthesia, and 1–2 days of hospitalization.</p>\n\n<ul>\n<li><strong>Hospital location:</strong> Facilities in major hubs like Barcelona and Madrid often charge higher premiums.</li>\n<li><strong>Specialized materials:</strong> Using drug-eluting stents typically increases the total cost compared to bare-metal versions.</li>\n<li><strong>Surgical expertise:</strong> Procedures led by department directors or world-renowned neurosurgeons may involve higher professional fees.</li>\n<li><strong>Length of stay:</strong> While 1–2 days are standard, complications requiring ICU monitoring will increase costs.</li>\n</ul>\n\n<p><strong>Bookimed Expert Insight:</strong> Choosing Barcelona for neurovascular care offers access to elite specialists like Dr. Gerardo Conesa Bertran. He leads the Institute of Neurosurgery at Centro Médico Teknon, a JCI-accredited facility. This clinic is recognized by Newsweek as one of the world's best hospitals. High surgical volumes here, over 23,500 operations annually, often translate to better procedural efficiency for patients. Many international patients choose this center for its combination of celebrity-grade service and advanced 3D angiographic navigation technology.</p>","faq":[{"q":"What are the risks and success rates of vertebral artery stenting?","a":"<p>Vertebral artery stenting achieves technical success rates between 95% and 100% for restoring posterior brain circulation. Most procedures stay safe, though intracranial stenting carries higher risks. Clinical success focuses on preventing recurrent strokes through neuroendovascular surgical approaches in specialized centers.</p> <ul> <li><strong>Success rates:</strong> Surgeons achieve primary angiographic success in 95% to 99% of all patients.</li> <li><strong>Restenosis risk:</strong> Artery re-narrowing occurs in 10% to 30% of cases within 1 year.</li> <li><strong>Extracranial safety:</strong> Stenting outside the skull has a low stroke risk below 5.5%.</li> <li><strong>Intracranial risks:</strong> Procedures inside the skull carry a stroke risk of 7% to 17%.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spanish neurosurgery centers like Centro Médico Teknon and Hospital Ruber Internacional offer high-level safety. Both are JCI-accredited and host specialists like Dr. Gerardo Conesa Bertran. He is a pioneer in augmented reality surgical planning. This technology helps surgeons navigate delicate cranial vessels with higher precision during complex vascular interventions.</p> <p><strong>Patient Consensus:</strong> Medical management remains the preferred first-line therapy for most patients. Specialized stenting is typically reserved for life-threatening cases where medical therapy fails to prevent recurrent strokes.</p>"},{"q":"Is vertebral artery angioplasty and stenting suitable for all types of vertebral artery blockage?","a":"<p>Vertebral artery angioplasty and stenting is not suitable for all blockages. It typically addresses extracranial stenosis where narrowing occurs before the artery enters the skull. Doctors reserve this endovascular approach for symptomatic patients who suffer recurrent strokes despite intensive medical management or specific anatomical narrowing.</p> <ul> <li><strong>Blockage location:</strong> Most effective for narrowing at the artery origin before it enters the skull.</li> <li><strong>Symptom status:</strong> Primarily indicated for patients experiencing recent transient ischemic attacks or minor strokes.</li> <li><strong>Plaque composition:</strong> Hardened or calcified plaque often cannot be safely treated with balloon expansion.</li> <li><strong>Total occlusion:</strong> A 100% blockage is generally not stentable due to high procedural risks.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While many seek surgery immediately, major clinics in Spain like Centro Médico Teknon often prioritize medical stabilization first. Data shows high-volume centers frequently find that managing blood pressure and LDL-C levels provides better long-term outcomes than intervention for blockages under 70%. If surgery is required, choosing a facility with JCI accreditation ensures access to advanced imaging like 3-Tesla MRI for precise planning.</p> <p><strong>Patient Consensus:</strong> Patients often lead with caution as clinical trials suggest stenting can carry higher immediate risks than medication. Many report that specialists recommend watchful waiting or collateral artery monitoring for asymptomatic or complete blockages.