Carotid Endarterectomy Package

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Carotid Endarterectomy Cost in India
Written & reviewed by Vikram Kashyap, Medical Consultant, Satyug Healthcare ·Last updated: ·Editorial policy
Surgery Name Cost Room Hospitalization
Carotid Endarterectomy Package 8000 Single 5 Days (1 Day ICU + 4 Days Room)
✓ Inclusion
  • ✔Consultation with vascular surgeon and neurologist
  • ✔Routine pre-operative blood tests, ECG, chest X-ray and echocardiogram
  • ✔Carotid Doppler before discharge
  • ✔Surgeon's and anaesthetist's fees
  • ✔Operation theatre charges and standard consumables
  • ✔Carotid endarterectomy with standard patch
  • ✔1 day ICU stay
  • ✔4 days ward stay in a single room
  • ✔Nursing care and hospital meals
  • ✔Medicines during hospital stay
  • ✔Free: airport pick-up & drop, visa invitation letter, interpreter & coordinator (Satyug Healthcare)
✗ Exclusion
  • ✖CT/MR angiography or brain MRI if not already done
  • ✖Carotid stenting or extra devices
  • ✖Extra ICU or ward days beyond the package
  • ✖Coronary angiography or other cardiac procedures
  • ✖Blood and blood products
  • ✖Medicines after discharge
  • ✖Hotel stay, meals and local travel
  • ✖Flights, visa fees and travel insurance
  • ✖Treatment of complications or unrelated conditions
Know More About Procedure & Surgery
🇮🇳 VASCULAR PACKAGE — INDIA

Carotid Endarterectomy Surgery in India

Surgery to clean fatty plaque from a narrowed carotid artery in the neck and lower the risk of stroke, for patients with carotid artery disease, mini-strokes (TIA) or severe narrowing. Done by experienced vascular surgeons at accredited Indian hospitals at a fraction of Western cost.

✅ Free Medical Opinion in 48–72 h🧠 Stroke Prevention by Vascular Experts💰 Starting USD 8,000✈️ Visa & Airport Support🗣️ Interpreter Available
⏱️
1.5–2 hrs
Surgery time
🏥
5 days
Hospital (1 ICU + 4 ward)
📈
~2–3%
Stroke/death risk
📅
10–12 days
Total stay in India

📖 What is Carotid Artery Disease and Endarterectomy?

The carotid arteries are two large blood vessels, one on each side of the neck, that carry blood to the brain, face and neck. Over time, fat, cholesterol and calcium can build up inside them as plaque (atherosclerosis). This narrows the artery (carotid stenosis). Small pieces of plaque or clot can break off and travel to the brain, causing a mini-stroke (TIA) or a full stroke. Carotid disease causes about 10–15% of all strokes.

Carotid endarterectomy (CEA) is an operation to remove this plaque. Through a cut on the side of the neck, the surgeon opens the artery, peels out the plaque and closes the artery, usually with a patch to keep it wide. It is one of the best-studied operations in medicine and clearly reduces the risk of future stroke in the right patients.

🖼️ Understand It in Pictures

💡 In simple words
The carotid arteries in the neck carry blood to the brain. Fatty plaque can narrow them and send small clots to the brain, causing a stroke. Carotid endarterectomy is surgery that removes the plaque through a cut in the neck to lower stroke risk.

Healthy vs narrowed carotid artery

Carotid Endarterectomy: normal vs abnormal explained in pictures

👀 Symptoms in Pictures

Symptoms that may need Carotid Endarterectomy - in pictures

🎬 The Treatment Journey in Pictures

Carotid Endarterectomy step by step in pictures
How carotid surgery works
How carotid surgery works
The artery is opened, the plaque is lifted out and the artery is closed again.
Image: NHLBI (NIH), public domain, via Wikimedia Commons
Plaque removed from a neck artery
Plaque removed from a neck artery
The yellow-brown fatty plaque that was narrowing the carotid artery, removed in surgery.
Image: Ed Uthman, MD, CC BY 2.0, via Wikimedia Commons

📅 Recovery at a Glance

Recovery timeline after Carotid Endarterectomy

Drawings: Satyug Healthcare (simplified, not to scale). Photos: Wikimedia Commons; author and licence under each photo.

🩺 Who Needs Carotid Endarterectomy?

⚡
Recent TIA or minor stroke
With 50–99% narrowing on the same side – surgery is best within 2 weeks.
🧠
Severe symptomless narrowing
70–99% narrowing without symptoms in selected fit patients.
👁️
Amaurosis fugax
Brief loss of vision in one eye caused by plaque from the carotid artery.
🩸
Unstable (ulcerated) plaque
Soft or ulcerated plaque with high risk of breaking off.
🔁
Recurrent symptoms on medicines
Repeated TIAs despite blood thinners and statins.
🫀
Before heart surgery (selected)
Severe carotid narrowing in patients planned for bypass surgery.

⚠️ Warning Signs (TIA / Stroke)

  • ➤Sudden weakness or numbness of face, arm or leg on one side
  • ➤Drooping of one side of the face
  • ➤Sudden trouble speaking or understanding
  • ➤Sudden loss of vision in one eye (like a curtain)
  • ➤Sudden dizziness or loss of balance
  • ➤Confusion
  • ➤A whooshing sound (bruit) heard by the doctor in the neck
  • ➤Often no symptoms at all until a stroke
💡 Surgery is not needed for mild narrowing. Narrowing under 50% (with symptoms) or under 60–70% (without symptoms) is treated with medicines – aspirin or clopidogrel, a statin, blood pressure and sugar control, and stopping smoking. Carotid stenting (CAS or TCAR) is an alternative for patients at high surgical risk. Sudden stroke symptoms are an emergency – call local emergency services immediately.

🔬 Tests Before Treatment

TestWhy it is done
Carotid Doppler ultrasoundMeasures the degree of narrowing and plaque type; first test.
CT angiography or MR angiographyShows exact narrowing, plaque length and arteries in the head and neck.
MRI or CT brainShows any old or new stroke.
ECG and echocardiogramChecks the heart, because many patients also have heart disease.
Blood tests (sugar, lipids, kidney function, clotting)Assess fitness and risk factors.
Neurology assessmentRecords any nerve deficit before surgery.

🏥 The Procedure — Step by Step

Carotid Endarterectomy procedure steps
1
Consultation and imaging review
The vascular surgeon and neurologist confirm the narrowing and decide on surgery or stenting.
2
Admission and preparation
Fitness tests are completed; aspirin and statin are continued.
3
Anaesthesia
General anaesthesia, or local/regional anaesthesia so you stay awake and brain function can be checked.
4
Neck incision
A 6–10 cm cut is made along the front of the neck muscle.
5
Clamping the artery
The arteries are clamped; a temporary tube (shunt) may keep blood flowing to the brain.
6
Plaque removal
The artery is opened and the plaque is carefully peeled out.
7
Patch closure
The artery is closed, usually with a patch to keep it wide.
8
Flow check and closure
Blood flow is restored and checked; the neck wound is closed.
9
ICU monitoring
One day in ICU for close blood pressure and neurological checks.
10
Ward stay and discharge
4 days in the ward; walking, eating and discharge with medicines.

⚖️ Treatment Options for Carotid Disease

OptionWhat is doneBest for
Conventional endarterectomy with patch (this package)Artery opened lengthwise, plaque removed, patch closureMost patients; the standard surgery
Eversion endarterectomyInternal carotid cut and turned inside out to remove plaqueSelected anatomy; no patch needed
Carotid artery stenting (CAS)Stent placed through the groin with a filterHigh surgical risk, previous neck surgery or radiation
TCAR (transcarotid stenting)Stent through a small neck cut with flow reversalHigh-risk patients in specialised centres
Best medical therapyAntiplatelets, statins, BP and sugar controlMild or moderate narrowing
📊 The NASCET trial showed that in patients with symptoms and 70–99% narrowing, endarterectomy cut the 2-year risk of stroke on the same side from 26% to 9%; guidelines (ESVS 2023) advise surgery within 14 days of symptoms.

📅 Your Day-by-Day Plan in India

DayWhat happens
Day 1Arrival in India ✈️, airport pick-up and hotel check-in
Day 2Vascular surgeon and neurologist consultation, Doppler/CT angiography and fitness tests
Day 3Admission and carotid endarterectomy; 1 day in ICU
Day 4–7Ward stay (4 days); walking, BP control, wound check
Day 8Discharge to hotel
Day 9–10Follow-up review, Doppler check if advised
Day 11–12Fit-to-fly check – Fly home ✈️

🌱 Recovery After Treatment

🏥
Day 1
ICU monitoring of blood pressure and brain function.
🚶
Day 2–5
Ward stay, walking, normal diet; neck may feel tight or numb.
🩹
Week 1–2
Wound heals; avoid driving and heavy lifting; mild hoarseness or swallowing discomfort settles.
💼
Week 2–4
Return to light work and normal daily activities.
💊
Lifelong
Aspirin/clopidogrel and statin, BP and sugar control, no smoking.
🔍
1–3 months, then yearly
Carotid Doppler to check both arteries.