</p>"},{"q":"How long is the recovery time after vertebral artery stenting?","a":"<p>Recovery after vertebral artery stenting in Spain typically spans 2 to 4 weeks for initial physical stabilization. While patients often return to non-stressful work within 10 to 30 days, full vascular healing of the treated artery requires 3 to 12 months of monitoring and lifestyle adjustments.</p> <ul> <li><strong>Hospital monitoring:</strong> Patients stay 1-2 days for observation in specialized units like Centro Médico Teknon.</li> <li><strong>Physical restrictions:</strong> Avoid weightlifting or heavy lifting over 5 lbs for 3 to 6 months.</li> <li><strong>Activity limits:</strong> Restrict sudden head turning and intense exercise to protect the newly placed stent.</li> <li><strong>Medication protocol:</strong> Dual antiplatelet therapy is standard for 6 months to prevent blood clot formation.</li> <li><strong>Follow-up imaging:</strong> Scheduled CT or MRA scans occur at 3 and 12 months post-procedure.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While basic recovery seems fast, patients should prepare for lingering fatigue lasting up to 6 months. High-volume centers like Hospital Ruber Internacional use advanced 3-Tesla MRI for precise follow-up. This helps detect subtle healing patterns that general scans might miss during the first year.</p> <p><strong>Patient Consensus:</strong> Patients often report mild headaches for the first 2 weeks. Many emphasize that returning to work feels manageable after 10 days if the role is not physically demanding.</p>"},{"q":"Which medical centers in Spain are best for vertebral artery angioplasty and stenting?","a":"<p>Centro Medico Teknon in Barcelona and Hospital Ruber Internacional in Madrid are the top Spanish medical centers for vertebral artery angioplasty and stenting. These JCI-accredited facilities offer advanced vascular neurosurgery and endovascular techniques using 3D angiographic navigation to ensure precise stent placement.</p> <ul> <li><strong>Specialized neurosurgery:</strong> Centro Medico Teknon features 400 specialists and performs 23,500 operations annually.</li> <li><strong>High-tech imaging:</strong> Hospital Ruber Internacional utilizes 3-Tesla MRI and advanced neuro-navigation for complex cases.</li> <li><strong>Expert surgeons:</strong> Dr. Gerardo Conesa Bertran at Teknon holds European Association of Neurosurgical Societies certification.</li> <li><strong>Accreditation standards:</strong> Leading centers maintain Joint Commission International accreditation and ISO quality management certifications.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Patients prioritize Centro Medico Teknon for its massive surgical volume. Dr. Gerardo Conesa Bertran brings expertise from 4 elite US hospitals. This experience is vital for complex neurovascular cases. Choosing such centers provides access to technology like augmented reality for surgical planning. This specialized focus helps maintain higher safety levels during endovascular procedures.</p> <p><strong>Patient Consensus:</strong> Success depends more on the individual neuroradiologist's skill than the hospital's reputation. Patients recommend verifying if the facility is a teaching hospital for better technology access.</p>"}],"h2":[{"text":"Яка вартість ангіопластики та стентування хребетної артерії в Іспанії?","kind":"content"},{"text":"Переваги та гарантії Bookimed","kind":"content"},{"text":"Ваш особистий лікар-координатор Bookimed","kind":"content"},{"text":"Дізнайтеся про найкращі клініки з ангіопластики та стентування хребетної артерії у Іспанії: 2 перевірені клініки та ціни","kind":"content"},{"text":"Огляд процедури Ангіопластика та стентування хребетної артерії в Іспанії","kind":"content"},{"text":"Отримайте медичну консультацію щодо ангіопластики та стентування хребетної артерії в Іспанії: Обирайте серед найкращих фахівців у галузі","kind":"content"},{"text":"Відеоісторії пацієнтів Bookimed","kind":"content"},{"text":"Відгуки про Bookimed: дізнайтеся про реальний досвід пацієнтів","kind":"content"},{"text":"Поділитися цим контентом","kind":"content"},{"text":"FAQ з ангіопластики та стентування хребетної артерії в Іспанії","kind":"content"},{"text":"Отримати безкоштовну консультацію","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":[]}