🏆 Success Rate

OutcomeResult
Stroke or death within 30 daysAbout 2–3% (symptomatic), 1–2% (asymptomatic)
Reduction in stroke risk (70–99% symptomatic)About 2/3 relative reduction
Re-narrowing (restenosis) at 5 yearsAbout 5–10%
Technical successOver 98%
Nerve injury (mostly temporary)About 4–5%

Benefit is greatest when surgery is done soon after symptoms, in patients with severe narrowing, by experienced surgeons with low complication rates. Lifelong medicines and risk-factor control are essential.

🩹 Risks & Possible Complications

Carotid endarterectomy is safe in experienced hands, but has some risks.

  • •Temporary nerve injury causing hoarseness, tongue weakness or swallowing difficulty (about 4–5%, usually recovers)
  • •Neck numbness around the scar (common)
  • •Stroke during or after surgery (about 1–3%)
  • •Neck bleeding or haematoma (about 1–3%)
  • •Heart attack (about 1%)
  • •High or low blood pressure after surgery
  • •Hyperperfusion syndrome – headache or seizures (rare, under 1%)

💰 Cost of Carotid Endarterectomy in India

The cost of carotid endarterectomy in India starts from about USD 8,000, including surgery, patch, anaesthesia, 1 day in ICU and 4 days in a single room in the ward. Costs vary with stenting instead of surgery, extra ICU days and the hospital chosen.

Option / Hospital tierApprox. cost (USD)Hospital stayNotes
Carotid endarterectomy (this package)8,0005 days (1 ICU + 4 ward)Single room
Carotid artery stenting (CAS)7,000 – 10,0002–3 daysStent and embolic protection device
Premium hospital endarterectomy9,000 – 11,0005 daysTop-tier Delhi NCR / Mumbai centres
Bilateral / complex endarterectomy11,000 – 14,0006–8 daysStaged surgery or combined procedures
⚠️ Final cost depends on the type of procedure, patch or stent used, ICU days, other heart or medical conditions, and hospital choice. Quotes are confirmed after the specialist examines the patient in India.
Carotid Endarterectomy cost comparison India USA UK Turkey

📋 What the Package Includes

✅ Included
  • ✔Vascular surgeon and anaesthesia fees
  • ✔Operation theatre charges
  • ✔Standard arterial patch
  • ✔1 day in ICU
  • ✔4 days in a single room ward
  • ✔Nursing care and monitoring
  • ✔Medicines during hospital stay
  • ✔Post-operative review
❌ Not Included
  • ✖CT/MR angiography if not done
  • ✖Carotid stenting (unless chosen)
  • ✖Extra ICU or hospital days
  • ✖Coronary tests or treatment
  • ✖Medicines after discharge
  • ✖Hotel stay and meals
  • ✖Flights and visa fees

✈️ Your Medical Travel Process with Satyug Healthcare

Medical travel journey to India for Carotid Endarterectomy
StepDetails
1. Send reportsCarotid Doppler report, CT or MR angiography of neck and brain (images and report), brain MRI/CT, ECG and echocardiogram, history of TIA or stroke with dates, and list of current medicines.
2. Free opinion & quotesWithin 48-72 hours you receive opinions and cost estimates from 3-5 leading hospitals to compare.
3. Choose hospital & doctorWe help you compare doctors, success rates, room options and total budget.
4. Medical visaThe hospital issues a Visa Invitation Letter (VIL) to the Indian Embassy. The patient and up to 2 attendants apply for an e-Medical / Medical Attendant visa.
5. Travel planningFlight guidance, wheelchair assistance, airport pick-up, hotel or guest house near the hospital.
6. Treatment in IndiaYour coordinator and interpreter stay with you for admission, treatment, discharge and billing.
7. Return & follow-upFit-to-fly letter, medicines, and online follow-up with your doctor after you return home.

🎒 Travel Checklist

  • 📌Valid passport (6+ months) for the patient and attendants, plus 10 passport-size photos each
  • 📌Medical visa / e-visa and the hospital’s Visa Invitation Letter
  • 📌All carotid Doppler, CT/MR angiography and brain scan reports, scans on CD / link and prescriptions
  • 📌Yellow fever vaccination certificate (mandatory for travellers from African countries)
  • 📌Polio vaccination certificate where applicable
  • 📌Declare cash above USD 5,000 at the airport; hospitals accept wire transfer and cards
  • 📌Foreigners staying longer than permitted must register with the FRRO — our team assists

⭐ Why Choose Satyug Healthcare?

🏥
Top Accredited Hospitals
Carotid endarterectomy is performed at major vascular and neuroscience centres such as Medanta, Max Saket, Fortis Gurugram (FMRI), Artemis, BLK-Max, Sir Ganga Ram, Apollo, Manipal and Kokilaben.
👨‍⚕️
Senior Specialists
Surgery is done by senior vascular surgeons working with neurologists and cardiac anaesthetists experienced in carotid surgery and stenting.
💵
Transparent Pricing
Multiple written quotes to compare — no hidden charges, no extra fee for our service.
🤝
End-to-End Support
Visa, airport pick-up, accommodation, interpreter and 24/7 coordinator.

❓ Frequently Asked Questions

➤ What is the cost of carotid endarterectomy in India?
It starts from about USD 8,000, including surgery, 1 day in ICU and 4 days in the ward in a single room.
➤ How long will I stay in hospital and in India?
About 5 days in hospital (1 ICU + 4 ward). Plan for 10–12 days in India in total.
➤ Who needs this surgery?
People with a recent TIA or minor stroke and 50–99% narrowing, and selected people with 70–99% narrowing without symptoms.
➤ How soon should surgery be done after a TIA?
Ideally within 2 weeks of symptoms, when the risk of stroke is highest and the benefit of surgery is greatest.
➤ Is surgery better than stenting?
For most patients, especially those over 70, endarterectomy has a lower risk of stroke around the procedure. Stenting is useful for high surgical risk or a 'hostile' neck.
➤ Will I be awake during surgery?
It can be done under general anaesthesia or under local anaesthesia while awake. Your surgeon and anaesthetist will decide with you.
➤ Is it painful?
There is mild neck pain for a few days, controlled with simple painkillers. Most patients eat and walk the next day.
➤ What are the main risks?
Stroke (about 1–3%), temporary nerve problems causing hoarseness or swallowing difficulty, neck bleeding and heart attack.
➤ When can I return to work?
Most people return to light work in 2–4 weeks. Avoid driving for about 2 weeks.
➤ Will the artery block again?
Re-narrowing happens in about 5–10% over 5 years. Medicines, no smoking and yearly Doppler scans reduce and detect this.
➤ Do I need medicines for life?
Yes. Aspirin or clopidogrel, a statin and blood pressure control are lifelong to prevent stroke and heart attack.
➤ Can my family come with me?
Yes, one or two attendants can come on a medical attendant visa. Satyug provides the visa invitation letter.
➤ What follow-up is needed at home?
A carotid Doppler at 1–3 months and then yearly. Our team arranges video follow-up with your surgeon.
➤ Will an interpreter be available?
Yes, Satyug coordinators speak English, Arabic, French and Portuguese, and interpreters support Arabic, French and Russian (plus English).
💬 Get a Free Opinion & Cost Estimate
Send your medical reports today and receive opinions from India’s top specialists within 48-72 hours.
📞 +91-8860606766  |  +91-9910655125  |  ✉️ query@satyughealthcare.com

Medical disclaimer: This page is for general information and does not replace a consultation with a qualified specialist. Treatment plans and costs are confirmed only after the patient is examined. Sources: NCBI StatPearls: Carotid Endarterectomy; NASCET (NEJM 1991) and ECST trials; ACST-1 (Lancet 2004); CREST trial (NEJM 2010); European Society for Vascular Surgery (ESVS) 2023 Carotid Guidelines; Society for Vascular Surgery 2021 guidelines; NHS: Carotid endarterectomy. Infographics: Satyug Healthcare.

Frequently Asked Questions

Carotid artery disease occurs when fatty deposits (plaques) clog the blood vessels which deliver blood to your brain and head (carotid arteries). The blockage increases your risk of stroke, a medical emergency that occurs when the blood supply to the brain is interrupted or seriously reduced.

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